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. 2017 Apr 12;2017(4):CD001431. doi: 10.1002/14651858.CD001431.pub5

Evans 2010.

Methods Randomized to online decision aid vs paper decision aid vs questionnaire vs usual care
Participants 129 + 126 + 127 + 132 men considering PSA screening in Wales
Interventions DA: online programme on options' outcomes, clinical problem, outcome probabilities, explicit values clarification, others' opinion, guidance (interactive computer programme; summary)
Comparator: paper version of online DA on options' outcomes, clinical problem, outcome probabilities, explicit values clarification, others' opinion, guidance (interactive computer programme; summary)
Comparator: received a questionnaire
Comparator: received nothing
Outcomes Primary outcomes: knowledge (post‐DA)
Secondary outcomes: attitude (post‐DA), intention to undergo PSA testing (post‐DA), anxiety (post‐DA), uptake of PSA test (post‐DA), total decisional conflict
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "[A] random sample of 100 men was selected from the list." "The process ensured individual level randomization" (p 4, Recruitment process)
Allocation concealment (selection bias) Low risk "[A]ffirmative consent forms from each practice were transferred to the research officer who allocated each participant with a number provided remotely by the trial statistician to ensure concealment" (p 4, Recruitment process)
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk The study does not address this outcome
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Unclear blinding but outcomes were objectively measured and not subjective to interpretation
Incomplete outcome data (attrition bias) 
 All outcomes Low risk See flow diagram indicating high attrition consistently across groups
Selective reporting (reporting bias) Low risk Registered as a trial
Other bias Low risk The study appears free of other sources of bias