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

Heller 2008.

Methods Randomized to decision aid vs usual care
Participants 66 + 67 breast cancer patients eligible for breast reconstruction in the USA
Interventions DA: interactive software programme on options' outcomes, others' opinions
 Comparator: standard patient education
Outcomes Knowledge, anxiety, satisfaction with treatment choice, satisfaction with decision‐making ability
Notes Primary outcome was not specified
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "upon study entry, the participants were randomized (computer generated) to one of two groups" (p 2)
Allocation concealment (selection bias) Unclear risk Not enough information provided
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk No information provided
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No information provided
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Baseline anxiety and knowledge included in graphs. Participant numbers between study groups balanced (p 3). Reasons for incomplete questionnaires and study withdrawals mentioned.
Selective reporting (reporting bias) Unclear risk No information provided re protocol
Other bias Low risk Appears to be free of other potential biases