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

Kasper 2008.

Methods Randomized to decision aid vs usual care
Participants 150 + 147 multiple sclerosis patients considering immunotherapy in Germany
Interventions DA: booklet and worksheet on options' outcomes, clinical problem, outcome probabilities, explicit values clarification (based on IPDAS)
Comparator: information material on immunotherapy (80 pages)
Outcomes Primary outcomes: role in decision making
Secondary outcomes: choice, feeling undecided, helpfulness with making a decision, attitudes toward immunotherapy, expectations of side effects realized at 6 months
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "[A]llocation using computer generated random numbers" (p 5)
Allocation concealment (selection bias) Unclear risk Randomization was carried out by concealed allocation, but method of concealment was not described (p 2, Assignment)
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Participants were not told whether the information they received was standard information or the newly developed DA (p 3, Masking)
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Assessors were not told whether the information they received was standard information or the newly developed DA (p 3, Masking)
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Flow of participants (p 2, Fig 1); baseline data/characteristics included
Selective reporting (reporting bias) Low risk "The protocol of this study has been published with the trial registration at http://controlled‐trials.com/ ISRCTN25267500" (p 2)
Other bias Unclear risk Difference in preferred interaction style between groups at baseline (P value 0.04) (p 5)