Skip to main content
. 2017 Apr 12;2017(4):CD001431. doi: 10.1002/14651858.CD001431.pub5

Man‐Son‐Hing 1999.

Methods Randomized to decision aid vs usual care
Participants 139 + 148 patients on atrial fibrillation trial considering continuing on aspirin vs change to Warfarin in Canada
Interventions DA: audiotape booklet on options' outcomes, clinical problem, outcome probability, explicit values clarification, others' opinions, guidance (Ottawa Decision Support Framework)
 Comparator: usual care
Outcomes Primary outcomes: uptake of options, adherence
Secondary outcomes: help with making a decision, knowledge, accurate risk perceptions, decisional conflict, satisfaction with decision making process, role in decision making
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated scheme (p 2)
Allocation concealment (selection bias) Low risk Administered from a central location (p 2)
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Unclear blinding however, "contamination, physicians may have provided DA information to patients receiving usual care" (p 7)
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 Unclear risk P 4, fig 2 flow chart. Reasons for attrition not mentioned. Baseline data not included.
Selective reporting (reporting bias) Unclear risk No information provided
Other bias Low risk No other potential risks of bias