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

Mann D 2010.

Methods Randomized to decision aid vs usual care
Participants 80 + 70 participants diagnosed with diabetes considering the use of statins to reduce coronary risk
Interventions DA (in consultation): healthcare provider led discussion using developed tool (Statin Choice) on options' outcomes,outcome probabilities, guidance (step‐by‐step process for making the decision; administered by the physician in the consultation)
Comparator: usual primary care visit + pamphlet
Outcomes Knowledge (postconsult and post‐DA), decisional conflict (postconsult and post‐DA), risk estimation (postconsult and post‐DA), beliefs (postconsult and post‐DA), adherence (3 and 6 months postconsult and post‐DA)
Notes Primary outcome was not specified
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants were randomized but there is no mention of method used (p 138, Methods section)
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Unclear blinding but outcomes were not subjective to interpretation
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Baseline data was provided
Selective reporting (reporting bias) Unclear risk Only reports on improvement (i.e. decisional conflict scale); does not present outcome data to fullest (no numerical data on knowledge results between groups, only describes in words)
Other bias Unclear risk "We did not adjust the clustering of effects given that few participants received care by the same clinicians" (p 139, Analysis section). No mention of magnitude in change of data due to this choice