Murray 2001b.
Methods | Randomized to decision aid vs usual care | |
Participants | 102 + 102 women considering hormone replacement therapy in the UK | |
Interventions | DA: Health Dialog interactive videodisc on options outcomes, clinical problem, outcome probability, other's opinion Comparator: usual care | |
Outcomes | Primary outcomes: preferred option Secondary outcomes: help with making a decision, decisional conflict, role in decision making anxiety, menopausal symptoms, costs, utility, general health status |
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Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "[R]andomisation schedule, stratified according to recruitment centre, was generated by computer" (p 3 Methods, Randomization) |
Allocation concealment (selection bias) | Low risk | "Allocations were sealed in opaque numbered envelopes, opened by the study nurse after collection of the baseline data" (p 3 Methods, Randomization) |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Unclear blinding |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Unclear blinding but outcomes were objectively measured and not subjective to to interpretation |
Incomplete outcome data (attrition bias) All outcomes | Low risk | See page 3 figure for Progress of patients through trial |
Selective reporting (reporting bias) | Unclear risk | Protocol is not mentioned |
Other bias | Low risk | Similar baseline characteristics, appears to be free of other potential biases. Educational achievement was higher in control group. Quote "Subsequent analysis showed that educational level not related to use of HRT nor was there an interaction between educational attainment and the intervention" |