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

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
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"