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

Volk 1999.

Methods Randomized to decision aid vs usual care
Participants 80 + 80 men considering PSA testing in the USA
Interventions DA: Health Dialog videotape and brochure on options' outcomes, clinical problem, outcome probability, others' opinion
 Comparator: usual care
Outcomes Primary outcomes: knowledge, preferred/uptake of option
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Volk 1999 (primary study), p 3: "[r]andomization by permuted blocks" "Each block included the numbers 1 through 4";
Volk 2003, p 2, Methods: Randomization by permuted blocks was used to balance the number of subjects in each arm of the study.
Allocation concealment (selection bias) Unclear risk Volk 1999 (primary study): no information provided
Volk 2003, p 2: "[d]etails of the study procedures, subjects, and 2‐week follow‐up results can be found elsewhere"
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Participants were not blinded to the treatment assignment, but the physicians were; therefore outcomes were unlikely to be biased.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Interviewers were not blinded but outcomes were objectively measured and not subjective to interpretation
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Volk 1999 (primary study), p 2, Procedures: baseline values included.
Volk 2003, p 4 Fig 1 ‐ flow diagram; baseline data not included
Selective reporting (reporting bias) Unclear risk No information provided
Other bias Low risk Volk 1999 (primary study): appears to be free of other potential biases
Volk 2003: appears to be free of other sources of bias