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

Weymiller 2007.

Methods Cluster‐randomized to decision aid vs usual care
Participants 51 + 46 patients with type 2 diabetes in the USA
Interventions DA (in consultation): 1‐page decision aid options' outcomes, clinical problem, tailored outcome probability, guidance/coaching
 Comparator: booklet on cholesterol management
Outcomes Primary outcomes: knowledge, decisional conflict
Secondary outcomes: consultation length, acceptability of the intervention, adherence, estimated personal risk, trust, patient participation (OPTION), choice
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated allocation sequence (p 2)
Nannenga 2009: no information provided
Allocation concealment (selection bias) Low risk Computer‐generated allocation sequence, unavailable to personnel enrolling patients. "[W]ith concealed allocation" (Abstract); "maintained allocation concealment" (p 5); randomized by concealed central allocation (Nannenga 2009, p 2)
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Participants and clinicians blinded to the study objectives, providers and patients were naive to this study objective
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Data analysts and statisticians blinded to allocation; intervention and outcomes; adequate blinding wherever possible
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Flow diagram (p 3); reasons for attrition mentioned (p 4); baseline characteristics included; flow diagram
Nannenga 2009, p 3: reasons for attrition mentioned and study groups balanced; baseline characteristics included
Selective reporting (reporting bias) Low risk ClinicalTrials.gov identifier: NCT00217061
Other bias Low risk Enrollment of patients already receiving statin therapy and limited statin uptake decreased the precision of our results; results should best be interpreted as preliminary and requiring verification
Nannenga 2009: appears to be free of other potential biases