Pernille Gabel|Adrian Edwards|Pia Kirkegaard|Mette Bach Larsen|Berit Andersen
The LEAD trial—The effectiveness of a decision aid on decision making among citizens with lower educational attainment who have not participated in FIT-based colorectal cancer screening in Denmark: A randomised controlled trial
Regional Hospital Randers|Aarhus University|Regional Hospital Randers|Cardiff University|Regional Hospital Randers|Regional Hospital Randers|Regional Hospital Randers|Aarhus University
trial tested effectiveness selfadministered webbased decision aid targeted citizens lower educational attainment informed choice colorectal cancer screening participation assessed group levels knowledge attitudes uptakethe randomised controlled trial conducted among 2702 screeningnave danish citizens 5374 years old lower educational attainment baseline questionnaire respondents 62 allocated intervention control groups intervention group citizens received decision aid outcomes informed choice worries decisional conflictanalyses conducted among 339 eligible citizens mean difference knowledge score change intervention control group 000 95 confidence interval ci 038038 trends towards positive screening attitudes mean difference score change 072 95 ci 038181 higher screening uptake 76 95 ci22174 observed worries 033 95 ci 097032 decisional conflict mean difference 35 95ci 7001 slightly reducedthe decision aid affect informed choice knowledge however trends towards increased screening uptake positive screening attitudesbeing simple intervention easily administered decision aid could represent costeffective way enhancing screening uptake elements informed decisionmaking