Deb Feldman?Stewart|Mary Ann O’Brien|Marla L. Clayman|B. Joyce Davison|Masahito Jimbo|Michel Labrecque|Richard W. Martin|Lisa Beatty
Providing information about options in patient decision aids
Queen's University|Cancer Care Ontario|Ontario Institute for Cancer Research|Northwestern University|University of Saskatchewan|University of Michigan–Ann Arbor|Hôpital Saint-François d'Assise|Michigan State University|University of Sydney
legal ethical psychological arguments indicate patients need receive information health situations care decisions made patient decision aids ptdas designed help patients make decisions therefore provide information results patients understanding health situation reviewed studies assessed impact ptdas patient knowledge feeling uninformed data sources published cochrane collaboration review included randomized controlled trials rcts published 2010 systematic review conducted rcts published 2010 included trials compared 1 ptdas usual care 2 ptdas simple information ptdas detailed information outcomes included patients knowledge feeling uninformed data analyzed quantitatively qualitatively metaanalyses similar studies estimated size differences thirtynine rcts compared ptda usual care showed higher knowledge scores patients ptda groups metaanalysis estimated advantage 14 100 points sixteen 39 studies used feeling uninformed subscale metaanalysis estimated reduction 7 100 points ptda group usual care twentyone studies compared simple moredetailed information ptdas small overall advantage detailed information knowledge scores metaanalysis estimated advantage 5 100 points one study found higher mean knowledge scores simpler information nine 21 studies reported using feeling uninformed subscale metaanalysis suggested reduction 3 100 points moredetailed ptdas simpler information one study found simpler information resulted patients feeling informed appears ptdas result patients higher knowledge scores reduced feelings uninformed patients receive usual care also appears ptdas detailed information generally result slightly higher knowledge lower feeling uninformed scores simpler information differences small reversed circumstances