Julia C.M. van Weert|Barbara C. Van Munster|Remco Sanders|René Spijker|Lotty Hooft|Jesse Jansen
Decision aids to help older people make health decisions: a systematic review and meta-analysis
University of Amsterdam|University Medical Center Groningen|University of Amsterdam|University Medical Center Utrecht|University Medical Center Utrecht|University of Sydney
decision aids overall successful improving quality health decision making however unclear whether impact results using decision aids also apply older people aged 65 sought systematically review randomized controlled trials rcts clinical controlled trials ccts evaluating efficacy decision aids compared usual care alternative interventions older adults facing treatment screening care decisions systematic search 1 cochrane review decision aids 2 medline embase psycinfo cochrane library central registry studies cinahl included published rctsccts interventions designed improve shared decision making sdm older adults aged 65 rctsccts analysed effect intervention subgroup mean age 65 based international patient decision aid standards ipdas primary outcomes attributes decision decision process behavioral health health system effects considered secondary outcomes data could pooled metaanalysis conducted data metaanalysis possible synthesized qualitatively search strategy yielded 11034 references abstract full text screening 22 papers included decision aids performed better control resp usual care interventions increasing knowledge accurate risk perception older people decision attributes regard decision process attributes decision aids resulted lower decisional conflict patient participation review shows promising results effectiveness decision aids older adults decision aids improve older adults knowledge increase risk perception decrease decisional conflict seem enhance participation sdm must however noted body literature effectiveness decision aids older adults still infancy one decision aid specifically developed older adults mean age studies 65 70 indicating oldestold included future research expand design application evaluation decision aids older vulnerable adults