Megan Coylewright|Megan E. Branda|Jonathan Inselman|Nilay D. Shah|Erik P. Hess|Annie LeBlanc|Víctor M. Montori|Henry H. Ting
Impact of Sociodemographic Patient Characteristics on the Efficacy of Decision Aids
Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida
background decision aids das increase patient knowledge reduce decisional conflict promote shared decision making sdm extent across diverse sociodemographic patient groups unknown methods results conducted patientlevel metaanalysis 7 randomized trials da versus usual care comprising 771 encounters patients clinicians discussing treatment options chest pain myocardial infarction diabetes mellitus osteoporosis using random effects model examined impact sociodemographic patient characteristics age sex education income insurance status outcomes knowledge transfer decisional conflict patient involvement sdm small numbers people color study population powered investigate role race patients aged 65 years 61 white 94 women 59 two thirds greater high school education compared usual care da patients gained knowledge likely know risk less decisional conflict along greater involvement sdm gains largely consistent across sociodemographic patient groups das demonstrating similar efficacy used vulnerable patients elderly less income less formal education differences efficacy found knowledge risk 1 subgroup greater efficacy among higher education 35 versus 18 p 002 conclusions patientlevel metaanalysis 7 randomized trials das efficacious across diverse sociodemographic groups measured knowledge transfer decisional conflict patient involvement sdm extent das increase patient knowledge participation sdm potential impact health disparities related factors