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This Week in JAMA
August 25, 1999

This Week in JAMA

JAMA. 1999;282(8):709. doi:10.1001/jama.282.8.709

Clinical decision aids are tools that assist patient participation in medical decision making. Man-Son-Hing and colleagues report that among a group of patients who had been in the aspirin cohort of the Stroke Prevention in Atrial Fibrillation III trial, 99% of patients randomly assigned to receive usual care and an audiobooklet decision aid at the end of trial made a choice about continued antithrombotic therapy compared with 94% in the group that received usual care alone. Patients in the decision aid group were more knowledgeable about the risks and benefits of antithrombotic therapy, but decisional conflict, satisfaction with the decision-making process, and adherence to the decision after 6 months were similar in the intervention and control groups. In an editorial, Edwards and Elwyn discuss the role of clinical decision aids in the process of shared decision making.