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