Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions

Detalhes bibliográficos
Autor(a) principal: Baptista, Sofia
Data de Publicação: 2018
Outros Autores: Teles Sampaio, Elvira, Heleno, Bruno, Azevedo, Luís Filipe, Martins, Carlos
Tipo de documento: Outros
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/41062
Resumo: This study was supported by the European Regional Development Fund through the operation (POCI-01-0145-FEDER-007746) funded by the Programa Operacional Competitividade e Internacionalização–Compete2020 and by National Funds through Fundação para a Ciência e a Tecnologia within the Center for Health Technology and Services Research, R&D Unit (reference UID/IC/4255/2013).
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spelling Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening DecisionsSystematic Review and Meta-Analysisdecision makingdecision aidinternetpatient participationprostatescreeningSDG 3 - Good Health and Well-beingThis study was supported by the European Regional Development Fund through the operation (POCI-01-0145-FEDER-007746) funded by the Programa Operacional Competitividade e Internacionalização–Compete2020 and by National Funds through Fundação para a Ciência e a Tecnologia within the Center for Health Technology and Services Research, R&D Unit (reference UID/IC/4255/2013).BACKGROUND: Prostate cancer is a leading cause of cancer among men. Because screening for prostate cancer is a controversial issue, many experts in the field have defended the use of shared decision making using validated decision aids, which can be presented in different formats (eg, written, multimedia, Web). Recent studies have concluded that decision aids improve knowledge and reduce decisional conflict. OBJECTIVE: This meta-analysis aimed to investigate the impact of using Web-based decision aids to support men's prostate cancer screening decisions in comparison with usual care and other formats of decision aids. METHODS: We searched PubMed, CINAHL, PsycINFO, and Cochrane CENTRAL databases up to November 2016. This search identified randomized controlled trials, which assessed Web-based decision aids for men making a prostate cancer screening decision and reported quality of decision-making outcomes. Two reviewers independently screened citations for inclusion criteria, extracted data, and assessed risk of bias. Using a random-effects model, meta-analyses were conducted pooling results using mean differences (MD), standardized mean differences (SMD), and relative risks (RR). RESULTS: Of 2406 unique citations, 7 randomized controlled trials met the inclusion criteria. For risk of bias, selective outcome reporting and participant/personnel blinding were mostly rated as unclear due to inadequate reporting. Based on seven items, two studies had high risk of bias for one item. Compared to usual care, Web-based decision aids increased knowledge (SMD 0.46; 95% CI 0.18-0.75), reduced decisional conflict (MD -7.07%; 95% CI -9.44 to -4.71), and reduced the practitioner control role in the decision-making process (RR 0.50; 95% CI 0.31-0.81). Web-based decision aids compared to printed decision aids yielded no differences in knowledge, decisional conflict, and participation in decision or screening behaviors. Compared to video decision aids, Web-based decision aids showed lower average knowledge scores (SMD -0.50; 95% CI -0.88 to -0.12) and a slight decrease in prostate-specific antigen screening (RR 1.12; 95% CI 1.01-1.25). CONCLUSIONS: According to this analysis, Web-based decision aids performed similarly to alternative formats (ie, printed, video) for the assessed decision-quality outcomes. The low cost, readiness, availability, and anonymity of the Web can be an advantage for increasing access to decision aids that support prostate cancer screening decisions among men.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)RUNBaptista, SofiaTeles Sampaio, ElviraHeleno, BrunoAzevedo, Luís FilipeMartins, Carlos2018-07-06T22:10:58Z2018-06-262018-06-26T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttp://hdl.handle.net/10362/41062engPURE: 5280725https://doi.org/10.2196/jmir.9070info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-22T17:33:46Zoai:run.unl.pt:10362/41062Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T17:33:46Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
Systematic Review and Meta-Analysis
title Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
spellingShingle Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
Baptista, Sofia
decision making
decision aid
internet
patient participation
prostate
screening
SDG 3 - Good Health and Well-being
title_short Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
title_full Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
title_fullStr Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
title_full_unstemmed Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
title_sort Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions
author Baptista, Sofia
author_facet Baptista, Sofia
Teles Sampaio, Elvira
Heleno, Bruno
Azevedo, Luís Filipe
Martins, Carlos
author_role author
author2 Teles Sampaio, Elvira
Heleno, Bruno
Azevedo, Luís Filipe
Martins, Carlos
author2_role author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Centro de Estudos de Doenças Crónicas (CEDOC)
RUN
dc.contributor.author.fl_str_mv Baptista, Sofia
Teles Sampaio, Elvira
Heleno, Bruno
Azevedo, Luís Filipe
Martins, Carlos
dc.subject.por.fl_str_mv decision making
decision aid
internet
patient participation
prostate
screening
SDG 3 - Good Health and Well-being
topic decision making
decision aid
internet
patient participation
prostate
screening
SDG 3 - Good Health and Well-being
description This study was supported by the European Regional Development Fund through the operation (POCI-01-0145-FEDER-007746) funded by the Programa Operacional Competitividade e Internacionalização–Compete2020 and by National Funds through Fundação para a Ciência e a Tecnologia within the Center for Health Technology and Services Research, R&D Unit (reference UID/IC/4255/2013).
publishDate 2018
dc.date.none.fl_str_mv 2018-07-06T22:10:58Z
2018-06-26
2018-06-26T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/other
format other
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/41062
url http://hdl.handle.net/10362/41062
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv PURE: 5280725
https://doi.org/10.2196/jmir.9070
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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