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

2018-06-26Recensão Acesso aberto
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dc.contributor.authorBaptista, Sofia
dc.contributor.authorTeles Sampaio, Elvira
dc.contributor.authorHeleno, Bruno
dc.contributor.authorHeleno, Bruno
dc.contributor.authorAzevedo, Luís Filipe
dc.contributor.authorMartins, Carlos
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionCentro de Estudos de Doenças Crónicas (CEDOC)
dc.contributor.pblJMIR Publications
dc.date.accessioned2018-07-06T22:10:58Z
dc.date.available2018-07-06T22:10:58Z
dc.date.issued2018-06-26
dc.descriptionThis 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).
dc.description.abstractBACKGROUND: 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1137884
dc.identifier.doi10.2196/jmir.9070
dc.identifier.otherPURE: 5280725
dc.identifier.otherPURE UUID: 3b9b4071-4eb0-46c2-b6ab-6eaa2136b095
dc.identifier.otherPubMed: 29945857
dc.identifier.otherWOS: 000437499500001
dc.identifier.otherScopus: 85058684213
dc.identifier.urihttp://hdl.handle.net/10362/41062
dc.language.isoeng
dc.peerreviewedyes
dc.relationinfo:eu-repo/grantAgreement/FCT/5876/147336/PT
dc.subjectdecision making
dc.subjectdecision aid
dc.subjectinternet
dc.subjectpatient participation
dc.subjectprostate
dc.subjectscreening
dc.subjectSDG 3 - Good Health and Well-being
dc.titleWeb-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisionsen
dc.title.subtitleSystematic Review and Meta-Analysisen
dc.typereview
degois.publication.firstPage
degois.publication.issue6
degois.publication.lastPage
degois.publication.titleJournal of Medical Internet Research
degois.publication.volume20
dspace.entity.typePublication
oaire.awardNumber147336
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876/147336/PT
oaire.fundingStream5876
person.familyNameHeleno
person.givenNameBruno
person.identifier.ciencia-id8B1D-AC7D-5CB2
person.identifier.orcid0000-0002-3943-1858
person.identifier.scopus-author-id54937604600
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccess
relation.isAuthorOfPublication2a89b92b-0b51-4df1-911c-da2e71efae1b
relation.isAuthorOfPublication.latestForDiscovery2a89b92b-0b51-4df1-911c-da2e71efae1b
relation.isProjectOfPublicationca25aaf3-95cb-42ac-ac4a-f5044aa136b1
relation.isProjectOfPublication.latestForDiscoveryca25aaf3-95cb-42ac-ac4a-f5044aa136b1

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