What is it about?

This systematic review and meta-analysis compare the effectiveness of different decision aid (DA) delivery methods for prostate cancer screening. The analysis found that website-based and print-based DAs were the most effective in improving patient knowledge and participation in shared decision-making. Multimedia, print, and website-based DAs outperformed computer-based tools in facilitating shared decision-making, while computer-based DAs were associated with lower actual screening rates. The study recommends print-based DAs as a practical solution in resource-limited settings, while website-based tools offer broader accessibility and greater overall effectiveness. Tailoring the choice of DA delivery mode to client needs, resources, and factors such as age and technological literacy is crucial. The findings emphasize the importance of integrating DAs into prostate cancer screening processes to improve decision quality and reduce decisional conflict.

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Why is it important?

This research is significant because it evaluates and compares the effectiveness of different delivery modes for decision aids (DAs) in prostate cancer screening. Understanding the impact of various DA formats on decision-making outcomes is crucial for improving shared decision-making processes and patient education. The study's findings can help healthcare providers and policymakers choose the most effective and appropriate DA delivery methods, potentially leading to better-informed decisions, improved patient satisfaction, and more efficient use of healthcare resources. Additionally, the research highlights the importance of tailoring DA delivery modes to specific patient populations and resource availability, which can contribute to more personalized and effective healthcare interventions. Key Takeaways: 1. Effectiveness of Delivery Modes: Website-based and print-based decision aids were found to be the most effective delivery modes overall, with significant improvements in shared decision-making participation and knowledge levels compared to usual care. 2. Impact on Screening Behavior: Different DA delivery modes showed varying effects on actual screening utilization and intention to undergo screening, emphasizing the need to consider individual patient values and beliefs when implementing DAs. 3. Tailored Approach: The study suggests that the selection of DA delivery modes should be customized based on the target population's characteristics (e.g., age, technological proficiency) and available resources, highlighting the importance of a flexible approach in healthcare decision-making tools.

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This page is a summary of: Efficacy of decision aid delivery modes in prostate cancer screening: umbrella review and network meta‐analysis, BJU International, October 2024, Wiley,
DOI: 10.1111/bju.16545.
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