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Treatment
Decision aids reduced decisional conflict in patients with newly diagnosed hypertension

https://doi.org/10.1136/ebn.7.1.17

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    Montgomery AA, Fahey T, Peters TJ. A factorial randomised controlled trial of decision analysis and an information video plus leaflet for newly diagnosed hypertensive patients. Br J Gen Pract 2003;53:446–53.OpenUrlAbstract/FREE Full Text

    Q Do simple or complex decision aids assist patients with newly diagnosed hypertension in deciding whether to start drug treatment?

    METHODS

    Embedded ImageDesign:

    randomised controlled 2 x 2 factorial trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    unblinded.

    Embedded ImageFollow up period:

    2 weeks and 3 months.

    Embedded ImageSetting:

    21 general practices in Avon, UK.

    Embedded ImagePatients:

    217 patients aged 30–80 years (mean age 58 y, 52% men) who had sustained high blood pressure (BP) requiring discussion of drug treatment with a general practitioner and were not taking antihypertensive medication. Exclusion criteria: severe hypertension requiring immediate treatment, secondary hypertension, pregnancy associated hypertension, inability to understand English, and dementia or learning difficulties.

    Embedded ImageInterventions:

    decision analysis (computerised utility assessment interview with individualised risk assessment and decision analysis) (n = 103) or no decision analysis (n = 114) and an information video plus leaflet (n = 106) or …

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    Footnotes

    • A modified version of this abstract appears in Evidence-Based Medicine.

    • For correspondence: Dr A A Montgomery, Division of Primary Health Care, University of Bristol, Bristol, UK. alan.a.montgomerybristol.ac.uk

    • Source of funding: UK Medical Research Council.