Evid Based Nurs 7:17 doi:10.1136/ebn.7.1.17
  • Treatment

Decision aids reduced decisional conflict in patients with newly diagnosed hypertension

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



randomised controlled 2 x 2 factorial trial.





GraphicFollow up period:

2 weeks and 3 months.


21 general practices in Avon, UK.


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.


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 no video plus leaflet (n = 111). Interventions lasted 1 hour.


degree of uncertainty about treatment course of action (total score on the 16 item Decisional Conflict Scale …

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