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Decision aids reduced decisional conflict in patients with newly diagnosed hypertension

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


Embedded ImageDesign:

randomised controlled 2 x 2 factorial trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


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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  • 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.

  • Source of funding: UK Medical Research Council.