{"id":"https://openalex.org/W2129277127","doi":"https://doi.org/10.1002/acr.22659","title":"Use of Decision Support for Improved Knowledge, Values Clarification, and Informed Choice in Patients With Rheumatoid Arthritis","display_name":"Use of Decision Support for Improved Knowledge, Values Clarification, and Informed Choice in Patients With Rheumatoid Arthritis","publication_year":2015,"publication_date":"2015-07-21","ids":{"openalex":"https://openalex.org/W2129277127","doi":"https://doi.org/10.1002/acr.22659","mag":"2129277127","pmid":"https://pubmed.ncbi.nlm.nih.gov/26195173","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4624478"},"language":"en","primary_location":{"id":"doi:10.1002/acr.22659","doi":"https://doi.org/10.1002/acr.22659","is_oa":false,"landing_page_url":"https://doi.org/10.1002/acr.22659","pdf_url":null,"source":{"id":"https://openalex.org/S13698240","display_name":"Arthritis Care & Research","issn_l":"0893-7524","issn":["0893-7524","1529-0123","2151-464X","2151-4658"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis Care & Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4624478","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087940101","display_name":"Liana Fraenkel","orcid":"https://orcid.org/0000-0002-6148-610X","observed_orcids":["https://orcid.org/0000-0002-6148-610X"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Liana Fraenkel","raw_affiliation_strings":["Yale University; New Haven Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University; New Haven Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037003761","display_name":"C. K. Matzko","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293487830","display_name":"Geisinger Medical Center","ror":"https://ror.org/03j9npf54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293487830","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cynthia K. Matzko","raw_affiliation_strings":["Geisinger Medical Center Danville, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Medical Center Danville, Pennsylvania","institution_ids":["https://openalex.org/I1293487830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025851035","display_name":"Debra E. Webb","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293487830","display_name":"Geisinger Medical Center","ror":"https://ror.org/03j9npf54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293487830","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Debra E. Webb","raw_affiliation_strings":["Geisinger Medical Center Danville, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Medical Center Danville, Pennsylvania","institution_ids":["https://openalex.org/I1293487830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066662792","display_name":"Brian Oppermann","orcid":"https://orcid.org/0000-0002-8948-1466","observed_orcids":["https://orcid.org/0000-0002-8948-1466"]},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian Oppermann","raw_affiliation_strings":["Geisinger Medical Group, State College, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Medical Group, State College, Pennsylvania","institution_ids":["https://openalex.org/I130769515"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040102512","display_name":"Peter A. Charpentier","orcid":"https://orcid.org/0009-0002-9763-356X","observed_orcids":["https://orcid.org/0009-0002-9763-356X"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter Charpentier","raw_affiliation_strings":["Yale University; New Haven Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University; New Haven Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040147060","display_name":"Ellen M. Peters","orcid":"https://orcid.org/0000-0003-0702-6169","observed_orcids":["https://orcid.org/0000-0003-0702-6169"]},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ellen Peters","raw_affiliation_strings":["Ohio State University Columbus","Ohio State Univ., Columbus#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ohio State University Columbus","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Ohio State Univ., Columbus#TAB#","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004562983","display_name":"Valerie F. Reyna","orcid":"https://orcid.org/0000-0003-2851-5797","observed_orcids":["https://orcid.org/0000-0003-2851-5797"]},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Valerie Reyna","raw_affiliation_strings":["Cornell University Ithaca New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cornell University Ithaca New York","institution_ids":["https://openalex.org/I205783295"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5008444336","display_name":"Eric D. Newman","orcid":"https://orcid.org/0000-0001-8515-6714","observed_orcids":["https://orcid.org/0000-0001-8515-6714"]},"institutions":[{"id":"https://openalex.org/I1293487830","display_name":"Geisinger Medical Center","ror":"https://ror.org/03j9npf54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293487830","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eric D. Newman","raw_affiliation_strings":["Geisinger Medical Center Danville, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Medical Center Danville, Pennsylvania","institution_ids":["https://openalex.org/I1293487830"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4640,"currency":"USD","value_usd":4640},"apc_paid":null,"fwci":9.726,"has_fulltext":false,"cited_by_count":38,"citation_normalized_percentile":{"value":0.97801385,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"67","issue":"11","first_page":"1496","last_page":"1502"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.6772000193595886,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.6772000193595886,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.29269999265670776,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rheumatoid-arthritis","display_name":"rheumatoid arthritis","score":0.9350000023841858},{"id":"https://openalex.org/keywords/decision-support","display_name":"decision support","score":0.5699999928474426},{"id":"https://openalex.org/keywords/biologic-agents","display_name":"biologic agents","score":0.7879999876022339},{"id":"https://openalex.org/keywords/treatment-escalation","display_name":"treatment escalation","score":0.9179999828338623},{"id":"https://openalex.org/keywords/informed-choice","display_name":"informed choice","score":0.8240000009536743},{"id":"https://openalex.org/keywords/values-clarification","display_name":"values clarification","score":0.8140000104904175},{"id":"https://openalex.org/keywords/patient-knowledge","display_name":"patient knowledge","score":0.8500000238418579},{"id":"https://openalex.org/keywords/risk-communication","display_name":"risk communication","score":0.9629999995231628},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.7950000166893005},{"id":"https://openalex.org/keywords/web-based-tool","display_name":"web-based tool","score":0.628000020980835},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.800000011920929}],"concepts":[{"id":"https://openalex.org/C2777575956","wikidata":"https://www.wikidata.org/wiki/Q187255","display_name":"Rheumatoid arthritis","level":2,"score":0.6933451890945435},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6204487085342407},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5784332752227783},{"id":"https://openalex.org/C2777146004","wikidata":"https://www.wikidata.org/wiki/Q14949826","display_name":"CLARITY","level":2,"score":0.5736977458000183},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4994814395904541},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.4975264370441437},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.48602038621902466},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.37342697381973267},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.32843017578125},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.24624738097190857},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.18263044953346252},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1534484326839447},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001172","descriptor_name":"Arthritis, Rheumatoid","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D001172","descriptor_name":"Arthritis, Rheumatoid","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D002755","descriptor_name":"Choice Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003661","descriptor_name":"Decision Support Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016037","descriptor_name":"Single-Blind Method","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1002/acr.22659","doi":"https://doi.org/10.1002/acr.22659","is_oa":false,"landing_page_url":"https://doi.org/10.1002/acr.22659","pdf_url":null,"source":{"id":"https://openalex.org/S13698240","display_name":"Arthritis Care & Research","issn_l":"0893-7524","issn":["0893-7524","1529-0123","2151-464X","2151-4658"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis Care & Research","raw_type":"journal-article"},{"id":"pmid:26195173","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26195173","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis care & research","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:4033644","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4624478","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:4624478","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4624478","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Arthritis Care Res (Hoboken)","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:4033644","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4624478","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/randomized-controlled-trial","display_name":"Randomized Controlled Trial"},{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[{"id":"https://openalex.org/G1017791736","display_name":null,"funder_award_id":"AR-060231-01","funder_id":"https://openalex.org/F4320337362","funder_display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases"},{"id":"https://openalex.org/G2326329733","display_name":"Improving Decision Making in Patients with Rheumatic Disease","funder_award_id":"K24AR060231","funder_id":"https://openalex.org/F4320337362","funder_display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases"},{"id":"https://openalex.org/G9000916443","display_name":"Claude D. Pepper Older Americans Independence Center at Yale","funder_award_id":"P30AG021342","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320308971","display_name":"Rheumatology Research Foundation","ror":"https://ror.org/03sdr0263"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337362","display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","ror":"https://ror.org/006zn3t30"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W1761300068","https://openalex.org/W1964710140","https://openalex.org/W1965328107","https://openalex.org/W1997942909","https://openalex.org/W2007684736","https://openalex.org/W2043850370","https://openalex.org/W2050378033","https://openalex.org/W2053597527","https://openalex.org/W2061589652","https://openalex.org/W2066701295","https://openalex.org/W2070569359","https://openalex.org/W2073886293","https://openalex.org/W2089211996","https://openalex.org/W2114465350","https://openalex.org/W2125057272","https://openalex.org/W2129574966","https://openalex.org/W2133330253","https://openalex.org/W2133391046","https://openalex.org/W2136995860","https://openalex.org/W2139773335","https://openalex.org/W2139980505","https://openalex.org/W2147299040","https://openalex.org/W2151528423","https://openalex.org/W2154898718","https://openalex.org/W2159846010","https://openalex.org/W2169097752","https://openalex.org/W3006080604","https://openalex.org/W4249014542"],"related_works":["https://openalex.org/W2066701295","https://openalex.org/W2616883247","https://openalex.org/W2323691023","https://openalex.org/W7165978128","https://openalex.org/W2158625395","https://openalex.org/W2117993986","https://openalex.org/W2810488703","https://openalex.org/W3025536215","https://openalex.org/W2623891564","https://openalex.org/W2314796329"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"examine":[2],"the":[3,79,110,147,157,162,204,230,244,247],"potential":[4],"value":[5],"of":[6,81,98,198,206,239,246],"a":[7,44,52,55,143,199],"theory-based,":[8],"interactive":[9],"decision":[10,200],"support":[11,201,235],"tool":[12,57,202],"in":[13,37,64,117,131,156,172,187,209],"clinical":[14],"practice":[15],"for":[16,24,40,115,149],"patients":[17],"with":[18,43,73,134],"rheumatoid":[19],"arthritis":[20],"who":[21],"are":[22],"candidates":[23,39],"biologic":[25,45],"agents.":[26],"METHODS:":[27],"We":[28],"conducted":[29],"an":[30,86,150],"8-week,":[31],"2-arm,":[32],"parallel,":[33],"single-blind":[34],"pilot":[35],"trial":[36],"which":[38],"treatment":[41],"escalation":[42,238],"agent":[46],"were":[47,101,113,129,183,227],"randomized":[48],"to":[49,54,89,140,161,221,232],"receive":[50],"either":[51],"link":[53],"web-based":[56],"or":[58],"usual":[59,222],"care.":[60,223],"Outcomes":[61],"included":[62],"changes":[63,116],"objective":[65,118,188,211],"knowledge,":[66,68,119,121,214],"subjective":[67,120,173,213],"values":[69,123,176,218],"clarification,":[70],"and":[71,122,175,212],"satisfaction":[72,133],"risk":[74,135],"communication":[75],"as":[76,78,84,215,217],"well":[77,216],"proportion":[80],"subjects":[82,100],"defined":[83],"making":[85],"informed":[87,151],"choice":[88,152],"escalate":[90,141],"care":[91,240],"at":[92,106,153,179,190,203],"2":[93,107,154],"weeks.":[94,181,192],"RESULTS:":[95],"A":[96],"total":[97],"125":[99],"randomized.":[102],"Significant":[103],"between-group":[104,127,185],"differences":[105,128,186],"weeks":[108,155],"favoring":[109],"intervention":[111,158],"group":[112,159,164],"seen":[114],"clarification.":[124],"No":[125],"significant":[126],"found":[130],"subjects'":[132],"communication.":[136],"Among":[137],"those":[138],"deciding":[139],"care,":[142],"greater":[144],"percentage":[145],"met":[146],"criteria":[148],"compared":[160,220],"control":[163],"(32%":[165],"versus":[166],"13%;":[167],"P":[168],"=":[169],"0.02).":[170],"Improvements":[171],"knowledge":[174,189],"clarification":[177],"persisted":[178],"8":[180,191],"There":[182],"no":[184],"CONCLUSION:":[193],"In":[194],"this":[195],"study,":[196],"use":[197],"time":[205],"decision-making":[207],"resulted":[208],"improved":[210],"clarity,":[219],"Not":[224],"all":[225],"improvements":[226],"sustained,":[228],"emphasizing":[229],"need":[231],"offer":[233],"educational":[234],"should":[236],"additional":[237],"be":[241],"required":[242],"over":[243],"course":[245],"illness.":[248]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}