BMJ 2002;324:296 ( 2 February )

Letters

Use of interactive multimedia decision aids

    Alternative explanation for results may exist
    Discrepancy may exist between GPs and their patients about who is making the decisions
    Authors' reply

Alternative explanation for results may exist

The first 150 words of the full text of this article appear below.

EDITOR---The results of Murray et al's two studies on interactive multimedia decision aids are compatible with the conclusions that both they 1 2 and the author of the accompanying editorial3 draw: that such products are generally acceptable; that they lead to a substantial decrease in patients' decisional conflict; that the interactive nature of the software allows information to be personalised; that high technology decision aids, though expensive now, are likely to cost less per case in the future; that it does not much matter that the technology was obsolete and the evidence had moved on by the time the papers were published; and that such technologies should be introduced more widely.

However, the results are also compatible with the opposite conclusion: that most patients prefer not to use (or even try out) multimedia decision support aids (hence the disappointingly low recruitment); that the absolute difference made to decisional conflict and . . . [Full text of this article]
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