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The results of this research will be important for the following reasons: (1) they will provide information on the level of informed choice under usual care; (2) they will show whether a DA is helpful in increasing informed choice; and (3) they will indicate whether a DA is acceptable to women.
20, 29– 31 Findings show that the decision aid is effective in increasing informed decision making, with few women remaining undecided about their decision after use.
Although these participation rates are comparable with other European screening programmes (Denis et al, 2007), increasing informed participation may result in a larger reduction in mortality (Parkin et al, 2008) and previous research has consistently indicated that the involvement of general practitioners (GPs) may be beneficial (Brawarsky et al, 2004; Subramanian et al, 2004; Senore et al, 2010).
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The decision aid significantly increased informed choice and knowledge and also reduced the participation rate compared with standard information.
21 The decision aid significantly increased informed choices and also knowledge; uptake was not affected.
The DA increased informed decision making about breast cancer chemoprevention, although the impact on knowledge diminished over time.
21 A recently published trial by Trevena et al also found that a decision aid on screening for colorectal cancer increased informed choices without affecting uptake.
In addition, an Australian study carried out in a population with low levels of education found that a decision aid (DA) designed to promote autonomous decision-making about colorectal cancer (CRC) screening increased informed decision making by 22% but reduced uptake by 16% (Smith et al, 2010b).
"Due to the school buses, the punctuality of the students has increased", informs Myodinov and adds that each school has its own principal as before, Sharipova students are studying in one shift in the morning, while the Tolstoy students are studying in three shifts, morning, midday and afternoon.
The digital age has ushered in an era of increased transparency, informed choice, and freedom of information.
Though these guidelines may have increased PEP, informed decision-making should always be used to reduce unnecessary PEP.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com