Ok, so your probably thinking what I have told you is all well and good but what would one of these decision support tools for a trial look like. To date there is only 1 developed – and it was developed by a group in Australia for a breast cancer treatment trial. I have copied a few of the pages in the next few slides to hopefully show that presenting information differently, and including information required for high quality decisions is possible in this context. So these first pages are really describing the risk of the incidence of the disease to the patient and setting out, in a pictoral form, what their decision is about.

These pages go on to look at potential benefits or side effects of taking the trial drug. Importantly the diagrams on the right with the dots, have been shown to be particularily useful for conveying risk information in a treatment context and so have also been applied here.

Lastly, this page lays out a summary of what is expected of the particpant, in terms of trial follow up, should they decide to participate whilst the other side provides an example of somebody else’s decision when considering particiaption, using a weighted scale to help them think through what matters most to them in the decision. The participant is then provided with a blank scale n which they can circle what values matter most to them – which helps them work through their decison.