Effects of a web-based decision aid regarding diagnostic self-testing. A single-blind randomized controlled trial

Martine H. P. Ickenroth*, J. E. J. Grispen, N. K. de Vries, G. J. Dinant, G. Ronda, T. van der Weijden

*Corresponding author for this work

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Abstract

Currently, there are many diagnostic self-tests on body materials available to consumers. The aim of this study was to assess the effect of an online decision aid on diagnostic self-testing for cholesterol and diabetes on knowledge among consumers with an intention to take these tests. A randomized controlled trial was designed. A total of 1259 consumers with an intention to use a diagnostic cholesterol or diabetes self-test were selected from an existing Dutch Internet panel. The intervention group was invited to view an online decision aid offering general information on self-testing and test-specific information on cholesterol and diabetes self-testing, including indications for testing, how to perform the test and interpreting the result. The placebo condition consisted of a limited information sheet. Multiple regression analysis showed that the knowledge level in the diabetes arm was higher in the intervention group than in the control group (B = 0.657; 95% CI, 0.011-1.303), as was the number of participants with an informed choice (OR, 1.672; 95% CI, 1.134-2.465). No differences were found in the cholesterol arm. Consumers who are considering doing a self-test should have access to independent information on self-testing and be encouraged to read this information.
Original languageEnglish
Pages (from-to)395-404
JournalHealth Education Research
Volume31
Issue number3
DOIs
Publication statusPublished - Jun 2016

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