{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:41:31Z","timestamp":1772160091000,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100023968","name":"NHS Grampian","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023968","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n Currently, there is no adult\u2010specific decision aid (DA) to support decision\u2010making regarding recurrent tonsillitis. This study intends to address this gap by piloting a prototype DA.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Randomised clinical trial.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Single centre trial at a tertiary otolaryngology department.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Forty\u2010three patients were randomised to either the DA or Treatment as Usual (TAU) group.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n \n Primary objective<\/jats:italic>\n : To measure how patients rate the quality of their decision\u2010making experience at the time of the decision and at follow\u2010up (SURE scale).\n <\/jats:p>\n \n Secondary objective<\/jats:italic>\n : The level of decisional satisfaction at the time of the decision and follow\u2010up, as well as to explore the numbers of people opting for surgery for each study condition (Shared tool and patient feedback).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Quality<\/jats:italic>\n : This study demonstrates no statistically significant difference in how patients rate the quality of their treatment decision between DA and TAU, both at baseline (\n p<\/jats:italic>\n \u2009=\u20090.553) and follow\u2010up (\n p<\/jats:italic>\n \u2009=\u20090.062).\n <\/jats:p>\n \n Satisfaction<\/jats:italic>\n : This study showed a statistically significant level of decisional satisfaction at the time the decision was made for Qu2 of the Shared tool (\n U<\/jats:italic>\n \u2009=\u2009113,\n p<\/jats:italic>\n \u2009=\u20090.026). No other significant difference was found between participants who received the DA and TAU.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The DA is an acceptable and useful tool that could be incorporated into the pathway for recurrent tonsillitis, helping to eliminate physician implicit bias. However, preliminary qualitative evidence from this pilot study does not suggest that including the DA improves the quality of decision\u2010making.<\/jats:p>\n \n Trial Registration:<\/jats:bold>\n IRAS ID \u2010 230\u2009362\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/coa.14278","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T18:44:51Z","timestamp":1737053091000},"page":"500-506","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Piloting of a Decision Aid for Recurrent Tonsillitis"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5206-2611","authenticated-orcid":false,"given":"Callum","family":"Hill","sequence":"first","affiliation":[{"name":"The University of Aberdeen NHS Grampian, Aberdeen Royal Infirmary Aberdeen Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4574-7605","authenticated-orcid":false,"given":"Kim","family":"Ah\u2010See","sequence":"additional","affiliation":[{"name":"Ear, Nose and Throat Department NHS Grampian, Aberdeen Royal Infirmary Aberdeen Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2002-239X","authenticated-orcid":false,"given":"Helen","family":"Moffat","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department NHS Grampian, Aberdeen Royal Infirmary Aberdeen Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2017.09.015"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12054"},{"key":"e_1_2_14_4_1","volume-title":"Our Voice Citizens' Panel, Second Survey Report: Survey on Relationships With Health and Social Care Professionals, Shared Decision Making, How Loneliness Affects People in Scotland, and How Well Services Are Working Locally","author":"Scottish Health Council","year":"2017"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780199546275.003.0017"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001431.pub5"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.02.1171"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.7861\/futurehosp.3\u20102\u2010117"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1208"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.7030"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010013\u20102345\u2010z"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13233"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD0011802.pub3"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3310\/YKUR3660"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12720"},{"key":"e_1_2_14_16_1","volume-title":"Your Health\u2014Your Decision: Evaluation and Output Report of the AQuA Workstream Within the National Shared Decision Making Programme","author":"Advancing Quality Alliance (AQuA)","year":"2013"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106\u2010012\u20102545\u20107"},{"key":"e_1_2_14_18_1","volume-title":"117 Management of Sore Throat and Indications for Tonsillectomy: A National Clinical Guideline","author":"Scottish Intercollegiate Guidelines Network","year":"2010"},{"issue":"8","key":"e_1_2_14_19_1","first-page":"e308","article-title":"Are You SURE? Assessing Patient Decisional Conflict With a 4\u2010Item Screening Test","volume":"56","author":"L\u00e9gar\u00e9 F.","year":"2010","journal-title":"Canadian Family Physician"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.14278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T17:46:59Z","timestamp":1744048019000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.14278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,16]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/coa.14278"],"URL":"https:\/\/doi.org\/10.1111\/coa.14278","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/COA.14278\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14278\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14278\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14278\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14278\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14278\/v1\/decision1","asserted-by":"object"}]},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,16]]},"assertion":[{"value":"2024-08-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}