审查和比较决策辅助 (DA) 的不同交付模式的效果，包括基于计算机、基于印刷、基于多媒体、基于视频和基于网站的前列腺癌筛查决策结果与通常情况的比较PubMed、医学摘录数据库 (EMBASE)、护理和联合健康文献累积索引 (CINAHL)、Google 高级搜索和将研究转化为实践 (TRIP) 数据库从一开始就进行了系统搜索到 2023 年 8 月。主要结果是知识水平、知识分数、参与共享决策 (SDM)、决策冲突以及对 SDM 参与的偏好。次要结果是接受筛查的受试者比例（实际筛查利用）和打算接受筛查的受试者比例（意向接受筛查）。使用随机效应模型进行网络和成对荟萃分析。其中包括七项系统评价。网络荟萃分析发现，多媒体（相对风险 [RR] 1.51，95% 置信区间 [CI] 1.02-2.24）、印刷品（RR 1.82，95% CI 1.23-2.69）和基于网站的（RR 1.99，95%） CI 1.32-3.01) 与基于计算机的 DA 相比，DA 显着增加了 SDM 的参与度。与其他交付模式相比，计算机 DA 臂的实际筛选利用率显着降低。所有交付模式在知识水平、知识得分、决策冲突、参与 SDM 的偏好以及接受筛查的意愿方面均没有显着差异。所有主要结果的累积排名曲线下的最高平均表面表明，基于网站的交付模式是最有效的交付模式，其次是基于印刷的 DA。配对荟萃分析显示，与 UC 相比，参与者的知识水平、知识分数、接受筛查的意愿和实际筛查利用率均显着提高。研究结果表明，不同类型的 DA 在提高知识水平方面具有不同程度的有效性，知识分数、参与 SDM 以及影响筛查行为。虽然基于网站的 DA 似乎最有效，但在资源有限的环境中，采用基于打印的 DA 可能是一种实用的解决方案。© 2024 作者。 BJU International 约翰·威利 (John Wiley) 出版

To review and compare the efficacy of different delivery modes of decision aids (DAs), including computer-based, print-based, multimedia-based, video-based, and website-based on decision-making outcomes for prostate cancer screening compared to usual care (UC) and among the delivery modes.PubMed, the Excerpta Medica dataBASE (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Advanced Search, and Turning Research Into Practice (TRIP) Database were systematically searched from inception to August 2023. The primary outcomes were knowledge level, knowledge scores, participation in shared decision-making (SDM), decisional conflict, and preference for SDM participation. Secondary outcomes were the proportion of subjects who underwent screening (actual screening utilisation) and the proportion of subjects who intended to be screened (intention to undergo screening). Network and pairwise meta-analyses were performed using random-effects models.Seven systematic reviews were included. Network meta-analysis found that multimedia (relative risk [RR] 1.51, 95% confidence interval [CI] 1.02-2.24), print (RR 1.82, 95% CI 1.23-2.69), and website-based (RR 1.99, 95% CI 1.32-3.01) DAs significantly increased participation in SDM compared to the computer-based DA. There was a significant reduction in the actual screening utilisation in the computer DA arm compared to the other delivery modes. No significant differences between all delivery modes were noted on knowledge levels, knowledge scores, decisional conflict, preference for SDM participation, and intention to undergo screening. The highest mean surface under the cumulative ranking curve for all primary outcomes showed that website-based was the most effective delivery mode, followed by print-based DA. The pairwise meta-analysis showed a significant increase in participants' knowledge level, knowledge scores, a reduced intention to undergo screening and actual screening utilisation compared to UC.The findings suggest that different types of DAs have varying levels of effectiveness in increasing knowledge level, knowledge scores, participation in SDM, and influencing screening behaviours. While website-based DA appeared the most effective, employing the print-based DA could be a practical solution in settings with limited resources.© 2024 The Author(s). BJU International published by John Wiley & Sons Ltd on behalf of BJU International.