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Results Of 1097 unique citations, three randomized controlled trials and two before-after studies met the study eligibility criteria. Compared with usual care, web-based DAs increased knowledge (SMD = 0.69; 95% CI 0.57-0.80; p less then 0.00001), reduced decision conflict and increased the proportion of women who made an informed choice (RR = 1.86; 95% CI 1.38 to 2.50; p less then 0.0001), but did not change the intention of women deciding to be screened or affect decision regret. Conclusion This analysis showed the positive effect of w
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