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132 Chapter 7 ABSTRACT Objective – To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and patient satisfaction in a one-year follow-up. Methods – Eighteen Dutch hospitals were randomized to DA counseling or care-as- usual, patients (n=382) completed questionnaires directly after treatment decision making, and 6 and 12 months later. Regret was assessed with the Decisional Regret Scale, patient satisfaction consisted of satisfaction with information (SCIP-B) and treatment satisfaction. Anxious and depressive symptoms (HADS) and the perceived patient-doctor trust relation were included as possible covariates. Results – At follow-up, regret about the choice of treatment was rare (19%) and most patients were satisfied with their treatment (91%) and the information that was received (64%) at the time of decision-making, regardless of being exposed to the DA. The perceived patient-doctor relation and anxious and depressive symptoms were associated with the odds of reporting regret and information satisfaction. Conclusion– IncludingaDA in treatment counselingdidnot result indifferent decisional regret or satisfaction levels twelve months after treatment was chosen, compared to the control group. An optimal patient-doctor relation and attention for anxious and depressive symptoms can help minimizing the risks for decisional regret and patient dissatisfaction.