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3 BACKGROUND  5 PARTICIPATION OF PATIENTS AND OTHER STAKEHOLDERS IN RESEARCH DESIGN, CONDUCT, AND DISSEMINATION OF FINDINGS  9 Study Intervention Development  12 Study Design, Population, and Setting: Randomized Trial  26 Randomized Trial Study Intervention  27 Baseline and Follow-up Study Visits  27 Outcome Measures  28 Statistical Analyses  31 Conduct of the Study  32 RESULTS  33 1. Primary Outcome  40 2. Primary Outcome  42 3. Secondary Outcome  43 4. Secondary Outcome  44 5. Secondary Outcome  44 DISCUSSION  51 Context for Study Result 51 Generalizability of the Findings  55 Implementation of Study Results  55 Subpopulation Considerations  57 Study Strengths and Limitations 57 Future Research  59 CONCLUSION  61 ACKNOWLEDGMENTS  62 REFERENCES  63

A Personalized Decision Aid to Help Women with Lupus Nephritis from Racially and Ethnically Diverse Backgrounds Make Decisions about Taking Immune-Blocking Medicines