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I started using Flags to help with the GTD-style of choosing what to do.

Highest personal payoff

In each context I put a flag on one item, and one item only, that I think might give me the highest personal payoff. It might not be THE best choice but maybe a good place to start. Identifying this flag forces me to review my next actions a little more closely.

I think using flags more than this would be counterproductive (for me!) by adding noise to my lists but it helps a little.

Another "trick" I've found helpful is to open a context and pick one item and DO that one. Don't worry about whether it's right or wrong just do it. It helps connect with your lists and to also make sure your next actions are truly the next physical, visible action.

Good stuff here!

- Mark