Evaluation of risk communication in a mammography patient decision aid.

Abstract:

OBJECTIVES:We characterized patients' comprehension, memory, and impressions of risk communication messages in a patient decision aid (PtDA), Mammopad, and clarified perceived importance of numeric risk information in medical decision making. METHODS:Participants were 75 women in their forties with average risk factors for breast cancer. We used mixed methods, comprising a risk estimation problem administered within a pretest-posttest design, and semi-structured qualitative interviews with a subsample of 21 women. RESULTS:Participants' positive predictive value estimates of screening mammography improved after using Mammopad. Although risk information was only briefly memorable, through content analysis, we identified themes describing why participants value quantitative risk information, and obstacles to understanding. We describe ways the most complicated graphic was incompletely comprehended. CONCLUSIONS:Comprehension of risk information following Mammopad use could be improved. Patients valued receiving numeric statistical information, particularly in pictograph format. Obstacles to understanding risk information, including potential for confusion between statistics, should be identified and mitigated in PtDA design. PRACTICE IMPLICATIONS:Using simple pictographs accompanied by text, PtDAs may enhance a shared decision-making discussion. PtDA designers and providers should be aware of benefits and limitations of graphical risk presentations. Incorporating comprehension checks could help identify and correct misapprehensions of graphically presented statistics.

journal_name

Patient Educ Couns

authors

Klein KA,Watson L,Ash JS,Eden KB

doi

10.1016/j.pec.2016.02.013

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

1240-1248

issue

7

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(16)30080-5

journal_volume

99

pub_type

杂志文章
  • Translating theory into practice: using Action Research to introduce a coordinated approach to emotional care.

    abstract:OBJECTIVE:This paper describes a translational project that explored the feasibility and effect of introducing a coordinated approach to emotional care. METHODS:The project was undertaken using Action Research on one ward at St John of God Hospital Subiaco, Western Australia. A senior Registered Nurse was appointed to...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2008.04.011

    authors: Williams AM,Dawson SS,Kristjanson LJ

    更新日期:2008-10-01 00:00:00

  • Validation of the Dutch functional, communicative and critical health literacy scales.

    abstract:OBJECTIVE:While most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument....

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2012.07.014

    authors: van der Vaart R,Drossaert CH,Taal E,ten Klooster PM,Hilderink-Koertshuis RT,Klaase JM,van de Laar MA

    更新日期:2012-10-01 00:00:00

  • The impact of descriptive norms on motivation to participate in cancer screening - Evidence from online experiments.

    abstract:OBJECTIVE:The current study tested in two online experiments whether manipulating normative beliefs about cancer screening uptake increases intention to attend colorectal screening among previously disinclined individuals. METHODS:2461 men and women from an Internet panel (Experiment 1 N = 1032; Experiment 2, N = 1423...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2019.04.001

    authors: von Wagner C,Hirst Y,Waller J,Ghanouni A,McGregor LM,Kerrison RS,Verstraete W,Vlaev I,Sieverding M,Stoffel ST

    更新日期:2019-09-01 00:00:00

  • Death talk: Basic linguistic rules and communication in perinatal and paediatric end-of-life discussions.

    abstract:OBJECTIVE:This paper considers clinician/parent communication difficulties noted by parents involved in end-of-life decision-making in the light of linguistic theory. METHODS:Grice's Cooperative Principle and associated maxims, which enable effective communication, are examined in relation to communication deficiencie...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2015.10.025

    authors: Xafis V,Watkins A,Wilkinson D

    更新日期:2016-04-01 00:00:00

  • Exploring approaches to identify, incorporate and report patient preferences in clinical guidelines: Qualitative interviews with guideline developers.

    abstract:BACKGROUND:Clinical guidelines informed by patient preferences are more likely to be used and widely advocated, yet research shows that few guidelines reflect patient preferences. OBJECTIVE:Explore how developers generate guidelines informed by patient preferences. PATIENT INVOLVEMENT:Seventeen patients were involved...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2020.10.001

    authors: Kim C,Berta WB,Gagliardi AR

    更新日期:2020-10-07 00:00:00

  • A Canadian experiment with breast cancer information exchange pilot projects.

    abstract::Responding to concerns articulated by Canadian women living with breast cancer and their families, the federal government has provided $2.7 million over five years to establish five regional information exchange pilot projects. Women experience considerable variation in access to information reflecting different resou...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(96)00898-1

    authors: Bradbury J,Bryant H,Casebolt T,Latreille J,Pawelek J,Olivotto I

    更新日期:1996-07-01 00:00:00

  • The LEAD trial-The effectiveness of a decision aid on decision making among citizens with lower educational attainment who have not participated in FIT-based colorectal cancer screening in Denmark: A randomised controlled trial.

    abstract:OBJECTIVES:This trial tested the effectiveness of a self-administered web-based decision aid, targeted at citizens with lower educational attainment, on informed choice about colorectal cancer screening participation as assessed by group levels of knowledge, attitudes and uptake. METHODS:The randomised controlled tria...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pec.2019.08.029

    authors: Gabel P,Edwards A,Kirkegaard P,Larsen MB,Andersen B

    更新日期:2020-02-01 00:00:00

  • Disease-related knowledge in cardiac rehabilitation enrollees: correlates and changes.

    abstract:OBJECTIVES:To describe (1) patients' disease-related knowledge at cardiac rehabilitation (CR) entry; (2) correlates of this knowledge; (3) whether CR completion is related to knowledge; and (4) behavioral correlates of knowledge. METHODS:For this prospective, observational study, a convenience sample of new CR patient...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2014.12.001

    authors: Ghisi GL,Britto R,Motamedi N,Grace SL

    更新日期:2015-04-01 00:00:00

  • Changes in personal control as a predictor of quality of life after pulmonary rehabilitation.

    abstract:OBJECTIVE:Perceptions of mastery and self-efficacy may be related to better outcomes in pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). This study examined (1) whether patients with COPD improved during a rehabilitation programme with respect to quality of life (QoL) and percepti...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2005.02.015

    authors: Arnold R,Ranchor AV,Koëter GH,de Jongste MJ,Wempe JB,ten Hacken NH,Otten V,Sanderman R

    更新日期:2006-04-01 00:00:00

  • Measuring patient activation: The utility of the Patient Activation Measure within a UK context-Results from four exemplar studies and potential future applications.

    abstract:OBJECTIVE:Patient activation can be measured using the Patient Activation Measure (PAM) developed by Hibbard et al., however, little is known about the uses of the PAM in research and in practice. This study aims to explore its differing utility in four UK exemplar sites. METHODS:Data from four exemplars in a range of...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2016.05.006

    authors: Roberts NJ,Kidd L,Dougall N,Patel IS,McNarry S,Nixon C

    更新日期:2016-10-01 00:00:00

  • Teaching medical interviewing to patients: the other side of the encounter.

    abstract:OBJECTIVES:This paper describes the development and pilot testing of a communication skills curriculum based on medical student curriculum and modified for use with patients. METHODS:Six key concepts from our introductory medical education communication skills curriculum were identified. The core knowledge and skills ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2009.07.026

    authors: Dwamena FC,Mavis B,Holmes-Rovner M,Walsh KB,Loyson AC

    更新日期:2009-09-01 00:00:00

  • Data-to-text summarisation of patient records: using computer-generated summaries to access patient histories.

    abstract:OBJECTIVE:We assess the efficacy and utility of automatically generated textual summaries of patients' medical histories at the point of care. METHOD:Twenty-one clinicians were presented with information about two cancer patients and asked to answer key questions. For each clinician, the information on one of the pati...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2013.04.019

    authors: Scott D,Hallett C,Fettiplace R

    更新日期:2013-08-01 00:00:00

  • Disparities in parent confidence managing child weight-related behaviors.

    abstract:OBJECTIVE:To describe ethnic disparities in parental confidence managing child weight-related behaviors. METHODS:This was a cross-sectional survey of 59 parents of children with obesity between 4 and 7 years of age presenting to a tertiary care pediatric weight management clinic. Parents completed a validated measure ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2014.10.016

    authors: Phan TL,Curran JL,Abatemarco DJ

    更新日期:2015-01-01 00:00:00

  • Measuring appraisal during advanced cancer: psychometric testing of the appraisal of caregiving scale.

    abstract:OBJECTIVE:Examine the psychometric properties of the Appraisal of Caregiving Scale (ACS). METHODS:Data were collected as part of the FOCUS Program trial in Michigan (N = 484 caregivers). RESULTS:Exploratory factor analysis found the ACS measured Threat, General Stress, and Benefit appraisals. Cronbach's alphas for al...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2015.01.009

    authors: Lambert SD,Yoon H,Ellis KR,Northouse L

    更新日期:2015-05-01 00:00:00

  • Patients should participate in designing diabetes educational content.

    abstract::Patients with diabetes are ultimately responsible for their disease management, but many patients with diabetes do not have the necessary knowledge or skill. Recently developed National Standards for diabetes care include patient education. A nonprobability, convenience sample of 50 patients and 50 staff nurses was se...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(90)90074-u

    authors: Duchin SP,Brown SA

    更新日期:1990-12-01 00:00:00

  • Begin the BEGAN (The Brown Educational Guide to the Analysis of Narrative) - a framework for enhancing educational impact of faculty feedback to students' reflective writing.

    abstract:OBJECTIVE:The study aim was the development of a method to further enhance the educational benefit of medical students' reflective writing. The setting is a Doctoring course at the Warren Alpert Medical School of Brown University, which includes reflective writing assignments, termed "field notes", combining students' ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2009.11.014

    authors: Reis SP,Wald HS,Monroe AD,Borkan JM

    更新日期:2010-08-01 00:00:00

  • An evaluation of the Decisional Conflict Scale for measuring the quality of end-of-life decision making.

    abstract:OBJECTIVE:Researchers and clinicians acknowledge the complexity of planning for future medical treatment desired in the event of incapacitation. Unfortunately, many attempts to evaluate the quality of such difficult planning have been stymied by the lack of measures that can be shown to have validity. This study examin...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2005.05.003

    authors: Song MK,Sereika SM

    更新日期:2006-06-01 00:00:00

  • The Integrated Parkinson's disease Care Network (IPCN): Qualitative evaluation of a new approach to care for Parkinson's disease.

    abstract:OBJECTIVES:To evaluate the acceptability of the Integrated Parkinson's disease Care Network (IPCN) from the perspectives of persons with Parkinson's disease (PD), their care partners and healthcare providers, including identification of important components and areas for improvement. METHODS:We used a descriptive qual...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2020.07.002

    authors: Kessler D,Hatch S,Alexander L,Grimes D,Côté D,Liddy C,Mestre T

    更新日期:2021-01-01 00:00:00

  • The importance of physician listening from the patients' perspective: enhancing diagnosis, healing, and the doctor-patient relationship.

    abstract:OBJECTIVE:The research findings reported here describe the importance and various functions of physician listening according to patients. METHODS:Fifty-eight patients of the McGill University Health Centre were interviewed using a qualitative, interpretive design approach. RESULTS:Patients explained why listening was...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2011.01.028

    authors: Jagosh J,Donald Boudreau J,Steinert Y,Macdonald ME,Ingram L

    更新日期:2011-12-01 00:00:00

  • A systematic review of the current interventions available to support children living with parental cancer.

    abstract:OBJECTIVE:Children living with parental cancer are vulnerable to distress and developmental disruption. This review aims to identify current interventions to support cancer patients' children and summarise how effective these are based on children's reports. METHODS:Between 25 May 2015 and 6 August 2018, a broad searc...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2019.05.001

    authors: Alexander E,O'Connor M,Rees C,Halkett G

    更新日期:2019-10-01 00:00:00

  • Education in patient-physician communication: how to improve effectiveness?

    abstract:OBJECTIVE:Despite educational efforts expertise in communication as required by the CanMEDS competency framework is not achieved by medical students and residents. Several factors complicate the learning of professional communication. METHODS:We adapted the reflective-impulsive model of social behaviour to explain the...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2012.09.005

    authors: Wouda JC,van de Wiel HB

    更新日期:2013-01-01 00:00:00

  • Evaluation of a computer based interactive diabetes education program designed to train the estimation of the energy or carbohydrate contents of foods.

    abstract::The objective of this study was to evaluate a computer based interactive diabetes education program designed to train patients with diabetes to correctly estimate the energy or carbohydrate contents of foods. The acceptance and the operator convenience of the program were evaluated with an integrated program and writt...

    journal_title:Patient education and counseling

    pub_type:

    doi:10.1016/s0738-3991(01)00159-8

    authors: Nebel IT,Blüher M,Starcke U,Müller UA,Haak T,Paschke R

    更新日期:2002-01-01 00:00:00

  • The interplay between education and research about patient-provider communication.

    abstract::Attention to providers' communication skills is likely to increase, given the confluence of forces that have highlighted the importance of communication in healthcare. In the United States, interpersonal and communication skills have been explicitly identified as a priority throughout the continuum of medical educatio...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审

    doi:10.1016/s0738-3991(03)00085-5

    authors: Makoul G

    更新日期:2003-05-01 00:00:00

  • Family caregivers' facilitation of daily adult prescription medication use.

    abstract:OBJECTIVE:To describe ways family members assist adult patients with prescription medications at home, during medical visits and at the pharmacy. METHODS:Online survey of 400 adults (caregivers) who help another adult (care recipient) with prescription medication use. Regression modeled the contribution of caregiver c...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.12.018

    authors: Roter DL,Narayanan S,Smith K,Bullman R,Rausch P,Wolff JL,Alexander GC

    更新日期:2018-05-01 00:00:00

  • The effect of an intervention programme to improve health education leaflet uptake and distribution in community pharmacies.

    abstract::The effect of an intervention programme to improve health education leaflet uptake in community pharmacies was conducted with a small convenience sample of 12 community pharmacies in North Staffordshire, UK. The intervention consisted of four different modes of leaflet provision. Modes 1 and 2 (without and with overt ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(02)00034-4

    authors: Lloyd-Williams F

    更新日期:2003-01-01 00:00:00

  • Core assumptions and research opportunities in clinical communication.

    abstract:OBJECTIVE:Contemporary clinical communication teaching and research reflect the axiomatic importance of building a clinical relationship and of empowering patients as partners. The apparent moral unassailability of these principles has inhibited their scientific scrutiny. By questioning this current hegemony in communi...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审

    doi:10.1016/j.pec.2005.05.018

    authors: Salmon P,Young B

    更新日期:2005-09-01 00:00:00

  • Men considering a hypothetical treatment for prostate cancer: a comparison to patients.

    abstract:BACKGROUND:In facilitating informed decision making about PSA screening, men are often asked to consider the potential consequences of the test, including a diagnosis of prostate cancer and how they would want to be treated. However, there is no empirical evidence thus far demonstrating that men are able to consider th...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2005.02.002

    authors: Van Manen L,Feldman-Stewart D,Brundage MD

    更新日期:2006-04-01 00:00:00

  • Patient-centred consultations and outcomes in primary care: a review of the literature.

    abstract::Although 'patient-centred' consulting skills are increasingly seen as crucial for the delivery of effective primary care, there is significant lack of clarity over the precise definition of the term, optimal methods of measurement, and the relationship between patient-centred care and patient outcomes. The present stu...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审

    doi:10.1016/s0738-3991(02)00099-x

    authors: Mead N,Bower P

    更新日期:2002-09-01 00:00:00

  • Do children with asthma and their parents agree on household ETS exposure? Implications for asthma management.

    abstract::The adverse consequences of passive smoking have spurred efforts to reduce environmental tobacco smoke (ETS) exposure among children, particularly in the home. For children with asthma, teaching them to avoid tobacco smoke at home is an important element of patient self-management. This strategy assumes that children ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/S0738-3991(03)00123-X

    authors: Wong GC,Bernaards CA,Berman BA,Jones C,Bernert JT

    更新日期:2004-04-01 00:00:00

  • The prepared family caregiver: a problem-solving approach to family caregiver education.

    abstract::Early hospital discharges, greater reliance on outpatient care, and the growing prevalence of chronic diseases has increased the demands on family members who care for patients at home. Family caregivers need information and training to insure that patients' needs are met and that home care is coordinated with that of...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(95)00790-3

    authors: Houts PS,Nezu AM,Nezu CM,Bucher JA

    更新日期:1996-01-01 00:00:00