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An experimental evaluation of patient decision aid design to communicate the effects of medications on the rate of progression of structural joint damage in rheumatoid arthritis.

Abstract：

OBJECTIVE:To explore how effectively information presentation formats used in a patient decision aid communicated the ability of a disease modifying anti-rheumatic drug to slow the rate of progression of rheumatoid arthritis related structural joint damage (SJD). METHODS:91 first year psychology students and 91 RA patients participated in a prospective randomized, single blind, factorial experimental design evaluating the effect of four information formats on: satisfaction with risk communication, verbatim and gist recall of a hypothetical anti-rheumatic drug's ability to slow the rate of progression of SJD. RESULTS:Both groups underestimated the hypothetical drug's ability to slow SJD. Formats that supported the narrative statement with a reinforcing graphic element resulted in recall closer to the true value. Comparison of the results from testing of RA patients and college students were remarkably similar across formats. CONCLUSION:Rate of progression as communicated by narrative statement plus a graphic element (i.e. speedometer metaphor or pictograph) aided recall better than a narrative statement alone. Our results suggest that testing decision aid components with non-patients may provide data generalizable to patient populations. PRACTICE IMPLICATIONS:Graphics must be used carefully in patient decision aids as they can enhance recall, but may also introduce unintended recall bias.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Martin RW,Brower ME,Geralds A,Gallagher PJ,Tellinghuisen DJ

doi

10.1016/j.pec.2011.06.001

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

329-34

issue

3

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(11)00311-9

journal_volume

86

pub_type

杂志文章,随机对照试验

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