Entertainment education for breast cancer surgery decisions: A randomized trial among patients with low health literacy

Jibaja‐Weiss, Maria; Volk, Robert J.; Granchi, Thomas S.; Neff, Nancy; Robinson, Emily K.; Spann, Stephen J.; Aoki, Noriaki; Friedman, Lois C.; Beck, J. Robert

doi:10.1016/j.pec.2010.06.009

Cited by 114 publications

(168 citation statements)

References 28 publications

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“…The Science Panel on Interactive Communication and Health noted the benefits of interactive elements in health communication by helping individuals better understand their health-related values and decisions in an engaging way [42]. Though a recent paper has found no direct benefit of using a values clarification tool for heart disease-related decision making [43], several recent studies in cancer-related decision making have found that both breast cancer and PCa patients have better outcomes, such as less decisional conflict, when using media with interactive elements versus informational materials with no interactivity [28,[31][32][33]. Additionally, a recent paper assessing participants' use of a web-based smoking cessation tool found that increased use of interactive website features and more frequent use of the website contributed to sustained smoking cessation [34].…”

Section: Original Researchmentioning

confidence: 99%

“…Tracking software captured website use, allowing for an investigation of whether use of informational sections, testimonial videos, and the values clarification tool were associated with decisional outcomes. Based on prior studies in several domains [14,28,[31][32][33][34] and on a model of Internet interventions [14], we hypothesized that greater interaction with the website would be associated with improved knowledge and satisfaction, decreased decisional conflict, and decreased screening rates.…”

Section: Introductionmentioning

confidence: 99%

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Decisional outcomes following use of an interactive web-based decision aid for prostate cancer screening

Tomko

Davis

Ludin

et al. 2014

Behav. Med. Pract. Policy Res.

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Informed decision-making tools are recommended for men considering prostate cancer screening. We evaluated the extent to which use of an interactive, web-based decision aid was associated with decisional and screening outcomes. Participants (N=253) were 57 (7.0)years old and completed telephone interviews at baseline, 1month, and 13months post-baseline. Tracking software captured minutes spent on the website (median=33.9), sections viewed (median=4.0/5.0), testimonials viewed (median=4.0/6.0), and values clarification tool (VCT) use (77.3%). In multivariable analyses, all four website use variables were positively associated with increased knowledge (p's<0.05). Complete VCT use and number of informational sections were positively associated with greater decisional satisfaction (p's<0.05). Decisional conflict and screening behavior were not associated with measures of website use. Increased use of informational content and interactive elements were related to improved knowledge and satisfaction. Methods to increase utilization of interactive website components may improve informed decision-making outcomes.

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Section: Original Researchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Decisional outcomes following use of an interactive web-based decision aid for prostate cancer screening

Tomko

Davis

Ludin

et al. 2014

Behav. Med. Pract. Policy Res.

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“…This review represents data on the reports of RCTs that used decision support tools in minority populations (Table 2). [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Two of the articles described different outcomes from one RCT. 31,32 Thus, we considered these two papers one intervention, resulting in a total of 18 interventions with data.…”

Section: Resultsmentioning

confidence: 99%

Use of Decision Aids with Minority Patients: a Systematic Review

et al. 2016

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BACKGROUND:One potential approach to reducing health disparities among minorities is through the promotion of shared decision making (SDM). The most commonly studied SDM intervention is the decision aid (DA). While DAs have been extensively studied, we know relatively little about their use in minority populations. We conducted a systematic review to characterize the application and effectiveness of DAs in racial, ethnic, sexual, and gender minorities. METHODS: We searched PubMed for randomized controlled trials (RCTs) evaluating DAs between 2004 and 2013. We included trials that enrolled adults (> 18 years of age) with > 50 % representation by minority patients. Four reviewers independently assessed 597 initially identified articles, and those with inconclusive results were discussed to consensus. We abstracted decision quality, patient-doctor communication, and clinical treatment decision outcomes. Results were considered significantly modified by the DA if the study reported p < 0.05. RESULTS: We reviewed 18 RCTs of DA interventions in minority populations. The majority of interventions (78 %) addressed cancer screening. The most common mode of delivery for the DAs was personal counseling (46 %), followed by multi-media (29 %), and print materials (25 %). Most of the trials studied racial (78 %) or ethnic (17 %) minorities with only one trial focused on sexual minorities and none on gender minorities. Ten studies tailored their interventions for their minority populations. Comparing intervention vs. control, decision quality outcomes improved in six out of eight studies and patient-doctor communication improved in six out of seven studies. Of the 15 studies that reported on clinical decisions, eight demonstrated significant changes in decisions with DAs. DISCUSSION: DAs have been effective in improving patient-doctor communication and decision quality outcomes in minority populations and could help address health disparities. However, the existing literature is almost non-existent for sexual and gender minorities and has not included the full breadth of clinical decisions that affect minority populations.KEY WORDS: shared decision making; disparities; race and ethnicity; minority health; systematic reviews; medical decision making.

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“…Six of nine publications [8,9,[37][38][39][40] investigated knowledge/recall (Table 3). Significant improvements in knowledge/ recall using CBLSs were shown by four studies [8,[37][38][39].…”

Section: Knowledge/recallmentioning

confidence: 99%

A Literature Review of Patient Education: Is IT Time to Move Forward?

McIntyre

Craig

2015

Journal of Medical Imaging and Radiation Sciences

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Introduction: Patient education is fundamental to high-quality care, enabling patient empowerment and improving outcomes and quality of life. Therefore, identifying the most effective education method should take precedence. Modern society relies heavily on technology and the Internet. Consequently, computer-based learning systems (CBLSs) have been introduced to increase information efficacy. This review aims to establish whether CBLSs should replace standard education for cancer populations.Methods: A systematic review of up-to-date studies comparing CBLSs and standard education for cancer patients was conducted. Results were assessed in terms of outcomes (knowledge, satisfaction, and decision making) and patient characteristics (age, sex, and socioeconomic status).Results: Results are conflicting. Although CBLSs scored highly in certain outcomes, standard education was more suited to some patient characteristics. Additionally, subgroups of society (older and low socioeconomic populations) were poorly represented in studies.Conclusions: Up-to-date research on cancer patient education is lacking. Results indicate that although CBLSs for cancer education show promise, further research is required. R ESUM E Introduction : L' education du patient est un aspect fondamental de la qualit e des soins, en permettant la responsabilisation du patient et l'am elioration des r esultats et de la qualit e de vie. La d etermination de la m ethode d' education la plus efficace est donc primordiale. Comme la soci et e moderne s'appuie fortement sur la technologie et internet, les syst emes d'apprentissage assist e par ordinateur (SAAO) ont et e mis en place pour augmenter l'efficacit e de l'information. Cette revue vise a d eterminer si les SAAO devraient remplacer les modalit es standard d' education pour les patients atteints de cancer. M ethodologie : Une revue syst ematique des etudes a jour comparant les SAAO et les modalit es standard pour les patients a et e r ealis ee. Les r esultats ont et e evalu es en termes de produits (connaissances, satisfaction, prise de d ecision) et de caract eristiques du patient (âge, sexe, statut socio economique).R esultats : Les r esultats sont ambigus. Bien que les SAAO obtiennent une note elev ee pour certains produits, les modalit es d' education standard sont mieux adapt ees a certaines caract eristiques des patients. Par ailleurs, certains sous-groupes sociaux (populations plusâg ees et de niveau socio economique plus faible) etaient sous-repr esent es dans les etudes.Conclusions : Il y a un manque de recherches a jour sur l' education des patients atteints de cancer. Les r esultats indiquent que d'autres recherches sont n ecessaires, même si les syst emes d'apprentissage assist e par ordinateur semblent prometteurs.

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Entertainment education for breast cancer surgery decisions: A randomized trial among patients with low health literacy

Cited by 114 publications

References 28 publications

Decisional outcomes following use of an interactive web-based decision aid for prostate cancer screening

Decisional outcomes following use of an interactive web-based decision aid for prostate cancer screening

Use of Decision Aids with Minority Patients: a Systematic Review

A Literature Review of Patient Education: Is IT Time to Move Forward?

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