2016
DOI: 10.1016/j.pec.2016.02.013
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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 … Show more

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Cited by 15 publications
(11 citation statements)
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“…22,24,38 Formats such as absolute risk reduction, natural frequencies, constant denominators, descriptive, everyday language rather than technical jargon, visual aid, and real-world examples are preferred by women, benefit comprehension, and facilitate SDM. 15,17,20,25,27,30 The interpersonal communication between a woman and her clinician is a critical mechanism for SDM deliberation. Important roles for clinicians include assessing the woman's information understanding and exploring personal preferences.…”
Section: Discussionmentioning
confidence: 99%
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“…22,24,38 Formats such as absolute risk reduction, natural frequencies, constant denominators, descriptive, everyday language rather than technical jargon, visual aid, and real-world examples are preferred by women, benefit comprehension, and facilitate SDM. 15,17,20,25,27,30 The interpersonal communication between a woman and her clinician is a critical mechanism for SDM deliberation. Important roles for clinicians include assessing the woman's information understanding and exploring personal preferences.…”
Section: Discussionmentioning
confidence: 99%
“…15 Natural frequency is superior to percentage or probability for ease of understanding and interpretation, 15,17,27,30 and women prefer clear enumeration of outcomes. 25 Additionally, in an RCT comparing formats of presenting numerical information, women who perceived the consequences of breast cancer as most serious, visual aids increase comprehension in comparison to text or fact box formats. 32 Pasternack 30 argues that all textual modalities should be used, including numbers, text, and visual images, to promote understanding.…”
Section: Information Delivery and Patient Educationmentioning
confidence: 99%
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“…Incorporating comprehension checks into PtDAs would help identify misapprehension of graphically presented data and correct misunderstandings. 85 …”
Section: Explanation and Elaboration Of Sundae Guidelines Itemsmentioning
confidence: 99%
“…Despite the region's relatively high literacy rate, there was a risk that workshop participants might not comprehend, or might misunderstand, the written text used to communicate social values. We used postcards to overcome this limitation as a means to simplify communication for the benefit of comprehension (Klein et al, 2016). In general, our approach was well received, but some individuals felt that the graphics on the postcards could have been more specific in order to communicate a stronger message.…”
Section: Appropriateness Of the Engagement Techniquementioning
confidence: 99%