A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial
<p>Abstract</p> <p>Background</p> <p>Competing causes of mortality in the elderly decrease the potential net benefit from colorectal cancer screening and increase the likelihood of potential harms. Individualized decision making has been recommended, so that the elderly...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2010-09-01
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| Series: | BMC Medical Informatics and Decision Making |
| Online Access: | http://www.biomedcentral.com/1472-6947/10/54 |
| _version_ | 1818114480601563136 |
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| author | Griffith Jennifer M DeLeon Chris Golin Carol E Lewis Carmen L Ivey Jena Trevena Lyndal Pignone Michael |
| author_facet | Griffith Jennifer M DeLeon Chris Golin Carol E Lewis Carmen L Ivey Jena Trevena Lyndal Pignone Michael |
| author_sort | Griffith Jennifer M |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Competing causes of mortality in the elderly decrease the potential net benefit from colorectal cancer screening and increase the likelihood of potential harms. Individualized decision making has been recommended, so that the elderly can decide whether or not to undergo colorectal cancer (CRC) screening. The objective is to develop and test a decision aid designed to promote individualized colorectal cancer screening decision making for adults age 75 and over.</p> <p>Methods</p> <p>We used formative research and cognitive testing to develop and refine the decision aid. We then tested the decision aid in an uncontrolled trial. The primary outcome was the proportion of patients who were prepared to make an individualized decision, defined <it>a priori </it>as having adequate knowledge (10/15 questions correct) and clear values (25 or less on values clarity subscale of decisional conflict scale). Secondary outcomes included overall score on the decisional conflict scale, and preferences for undergoing screening.</p> <p>Results</p> <p>We enrolled 46 adults in the trial. The decision aid increased the proportion of participants with adequate knowledge from 4% to 52% (p < 0.01) and the proportion prepared to make an individualized decision from 4% to 41% (p < 0.01). The proportion that preferred to undergo CRC screening decreased from 67% to 61% (p = 0. 76); 7 participants (15%) changed screening preference (5 against screening, 2 in favor of screening)</p> <p>Conclusion</p> <p>In an uncontrolled trial, the elderly participants appeared better prepared to make an individualized decision about whether or not to undergo CRC screening after using the decision aid.</p> |
| first_indexed | 2024-12-11T03:51:24Z |
| format | Article |
| id | doaj.art-e7663756dfc246e68c87200b97bd29c2 |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-12-11T03:51:24Z |
| publishDate | 2010-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-e7663756dfc246e68c87200b97bd29c22022-12-22T01:21:53ZengBMCBMC Medical Informatics and Decision Making1472-69472010-09-011015410.1186/1472-6947-10-54A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trialGriffith Jennifer MDeLeon ChrisGolin Carol ELewis Carmen LIvey JenaTrevena LyndalPignone Michael<p>Abstract</p> <p>Background</p> <p>Competing causes of mortality in the elderly decrease the potential net benefit from colorectal cancer screening and increase the likelihood of potential harms. Individualized decision making has been recommended, so that the elderly can decide whether or not to undergo colorectal cancer (CRC) screening. The objective is to develop and test a decision aid designed to promote individualized colorectal cancer screening decision making for adults age 75 and over.</p> <p>Methods</p> <p>We used formative research and cognitive testing to develop and refine the decision aid. We then tested the decision aid in an uncontrolled trial. The primary outcome was the proportion of patients who were prepared to make an individualized decision, defined <it>a priori </it>as having adequate knowledge (10/15 questions correct) and clear values (25 or less on values clarity subscale of decisional conflict scale). Secondary outcomes included overall score on the decisional conflict scale, and preferences for undergoing screening.</p> <p>Results</p> <p>We enrolled 46 adults in the trial. The decision aid increased the proportion of participants with adequate knowledge from 4% to 52% (p < 0.01) and the proportion prepared to make an individualized decision from 4% to 41% (p < 0.01). The proportion that preferred to undergo CRC screening decreased from 67% to 61% (p = 0. 76); 7 participants (15%) changed screening preference (5 against screening, 2 in favor of screening)</p> <p>Conclusion</p> <p>In an uncontrolled trial, the elderly participants appeared better prepared to make an individualized decision about whether or not to undergo CRC screening after using the decision aid.</p>http://www.biomedcentral.com/1472-6947/10/54 |
| spellingShingle | Griffith Jennifer M DeLeon Chris Golin Carol E Lewis Carmen L Ivey Jena Trevena Lyndal Pignone Michael A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial BMC Medical Informatics and Decision Making |
| title | A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial |
| title_full | A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial |
| title_fullStr | A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial |
| title_full_unstemmed | A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial |
| title_short | A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial |
| title_sort | targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening development and results of an uncontrolled trial |
| url | http://www.biomedcentral.com/1472-6947/10/54 |
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