Persuasive Interventions for Controversial Cancer Screening Recommendations: Testing a Novel Approach to Help Patients Make Evidence-Based Decisions
| Autor: | Gonzalo Bacigalupe, Marcela Hayes, Nancy Esparza, Roger Luckmann, Kathleen M. Mazor, Barry G. Saver, Sarah L. Cutrona, Tatyana Gorodetsky |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Oncology
Adult Male medicine.medical_specialty Evidence-based practice Decision Making Persuasive Communication Psychological intervention Video Recording Behavioural sciences Breast Neoplasms Decisional conflict Decision Support Techniques 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Internal medicine Cancer screening medicine Humans 030212 general & internal medicine Patient participation Early Detection of Cancer Original Research Aged Cross-Over Studies business.industry Prostatic Neoplasms Middle Aged United States Prostate cancer screening 030220 oncology & carcinogenesis Family medicine Female Patient Participation Family Practice business Mammography |
| Popis: | PURPOSE We wanted to evaluate novel decision aids designed to help patients trust and accept the controversial, evidence-based, US Preventive Services Task Force recommendations about prostate cancer screening (from 2012) and mammography screening for women aged 40 to 49 years (from 2009). METHODS We created recorded vignettes of physician-patient discussions about prostate cancer screening and mammography, accompanied by illustrative slides, based on principles derived from preceding qualitative work and behavioral science literature. We conducted a randomized crossover study with repeated measures with 27 men aged 50 to 74 years and 35 women aged 40 to 49 years. All participants saw a video intervention and a more traditional, paper-based decision aid intervention in random order. At entry and after seeing each intervention, they were surveyed about screening intentions, perceptions of benefits and harm, and decisional conflict. RESULTS Changes in screening intentions were analyzed without regard to order of intervention after an initial analyses showed no evidence of an order effect. At baseline, 69% of men and 86% of women reported wanting screening, with 31% and 6%, respectively, unsure. Mean change on a 3-point, yes, unsure, no scale was −0.93 (P = CONCLUSIONS Our novel, persuasive video interventions significantly changed the screening intentions of substantial proportions of viewers. Our approach needs further testing but may provide a model for helping patients to consider and accept evidence-based, counterintuitive recommendations. |
| Databáze: | OpenAIRE |
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