ArticleHealth expectations : an international journal of public participation in health care and health policy2006
Preliminary testing of a just-in-time, user-defined values clarification exercise to aid lower literate women in making informed breast cancer treatment decisions.
Article in Health expectations : an international journal of public participation in health care and health policy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00473096 (Assessing the Efficacy of a CDSS for Breast Cancer), which is not on this map. Cited by 12 papers, 5 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Assessing the Efficacy of a CDSS for Breast Cancer
Who cites it
12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Impact of Decision Aids for Shared Decision-Making for Patients with Early Stage Breast Cancer: A Systematic Review.Current oncology (Toronto, Ont.) · 2026Pooled it
- Assessing the quality and communicative aspects of patient decision aids for early-stage breast cancer treatment: a systematic review.Breast cancer research and treatment · 2019Pooled it
- Are cancer-related decision aids appropriate for socially disadvantaged patients? A systematic review of US randomized controlled trials.BMC medical informatics and decision making · 2016Pooled it
- Features of Computer-Based Decision Aids: Systematic Review, Thematic Synthesis, and Meta-Analyses.Journal of medical Internet research · 2016Pooled it
- Do interventions designed to support shared decision-making reduce health inequalities? A systematic review and meta-analysis.PloS one · 2014Pooled it
- Entertainment education for prostate cancer screening: a randomized trial among primary care patients with low health literacy.Patient education and counseling · 2008Trial
- Multilayer framework for digital multicomponent platform design for colorectal survivors and carers: a qualitative study.Frontiers in public health · 2023Article
- Effective interventions to improve the health literacy of cancer patients.Ecancermedicalscience · 2019Review
- Cancer patient and survivor research from the cancer information service research consortium: a preview of three large randomized trials and initial lessons learned.Journal of health communication · 2013Article
- A computer-tailored intervention to promote informed decision making for prostate cancer screening among African American men.American journal of men's health · 2009Article
- Using decision aids in community-based primary care: a theory-driven evaluation with ethnically diverse patients.Patient education and counseling · 2008Article
- Information needs and preferences of low and high literacy consumers for decisions about colorectal cancer screening: utilizing a linguistic model.Health expectations : an international journal of public participation in health care and health policy · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report on the initial testing of a values clarification exercise utilizing a jewellery box within a computerized patient decision aid (CPtDA) designed to assist women in making a surgical breast cancer treatment decision.
designPre-post design, with patients interviewed after diagnosis, and then after completing the CPtDA sometime later at their preoperative visit. SAMPLE: Fifty-one female patients, who are low literate and naïve computer users, newly diagnosed with early stage breast cancer from two urban public hospitals.
interventionA computerized decision aid that combines entertainment-education (edutainment) with enhanced (factual) content. An interactive jewellery box is featured to assist women in: (1) recording and reflecting over issues of concern with possible treatments, (2) deliberating over surgery decision, and (3) communicating with physician and significant others. OUTCOMES: Patients' use of the jewellery box to store issues during completion of the CPtDA, and perceived clarity of values in making a treatment decision, as measured by a low literacy version of the Decisional Conflict Scale (DCS).
resultsOver half of the participants utilized the jewellery box to store issues they found concerning about the treatments. On average, users flagged over 13 issues of concern with the treatments. Scores on the DCS Uncertainty and Feeling Unclear about Values subscales were lower after the intervention compared to before the decision was made.
conclusionsA values clarification exercise using an interactive jewellery box may be a promising method for promoting informed treatment decision making by low literacy breast cancer patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.