ArticleMedical decision making : an international journal of the Society for Medical Decision Making
Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy.
Article in Medical decision making : an international journal of the Society for Medical Decision Making. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Effects of a risk-based online mammography intervention on accuracy of perceived risk and mammography intentions.Patient education and counseling · 2016Trial
- The benefits of discussing adjuvant therapies one at a time instead of all at once.Breast cancer research and treatment · 2011Trial
- Communicating cancer treatment with pictogram-based timeline visualizations.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Does counting change what counts? Quantification fixation biases decision-making.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
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- Cocreation with Dutch patients of decision-relevant information to support shared decision-making about adjuvant treatment in breast cancer care.Health expectations : an international journal of public participation in health care and health policy · 2022Article
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- Clinician-Created Educational Video Resources for Shared Decision-making in the Outpatient Management of Chronic Disease: Development and Evaluation Study.Journal of medical Internet research · 2021Article
- The Modest Effects of Fact Boxes on Cancer Screening.Journal of risk and uncertainty · 2021Article
- Numeracy and memory for risk probabilities and risk outcomes depicted on cigarette warning labels.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020Article
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- Understanding Health Risk Comprehension: The Role of Math Anxiety, Subjective Numeracy, and Objective Numeracy.Medical decision making : an international journal of the Society for Medical Decision Making · 2020Article
- Talking about risk in the context of genomic tests (TARGET): development and evaluation of an educational program for clinicians.Breast cancer research and treatment · 2019Article
- Multilevel Influences on Patient-Oncologist Communication about Genomic Test Results: Oncologist Perspectives.Journal of health communication · 2018Article
- Approximate Number Processing Skills Contribute to Decision Making Under Objective Risk: Interactions With Executive Functions and Objective Numeracy.Frontiers in psychology · 2018Article
- Understanding clinical and non-clinical decisions under uncertainty: a scenario-based survey.BMC medical informatics and decision making · 2016Article
- Why Breast Cancer Risk by the Numbers Is Not Enough: Evaluation of a Decision Aid in Multi-Ethnic, Low-Numerate Women.Journal of medical Internet research · 2015Article
- How can we best respect patient autonomy in breast cancer treatment decisions?Breast cancer management · 2015Article
- Numbers matter to informed patient choices: a randomized design across age and numeracy levels.Medical decision making : an international journal of the Society for Medical Decision Making · 2014Article
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5 authors.
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Abstract
The decision aid called ''Adjuvant Online'' (Adjuvant! for short) helps breast cancer patients make treatment decisions by providing numerical estimates of treatment efficacy (e.g., 10-y relapse or survival). Studies exploring how patients' numeracy interacts with the estimates provided by Adjuvant! are lacking. Pooling across 2 studies totaling 105 women with estrogen receptor-positive, early-stage breast cancer, the authors explored patients' treatment expectations, perceived benefit from treatments, and confidence of personal benefit from treatments. Patients who were more numerate were more likely to provide estimates of cancer-free survival that matched the estimates provided by Adjuvant! for each treatment option compared with patients with lower numeracy (odds ratios of 1.6 to 2.4). As estimates of treatment efficacy provided by Adjuvant! increased, so did patients' estimates of cancer-free survival (0.37 > r(s) > 0.48) and their perceptions of treatment benefit from hormonal therapy (r(s) = 0.28) and combined therapy (r(s) = 0.27). These relationships were significantly more pronounced for those with higher numeracy, especially for perceived benefit of combined therapy. Results suggest that numeracy influences a patient's ability to interpret numerical estimates of treatment efficacy from decision aids such as Adjuvant!.
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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.