Evidence map›Paper›PMID 25183475›Full record

Trial reportJournal of general internal medicine2015

A comparison of web-based versus print-based decision AIDS for prostate cancer screening: participants' evaluation and utilization.

Catherine Tomko, Kimberly M Davis, George Luta, Alexander H Krist, Steven H Woolf, Kathryn L Taylor

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Digital Health Information Disparities in Older Adults: a Mixed Methods Study.Journal of racial and ethnic health disparities · 2022
    Article
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  15. What's new in screening in 2015?Current opinion in urology · 2016
    Review
  16. Baseline Attitudes About Prostate Cancer Screening Moderate the Impact of Decision Aids on Screening Rates.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Catherine TomkoLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC, NW, 20007, USA.
Kimberly M Davis
George Luta
Alexander H Krist
Steven H Woolf
Kathryn L Taylor

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
Internet-Based Education for Prostate Cancer ScreeningR01CA119168 · NCI · GEORGETOWN UNIVERSITY · PI TAYLOR, KATHRYN L · 2006 to 2010
$1.8M
NCI NIH HHS P30 CA051008NCI NIH HHS R01 CA119168NCI NIH HHS R01 CA119168-01
6 · The paper itself

Abstract

backgroundPatient decision aids facilitate informed decision making for medical tests and procedures that have uncertain benefits.

objectiveTo describe participants' evaluation and utilization of print-based and web-based prostate cancer screening decision aids that were found to improve decisional outcomes in a prior randomized controlled trial.

designMen completed brief telephone interviews at baseline, one month, and 13 months post-randomization.

participantsParticipants were primary care patients, 45-70 years old, who received the print-based (N = 628) or web-based decision aid (N = 625) and completed the follow-up assessments. MAIN MEASURES: We assessed men's baseline preference for web-based or print-based materials, time spent using the decision aids, comprehension of the overall message, and ratings of the content. KEY

resultsDecision aid use was self-reported by 64.3 % (web) and 81.8 % (print) of participants. Significant predictors of decision aid use were race (white vs. non-white, OR = 2.43, 95 % CI: 1.77, 3.35), higher education (OR = 1.68, 95 % CI: 1.06, 2.70) and trial arm (print vs. web, OR = 2.78, 95 % CI: 2.03, 3.83). Multivariable analyses indicated that web-arm participants were more likely to use the website when they preferred web-based materials (OR: 1.91, CI: 1.17, 3.12), whereas use of the print materials was not significantly impacted by a preference for print-based materials (OR: 0.69, CI: 0.38, 1.25). Comprehension of the decision aid message (i.e., screening is an individual decision) did not significantly differ between arms in adjusted analyses (print: 61.9 % and web: 68.2 %, p = 0.42).

conclusionsDecision aid use was independently influenced by race, education, and the decision aid medium, findings consistent with the 'digital divide.' These results suggest that when it is not possible to provide this age cohort with their preferred decision aid medium, print materials will be more highly used than web-based materials. Although there are many advantages to web-based decision aids, providing an option for print-based decision aids should be considered.

Indexed as

Decision MakingDecision Support TechniquesAgedDistrict of ColumbiaEarly Detection of CancerHealth Knowledge, Attitudes, PracticeHumansInternetMaleMiddle AgedPamphletsPatient Education as TopicPatient ParticipationPatient PreferencePhysician-Patient RelationsProstatic Neoplasms

Identifiers

PMID25183475
PMCPMC4284282

What OpenQuestion holds

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Registered trials

None linked

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.