Evidence map›Paper›PMID 26202787›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2016

Health literacy-listening skill and patient questions following cancer prevention and screening discussions.

Kathleen M Mazor, Donald L Rubin, Douglas W Roblin, Andrew E Williams, Paul K J Han, Bridget Gaglio, Sarah L Cutrona, Mary E Costanza, Joann L Wagner

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Kathleen M MazorMeyers Primary Care Institute, Worcester, MA, USA.
Donald L RubinUniversity of Georgia, Athens, GA, USA.
Douglas W RoblinHealth Management and Policy, Georgia State University, Atlanta, GA, USA.
Andrew E WilliamsMaine Medical Center Research Institute, Portland, ME, USA.
Paul K J HanCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, USA.
Bridget GaglioKaiser Permanente Mid-Atlantic States, Rockville, MD, USA.
Sarah L CutronaUniversity of Massachusetts Medical School, Worcester, MA, USA.
Mary E CostanzaUniversity of Massachusetts Medical School, Worcester, MA, USA.
Joann L WagnerMeyers Primary Care Institute, Worcester, MA, USA.
University of Massachusetts Chan Medical School · USMaine Medical Center Research Institute · USGeorgia State University · USKaiser Permanente · USUniversity of Georgia · US

Funding

The HMO Cancer Research Network (CRN)U19CA079689 · NCI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI MAZOR, KATHLEEN MICHELE · 1999 to 2011
$62.6M
University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
CRN4: Cancer Research Resources & Collaboration in Integrated Health Care SystemsU24CA171524 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2012 to 2016
$16.0M
University of Massachusetts Center for Clinical and Translational ScienceKL2TR000160 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2012 to 2014
$1.7M
NCATS NIH HHS KL2 TR000160NCATS NIH HHS UL1 TR001453NCI NIH HHS U19 CA079689NCI NIH HHS U24 CA171524
6 · The paper itself

Abstract

objectivePatient question-asking is essential to shared decision making. We sought to describe patients' questions when faced with cancer prevention and screening decisions, and to explore differences in question-asking as a function of health literacy with respect to spoken information (health literacy-listening).

methodsFour-hundred and thirty-three (433) adults listened to simulated physician-patient interactions discussing (i) prophylactic tamoxifen for breast cancer prevention, (ii) PSA testing for prostate cancer and (iii) colorectal cancer screening, and identified questions they would have. Health literacy-listening was assessed using the Cancer Message Literacy Test-Listening (CMLT-Listening). Two authors developed a coding scheme, which was applied to all questions. Analyses examined whether participants scoring above or below the median on the CMLT-Listening asked a similar variety of questions.

resultsQuestions were coded into six major function categories: risks/benefits, procedure details, personalizing information, additional information, decision making and credibility. Participants who scored higher on the CMLT-Listening asked a greater variety of risks/benefits questions; those who scored lower asked a greater variety of questions seeking to personalize information. This difference persisted after adjusting for education.

conclusionPatients' health literacy-listening is associated with distinctive patterns of question utilization following cancer screening and prevention counselling. Providers should not only be responsive to the question functions the patient favours, but also seek to ensure that the patient is exposed to the full range of information needed for shared decision making.

Indexed as

ComprehensionHealth LiteracyPatient ParticipationAdultAntineoplastic Agents, HormonalBreast NeoplasmsColorectal NeoplasmsDecision MakingFemaleHumansMaleMass ScreeningMiddle AgedPhysician-Patient RelationsProstatic NeoplasmsPsychometricsAntineoplastic Agents, HormonalTamoxifencancer screeninghealth literacypatient engagementphysician-patient communication

Identifiers

PMID26202787
PMCPMC4723284
OpenAlexW1593259825

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.