Evidence map›Paper›PMID 26965020›Full record

ArticlePatient education and counseling2016

Evaluation of risk communication in a mammography patient decision aid.

Krystal A Klein, Lindsey Watson, Joan S Ash, Karen B Eden

Abstract read
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Identifying best practices for disclosure of amyloid imaging results: A randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Trial
  3. Trial
  4. Review
  5. Article
  6. The Influence of Social Capital on Protective Action Perceptions Towards Hazardous Chemicals.International journal of environmental research and public health · 2020
    Article
  7. Article
  8. Article
  9. Article
  10. 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

4 authors.

Krystal A KleinDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, USA. Electronic address: kleinkr@ohsu.edu.
Lindsey WatsonDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, USA. Electronic address: watsolin@ohsu.edu.
Joan S AshDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, USA. Electronic address: ash@ohsu.edu.
Karen B EdenDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, USA. Electronic address: edenk@ohsu.edu.

Funding

TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

objectivesWe characterized patients' comprehension, memory, and impressions of risk communication messages in a patient decision aid (PtDA), Mammopad, and clarified perceived importance of numeric risk information in medical decision making.

methodsParticipants were 75 women in their forties with average risk factors for breast cancer. We used mixed methods, comprising a risk estimation problem administered within a pretest-posttest design, and semi-structured qualitative interviews with a subsample of 21 women.

resultsParticipants' positive predictive value estimates of screening mammography improved after using Mammopad. Although risk information was only briefly memorable, through content analysis, we identified themes describing why participants value quantitative risk information, and obstacles to understanding. We describe ways the most complicated graphic was incompletely comprehended.

conclusionsComprehension of risk information following Mammopad use could be improved. Patients valued receiving numeric statistical information, particularly in pictograph format. Obstacles to understanding risk information, including potential for confusion between statistics, should be identified and mitigated in PtDA design. PRACTICE IMPLICATIONS: Using simple pictographs accompanied by text, PtDAs may enhance a shared decision-making discussion. PtDA designers and providers should be aware of benefits and limitations of graphical risk presentations. Incorporating comprehension checks could help identify and correct misapprehensions of graphically presented statistics.

Indexed as

CommunicationComprehensionDecision Support TechniquesRiskAdultBreast NeoplasmsDecision MakingFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMammographyMiddle AgedPatient-Centered CarePredictive Value of TestsQualitative ResearchMammographyPatient decision aidRisk communicationWomen’s health

Identifiers

PMID26965020
PMCPMC5022358

What OpenQuestion holds

Textmetadata
LicenceTDM
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.