ArticleJournal of general internal medicine2020
Acceptability of an Interactive Computer-Animated Agent to Promote Patient-Provider Communication About Breast Density: a Mixed Method Pilot Study.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Using 3D and 4D digital human modeling in extended reality-based rehabilitation: a systematic review.Frontiers in bioengineering and biotechnology · 2025Pooled it
- Psychological Impact and Influence of Animation on Viewer's Visual Attention and Cognition: A Systematic Literature Review, Open Challenges, and Future Research Directions.Computational and mathematical methods in medicine · 2022Pooled it
- The Impact of Breast Density Information or Notification on Women's Cognitive, Psychological, and Behavioral Outcomes: A Systematic Review.Journal of the National Cancer Institute · 2021Pooled it
- Computer-Controlled Virtual Humans in Patient-Facing Systems: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2020Pooled it
- Australian Women's Intentions and Psychological Outcomes Related to Breast Density Notification and Information: A Randomized Clinical Trial.JAMA network open · 2022Trial
- The Impact of Breast Density Notification on Anxiety in South Australian Women Undergoing Breast Cancer Screening.International journal of breast cancer · 2025Article
- Embodied Conversational Agents for Chronic Diseases: Scoping Review.Journal of medical Internet research · 2024Article
- Copresence With Virtual Humans in Mixed Reality: The Impact of Contextual Responsiveness on Social Perceptions.Frontiers in robotics and AI · 2021Article
- Capsule Commentary on Gunn et al. "Acceptability of an Interactive Computer-Animated Agent to Promote Patient-Provider Communication about Breast Density: a Mixed-Methods Pilot Study".Journal of general internal medicine · 2020Article
- Evaluation of existing patient educational materials and development of a brochure for women with dense breasts.Breast (Edinburgh, Scotland) · 2020Article
- Effects of an eHealth Intervention on Patient-Provider Interaction and Functional Health Literacy in Adults With Hypertension.SAGE open nursingArticle
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Authors and funding
8 authors.
Funding
Abstract
backgroundHalf of women undergoing mammography have dense breasts. Mandatory dense breast notification and educational materials have been shown to confuse women, rather than empower them.
objectiveThis study used a mixed method, multi-stakeholder approach to assess acceptability of an interactive, computer-animated agent that provided breast density information to women and changes in knowledge, satisfaction, and informational needs.
designA pre-post survey and qualitative focus groups assessed the acceptability of the computer-animated agent among women. An anonymous, online survey measuring acceptability was delivered to a multi-stakeholder group.
participantsEnglish-speaking, mammography-eligible women ages 40-74 were invited and 44 women participated in one of nine focus groups. In addition, 14 stakeholders representing primary care, radiology, patient advocates, public health practitioners, and researchers completed the online survey.
interventionsA prototype of a computer-animated agent was delivered to women in a group setting; stakeholders viewed the prototype independently. MAIN MEASURES: Data collected included open-ended qualitative questions that guided discussion about the content and form of the computer-animated agent. Structured surveys included domains related to knowledge, acceptability, and satisfaction. Stakeholder acceptability was measured with a series of statements about aspects of the intervention and delivery approach and are reported as the proportion of respondents who endorsed each statement. KEY
resultsSix of 12 knowledge items demonstrated improvement post-intervention, satisfaction with the agent was high (81%), but the number of unanswered questions did not improve (67% vs. 54%, p = 0.37). Understanding of the distinction between connective and fatty tissue in the breast did not increase (30% vs. 26%, p = 0.48). Results of the multi-stakeholder survey suggest broad acceptability of the approach and agent.
conclusionsFindings highlight the benefits of a brief interactive educational exposure as well as misperceptions that persisted. Results demonstrate the need for an evidence-based, accessible intervention that is easy to understand for patients.
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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.