Evidence map›Paper›PMID 37058423›Full record

ArticleFamily practice2024

Designing a decision aid for cancer prevention: a qualitative study.

Shakira Milton, Finlay Macrae, Jennifer G McIntosh, Sibel Saya, Pavithran Alphonse, Thivagar Yogaparan, Napin Karnchanachari, Kitty Novy, Peter Nguyen, Phyllis Lau and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Family practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Should I Take Aspirin? (SITA): randomised controlled trial of a decision aid for cancer chemoprevention.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Trial
  2. 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

11 authors at 2 institutions in 1 country.

Shakira MiltonCentre for Cancer Research, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-8510-6351
Finlay MacraeDepartment of Medicine, The University of Melbourne, Melbourne, Australia.ORCID 0000-0003-4035-9678
Jennifer G McIntoshCentre for Cancer Research, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-6655-0940
Sibel SayaCentre for Cancer Research, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-4796-6852
Pavithran AlphonseCentre for Cancer Research, University of Melbourne, Melbourne, Australia.
Thivagar YogaparanCentre for Cancer Research, University of Melbourne, Melbourne, Australia.
Napin KarnchanachariCentre for Cancer Research, University of Melbourne, Melbourne, Australia.
Kitty NovyCentre for Cancer Research, University of Melbourne, Melbourne, Australia.
Peter NguyenHealth and Government Sector, Quantium, Melbourne, Australia.
Phyllis LauDepartment of General Practice, University of Melbourne, Melbourne, Australia.
Jon EmeryCentre for Cancer Research, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-5274-6336
The University of Melbourne · AUThe Royal Melbourne Hospital · AU

Funding

ARC Laureate Fellowship 190100035Cancer Research UK C8640/A23385CanTest CollaborativeNHMRC APP1195302Victorian Comprehensive Cancer Centre Precision Prevention Program VCCC 075739
6 · The paper itself

Abstract

objectivesAustralian guidelines recommend people aged 50-70 years old consider taking low-dose aspirin to reduce their risk of colorectal cancer. The aim was to design sex-specific decision aids (DAs) with clinician and consumer input, including expected frequency trees (EFTs) to communicate the risks and benefits of taking aspirin.

methodsSemi-structured interviews were conducted with clinicians. Focus groups were conducted with consumers. The interview schedules covered ease of comprehension, design, potential effects on decision-making, and approaches to implementation of the DAs. Thematic analysis was employed; independent coding by 2 researchers was inductive. Themes were developed through consensus between authors.

resultsSixty-four clinicians were interviewed over 6 months in 2019. Twelve consumers aged 50-70 years participated in two focus groups in February and March 2020. The clinicians agreed that the EFTs would be helpful to facilitate a discussion with patients but suggested including an additional estimate of the effects of aspirin on all-cause mortality. The consumers felt favourable about the DAs and suggested changes to the design and wording to ease comprehension.

conclusionDAs were designed to communicate the risks and benefits of low-dose aspirin for disease prevention. The DAs are currently being trialled in general practice to determine their impact on informed decision-making and aspirin uptake.

Indexed as

AspirinColorectal NeoplasmsDecision Support TechniquesFocus GroupsQualitative ResearchAgedAustraliaDecision MakingFemaleHumansInterviews as TopicMaleMiddle AgedPatient ParticipationRisk AssessmentAspirinaspirincancer preventionchemopreventioncolorectal cancerdecision aidgeneral practiceguideline implementationprimary care

Identifiers

PMID37058423
PMCPMC11167968
OpenAlexW4365479691

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.