Evaluation of a mammography decision aid for women 75 and older at risk for lower health literacy in a pretest-posttest trial
Copyright © 2021 Elsevier B.V. All rights reserved..
OBJECTIVE: The evaluation of the effect of a mammography decision aid (DA) designed for older women at risk for lower health literacy (LHL) on their knowledge of mammography's benefits and harms and decisional conflict.
METHODS: Using a pretest-posttest design, women > 75 years at risk for LHL reviewing a mammography DA before and after their [B] primary care provider visit. Women were recruited from an academic medical center and community health centers and clinics.
RESULTS: Of 147 eligible women approached, 43 participated. Receipt of the DA significantly affected knowledge of mammography's benefits and harms [B] (pre-test (M = 3.75, SD = 1.05) to post-test (M = 4.42, SD = 1.19), p = .03). Receipt of the DA did not significantly affect decisional conflict (pre-test (M = 3.10, SD = .97) to post-test (M = 3.23, SD = 1.02), p = .71, higher scores = lower decisional conflict). The majority of the women (97%) indicated that the DA was helpful.
CONCLUSIONS: Women found a mammography screening DA helpful and its use was associated with these women having increased knowledge of mammography's benefits and harms.
PRACTICE IMPLICATIONS: With the shift toward shared decision-making for women > 75 years, there is a need to engage women of all literacy levels to participate in these decisions and have tools such as the one tested in this study.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:104 |
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| Enthalten in: |
Patient education and counseling - 104(2021), 9 vom: 21. Sept., Seite 2344-2350 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cadet, Tamara [VerfasserIn] |
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| Links: |
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| Themen: |
Health literacy |
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| Anmerkungen: |
Date Completed 31.08.2021 Date Revised 02.09.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.pec.2021.02.020 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM321955005 |
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| 500 | |a Date Revised 02.09.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Elsevier B.V. All rights reserved. | ||
| 520 | |a OBJECTIVE: The evaluation of the effect of a mammography decision aid (DA) designed for older women at risk for lower health literacy (LHL) on their knowledge of mammography's benefits and harms and decisional conflict | ||
| 520 | |a METHODS: Using a pretest-posttest design, women > 75 years at risk for LHL reviewing a mammography DA before and after their [B] primary care provider visit. Women were recruited from an academic medical center and community health centers and clinics | ||
| 520 | |a RESULTS: Of 147 eligible women approached, 43 participated. Receipt of the DA significantly affected knowledge of mammography's benefits and harms [B] (pre-test (M = 3.75, SD = 1.05) to post-test (M = 4.42, SD = 1.19), p = .03). Receipt of the DA did not significantly affect decisional conflict (pre-test (M = 3.10, SD = .97) to post-test (M = 3.23, SD = 1.02), p = .71, higher scores = lower decisional conflict). The majority of the women (97%) indicated that the DA was helpful | ||
| 520 | |a CONCLUSIONS: Women found a mammography screening DA helpful and its use was associated with these women having increased knowledge of mammography's benefits and harms | ||
| 520 | |a PRACTICE IMPLICATIONS: With the shift toward shared decision-making for women > 75 years, there is a need to engage women of all literacy levels to participate in these decisions and have tools such as the one tested in this study | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Health literacy | |
| 650 | 4 | |a Mammography decision aid | |
| 650 | 4 | |a Older women | |
| 650 | 4 | |a Screening | |
| 700 | 1 | |a Aliberti, Gianna |e verfasserin |4 aut | |
| 700 | 1 | |a Karamourtopoulos, Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Jacobson, Alicia |e verfasserin |4 aut | |
| 700 | 1 | |a Gilliam, Elizabeth A |e verfasserin |4 aut | |
| 700 | 1 | |a Primeau, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Davis, Roger |e verfasserin |4 aut | |
| 700 | 1 | |a Schonberg, Mara A |e verfasserin |4 aut | |
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