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Evidence-based patient choice: a prostate cancer decision aid in plain language. | LitMetric

AI Article Synopsis

  • - The text discusses the development of a plain language decision aid (DA) designed to help men newly diagnosed with localized prostate cancer evaluate treatment options and engage in shared decision-making with their doctors.
  • - The DA, created using principles from reading research and document design, was tested for clarity and effectiveness through focus groups and surveys, indicating it improved patients’ knowledge and facilitated more discussions with healthcare providers about treatment options.
  • - The findings suggest that this plain language DA successfully aids in decision-making and should be further tested to assess its impact on patient decisions and quality of life, particularly for individuals with very low literacy.

Article Abstract

Background: Decision aids (DA) to assist patients in evaluating treatment options and sharing in decision making have proliferated in recent years. Most require high literacy and do not use plain language principles. We describe one of the first attempts to design a decision aid using principles from reading research and document design. The plain language DA prototype addressed treatment decisions for localized prostate cancer. Evaluation assessed impact on knowledge, decisions, and discussions with doctors in men newly diagnosed with prostate cancer.

Methods: Document development steps included preparing an evidence-based DA in standard medical parlance, iteratively translating it to emphasize shared decision making and plain language in three formats (booklet, Internet, and audio-tape). Scientific review of medical content was integrated with expert health literacy review of document structure and design. Formative evaluation methods included focus groups (n = 4) and survey of a new sample of men newly diagnosed with prostate cancer (n = 60), compared with historical controls (n = 184).

Results: A transparent description of the development process and design elements is reported. Formative evaluation among newly diagnosed prostate cancer patients found the DA to be clear and useful in reaching a decision. Newly diagnosed patients reported more discussions with doctors about treatment options, and showed increases in knowledge of side effects of radiation therapy.

Conclusion: The plain language DA presenting medical evidence in text and numerical formats appears acceptable and useful in decision-making about localized prostate cancer treatment. Further testing should evaluate the impact of all three media on decisions made and quality of life in the survivorship period, especially among very low literacy men.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1168900PMC
http://dx.doi.org/10.1186/1472-6947-5-16DOI Listing

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