Evaluation of a mammography decision aid for women 75 and older at risk for lower health literacy in a pretest-posttest trial |
| |
| Affiliation: | 1. Simmons University College of Social Sciences and Policy Practice, School of Social Work, 300 The Fenway, Boston, MA, USA;2. Beth Israel Deaconess Medical Center, 1309 Beacon St, Ste 202, Brookline, MA, USA;3. Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA, USA;1. Meyers Primary Care Institute, United States;2. University of Massachusetts Medical School, United States;3. National Board of Medical Examiners, United States;4. College of Human Medicine, Michigan State University, United States;5. Department of Family Medicine, Rutgers, Robert Wood Johnson Medical School, United States;6. Department of Medicine, University of Washington, United States;1. Dept. of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA;2. Emerita, Northeastern University, Boston, MA, USA;1. Department of Educational and Counselling Psychology, McGill University, Montreal, Canada;2. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, USA;3. Department of Medicine, McGill University, Montreal, Canada;4. Department of Oncology, McGill University, Montreal, Canada;5. Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada;6. Louise Granofsky Psychosocial Oncology Program, Segal Cancer Centre, Montreal, Canada;7. Psychosocial Oncology Program, McGill University Health Centre, Montreal, Canada;1. Clarunis, Department of Visceral Surgery, University Centre for Gastrointestinal and Liver Diseases, University Hospital Basel, Basel, Switzerland;2. Department Clinical Ethics, University Basel University Hospital Basel, University of Basel, Basel, Switzerland;1. Department of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, 69120, Heidelberg, Germany;2. Cooperation Unit Clinical Pharmacy, University of Heidelberg, 69120, Heidelberg, Germany |
| |
| Abstract: | ObjectiveThe 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.MethodsUsing 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.ResultsOf 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.ConclusionsWomen found a mammography screening DA helpful and its use was associated with these women having increased knowledge of mammography’s benefits and harms.Practice ImplicationsWith 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. |
| |
| Keywords: | Mammography decision aid Health literacy Older women Screening |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
