INFORMATION INTERPRETATION IN PATIENT DECISION SUPPORT

患者决策支持中的信息解释

• 批准号: 6391142
• 负责人: Margaret M Holmes-Rovner
• 金额: $ 40.68万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-08-01 至 2003-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6391142
• 关键词: benign prostate hyperplasia; decision making; education; health care service utilization; health science research analysis /evaluation; health services research tag; human subject; information display; information dissemination; informed consent; interview; racial /ethnic difference

Informed patient decision-making is the central goal of patient decision support intervention (DSI) and informed consent. How patients interpret and use information in reaching informed decisions is critical to improving these processes. We propose to examine information types commonly used to communicate risks and benefits of medical treatments to patients: statistical information, graphical lists, graphical drawings and diagrams, patient interviews. Prior work in these fields emphasizes the importance of education and ethnicity on comprehension and interpretation of health information. For that reason, this study will sample four groups of participants varied by African American/Caucasian ethnicity and college-educated and not college-educated education levels. Participants: 200 men age 55- 74, varied by ethnicity (African American/Caucasian) and education (college-educated/not college educated). Videotaped Stimulus Material: Previously developed and tested Shared Decision-making Program for treatment decisions about benign prostatic hyperplasia (SDP/BPH). The program (3 copies enclosed for reviewers) has been tested in previous studies for efficacy and comprehensibility and revised and improved in graphic design by several years of field-testing. African Americans figure as the narrator of the tape and among patients interviewed. The tape represents the best available decision support interventions, making it ideal stimulus material to investigate patients' interpretation of information the impact on decisions. Study Design: The study will employ a structured interview approach, with the videotape as stimulus. Interviews will be audiotape recorded and will be approximately two hours in length. Content analysis will be augmented by rating scales administered at intervals. The technique will use a variation of think-aloud protocols, stopping the tape periodically to ask questions and administer brief scales. Pre/post survey instruments will be administered by telephone. Research questions to be addressed are: 1) Do information types differentially affect participants' likelihood to choose a treatment? 2) Do information types differentially affect participants' interpretation of importance and salience of the information? 3) What new questions or concerns are raised for participants by full information?

知情的患者决策是患者决策支持干预（DSI）和知情同意的核心目标。 患者如何解释和使用信息来做出明智的决定对于改进这些过程至关重要。 我们建议检查通常用于向患者传达医疗治疗的风险和益处的信息类型：统计信息、图形列表、图形绘图和图表、患者访谈。 这些领域的先前工作强调了教育和种族对健康信息理解和解释的重要性。 因此，本研究将对四组参与者进行抽样，这些参与者的种族、受过大学教育和未受过大学教育的教育水平各不相同。 参与者：200 名年龄 55-74 岁的男性，不同种族（非裔美国人/高加索人）和教育程度（受过大学教育/未受过大学教育）不同。 录像刺激材料：之前开发并测试了有关良性前列腺增生 (SDP/BPH) 治疗决策的共享决策程序。 该程序（附上 3 份供审阅者使用）已在之前的研究中进行了有效性和可理解性测试，并通过几年的现场测试对图形设计进行了修改和改进。 非裔美国人是录像带的叙述者和接受采访的患者之一。 该磁带代表了最佳的决策支持干预措施，使其成为研究患者对信息的解释及其对决策的影响的理想刺激材料。研究设计：该研究将采用结构化访谈方法，以录像带作为刺激。 采访将被录音，长度大约为两个小时。内容分析将通过不定期管理的评级量表得到增强。 该技术将使用各种出声思考协议，定期停止录音以提出问题并进行简短的量表。 预/后调查工具将通过电话进行管理。 要解决的研究问题是：1）信息类型是否对参与者选择治疗的可能性产生不同的影响？ 2）信息类型是否会不同地影响参与者对信息重要性和显着性的解释？ 3）完整的信息给参与者提出了哪些新的问题或担忧？

项目成果

Treatment preference patterns during a videotape decision aid for benign prostatic hyperplasia (BPH).

良性前列腺增生 (BPH) 录像决策辅助期间的治疗偏好模式。

• DOI: 10.1016/j.pec.2005.01.013
• 发表时间: 2006
• 期刊: Patient education and counseling.
• 作者: Wills,CeliaE;Holmes-Rovner,Margaret;Rovner,David;Lillie,Janet;Kelly-Blake,Karen;Bonham,Vence;Williams,Gilbert
• 通讯作者: Williams,Gilbert

Men's interpretations of graphical information in a videotape decision aid.

男性对录像带决策辅助中的图形信息的解释。

• DOI: 10.1111/j.1369-7625.2007.00443.x
• 发表时间: 2007
• 期刊: Health expectations : an international journal of public participation in health care and health policy
• 作者: Pylar,Jan;Wills,CeliaE;Lillie,Janet;Rovner,DavidR;Kelly-Blake,Karen;Holmes-Rovner,Margaret
• 通讯作者: Holmes-Rovner,Margaret

Decision aids for benign prostatic hyperplasia: applicability across race and education.

良性前列腺增生的决策辅助：跨种族和教育的适用性。

• DOI: 10.1177/0272989x04267010
• 发表时间: 2004
• 期刊: Medical decision making : an international journal of the Society for Medical Decision Making
• 作者: Rovner,DavidR;Wills,CeliaE;Bonham,Vence;Williams,Gilbert;Lillie,Janet;Kelly-Blake,Karen;Williams,MarkV;Holmes-Rovner,Margaret
• 通讯作者: Holmes-Rovner,Margaret