| Strategies for distributing cancer screening decision aids in primary care. | |
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MedLine Citation:
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PMID: 19665338 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Decision aids (DAs) have been shown to facilitate shared decision making about cancer screening. However, little data exist on optimal strategies for dissemination. Our objective was to compare different decision aid distribution models. METHODS: Eligible patients received video decision aids for prostate cancer (PSA) or colon cancer screening (CRC) through 4 distribution methods. Outcome measures included DA loans (N), % of eligible patients receiving DA, and patient and provider satisfaction. RESULTS: Automatically mailing DAs to all age/gender appropriate patients led to near universal receipt by screening-eligible patients, but also led to ineligible patients receiving DAs. Three different elective (non-automatic) strategies led to low rates of receipt. Clinician satisfaction was higher when patients viewed the DA before the visit, and this model facilitated implementation of the screening choice. Regardless of timing or distribution method, patient satisfaction was high. CONCLUSIONS: An automatic DA distribution method is more effective than relying on individual initiative. Enabling patients to view the DA before the visit is preferred. PRACTICE IMPLICATIONS: Systematically offering DAs to all eligible patients before their appointments is the ideal strategy, but may be challenging to implement. |
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Authors:
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Charles Brackett; Stephen Kearing; Nan Cochran; Anna N A Tosteson; W Blair Brooks |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2009-08-07 |
Journal Detail:
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Title: Patient education and counseling Volume: 78 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-01 Completed Date: 2010-04-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 166-8 Citation Subset: N |
Copyright Information:
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Copyright 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA. cdb@hitchcock.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Colonic Neoplasms / diagnosis* Decision Making* Decision Support Techniques* Early Detection of Cancer Female Health Knowledge, Attitudes, Practice Humans Male Mass Screening Middle Aged Patient Education as Topic / methods* Patient Participation / methods Patient Satisfaction Primary Health Care / methods Prostatic Neoplasms / diagnosis* Questionnaires Reminder Systems Video Recording / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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