Current Challenges When Using Numbers in Patient Decision Aids : Advanced Concepts

Lade...
Vorschaubild
Dateien
Zu diesem Dokument gibt es keine Dateien.
Datum
2021
Autor:innen
Trevena, Lyndal J.
Bonner, Carissa
Okan, Yasmina
Peters, Ellen
Han, Paul K. J.
Ozanne, Elissa
Timmermans, Danielle
Zikmund-Fisher, Brian J.
Herausgeber:innen
Kontakt
ISSN der Zeitschrift
Electronic ISSN
ISBN
Bibliografische Daten
Verlag
Schriftenreihe
Auflagebezeichnung
ArXiv-ID
Internationale Patentnummer
Angaben zur Forschungsförderung
Projekt
Open Access-Veröffentlichung
Open Access Green
Core Facility der Universität Konstanz
Gesperrt bis
Titel in einer weiteren Sprache
Forschungsvorhaben
Organisationseinheiten
Zeitschriftenheft
Publikationstyp
Zeitschriftenartikel
Publikationsstatus
Published
Erschienen in
Medical Decision Making (MDM). Sage. 2021, 41(7), pp. 834-847. ISSN 0272-989X. eISSN 1552-681X. Available under: doi: 10.1177/0272989X21996342
Zusammenfassung

Background
Decision aid developers have to convey complex task-specific numeric information in a way that minimizes bias and promotes understanding of the options available within a particular decision. Whereas our companion paper summarizes fundamental issues, this article focuses on more complex, task-specific aspects of presenting numeric information in patient decision aids.

Methods
As part of the International Patient Decision Aids Standards third evidence update, we gathered an expert panel of 9 international experts who revised and expanded the topics covered in the 2013 review working in groups of 2 to 3 to update the evidence, based on their expertise and targeted searches of the literature. The full panel then reviewed and provided additional revisions, reaching consensus on the final version.

Results
Five of the 10 topics addressed more complex task-specific issues. We found strong evidence for using independent event rates and/or incremental absolute risk differences for the effect size of test and screening outcomes. Simple visual formats can help to reduce common judgment biases and enhance comprehension but can be misleading if not well designed. Graph literacy can moderate the effectiveness of visual formats and hence should be considered in tool design. There is less evidence supporting the inclusion of personalized and interactive risk estimates.

Discussion
More complex numeric information. such as the size of the benefits and harms for decision options, can be better understood by using incremental absolute risk differences alongside well-designed visual formats that consider the graph literacy of the intended audience. More research is needed into when and how to use personalized and/or interactive risk estimates because their complexity and accessibility may affect their feasibility in clinical practice.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
Schlagwörter
decision aids, risk communication, standards
Konferenz
Rezension
undefined / . - undefined, undefined
Zitieren
ISO 690TREVENA, Lyndal J., Carissa BONNER, Yasmina OKAN, Ellen PETERS, Wolfgang GAISSMAIER, Paul K. J. HAN, Elissa OZANNE, Danielle TIMMERMANS, Brian J. ZIKMUND-FISHER, 2021. Current Challenges When Using Numbers in Patient Decision Aids : Advanced Concepts. In: Medical Decision Making (MDM). Sage. 2021, 41(7), pp. 834-847. ISSN 0272-989X. eISSN 1552-681X. Available under: doi: 10.1177/0272989X21996342
BibTex
@article{Trevena2021Curre-53204,
  year={2021},
  doi={10.1177/0272989X21996342},
  title={Current Challenges When Using Numbers in Patient Decision Aids : Advanced Concepts},
  number={7},
  volume={41},
  issn={0272-989X},
  journal={Medical Decision Making (MDM)},
  pages={834--847},
  author={Trevena, Lyndal J. and Bonner, Carissa and Okan, Yasmina and Peters, Ellen and Gaissmaier, Wolfgang and Han, Paul K. J. and Ozanne, Elissa and Timmermans, Danielle and Zikmund-Fisher, Brian J.}
}
RDF
<rdf:RDF
    xmlns:dcterms="http://purl.org/dc/terms/"
    xmlns:dc="http://purl.org/dc/elements/1.1/"
    xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#"
    xmlns:bibo="http://purl.org/ontology/bibo/"
    xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#"
    xmlns:foaf="http://xmlns.com/foaf/0.1/"
    xmlns:void="http://rdfs.org/ns/void#"
    xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > 
  <rdf:Description rdf:about="https://kops.uni-konstanz.de/server/rdf/resource/123456789/53204">
    <dc:creator>Han, Paul K. J.</dc:creator>
    <dcterms:issued>2021</dcterms:issued>
    <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43613"/>
    <dc:creator>Ozanne, Elissa</dc:creator>
    <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/>
    <dcterms:title>Current Challenges When Using Numbers in Patient Decision Aids : Advanced Concepts</dcterms:title>
    <dc:contributor>Trevena, Lyndal J.</dc:contributor>
    <dc:contributor>Okan, Yasmina</dc:contributor>
    <dcterms:abstract xml:lang="eng">Background&lt;br /&gt;Decision aid developers have to convey complex task-specific numeric information in a way that minimizes bias and promotes understanding of the options available within a particular decision. Whereas our companion paper summarizes fundamental issues, this article focuses on more complex, task-specific aspects of presenting numeric information in patient decision aids.&lt;br /&gt;&lt;br /&gt;Methods&lt;br /&gt;As part of the International Patient Decision Aids Standards third evidence update, we gathered an expert panel of 9 international experts who revised and expanded the topics covered in the 2013 review working in groups of 2 to 3 to update the evidence, based on their expertise and targeted searches of the literature. The full panel then reviewed and provided additional revisions, reaching consensus on the final version.&lt;br /&gt;&lt;br /&gt;Results&lt;br /&gt;Five of the 10 topics addressed more complex task-specific issues. We found strong evidence for using independent event rates and/or incremental absolute risk differences for the effect size of test and screening outcomes. Simple visual formats can help to reduce common judgment biases and enhance comprehension but can be misleading if not well designed. Graph literacy can moderate the effectiveness of visual formats and hence should be considered in tool design. There is less evidence supporting the inclusion of personalized and interactive risk estimates.&lt;br /&gt;&lt;br /&gt;Discussion&lt;br /&gt;More complex numeric information. such as the size of the benefits and harms for decision options, can be better understood by using incremental absolute risk differences alongside well-designed visual formats that consider the graph literacy of the intended audience. More research is needed into when and how to use personalized and/or interactive risk estimates because their complexity and accessibility may affect their feasibility in clinical practice.</dcterms:abstract>
    <dc:contributor>Ozanne, Elissa</dc:contributor>
    <dc:contributor>Peters, Ellen</dc:contributor>
    <dc:creator>Gaissmaier, Wolfgang</dc:creator>
    <dc:language>eng</dc:language>
    <dc:contributor>Zikmund-Fisher, Brian J.</dc:contributor>
    <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-03-19T10:11:13Z</dc:date>
    <dc:rights>terms-of-use</dc:rights>
    <dc:creator>Zikmund-Fisher, Brian J.</dc:creator>
    <dc:contributor>Timmermans, Danielle</dc:contributor>
    <dcterms:rights rdf:resource="https://rightsstatements.org/page/InC/1.0/"/>
    <dc:creator>Okan, Yasmina</dc:creator>
    <dc:contributor>Gaissmaier, Wolfgang</dc:contributor>
    <foaf:homepage rdf:resource="http://localhost:8080/"/>
    <dc:creator>Peters, Ellen</dc:creator>
    <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/>
    <dc:contributor>Bonner, Carissa</dc:contributor>
    <dc:contributor>Han, Paul K. J.</dc:contributor>
    <dc:creator>Timmermans, Danielle</dc:creator>
    <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/53204"/>
    <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-03-19T10:11:13Z</dcterms:available>
    <dc:creator>Bonner, Carissa</dc:creator>
    <dspace:hasBitstream rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/53204/1/Trevena_2-1hob1p0yn5x2i2.pdf"/>
    <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/>
    <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43613"/>
    <dcterms:hasPart rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/53204/1/Trevena_2-1hob1p0yn5x2i2.pdf"/>
    <dc:creator>Trevena, Lyndal J.</dc:creator>
  </rdf:Description>
</rdf:RDF>
Interner Vermerk
xmlui.Submission.submit.DescribeStep.inputForms.label.kops_note_fromSubmitter
Kontakt
URL der Originalveröffentl.
Prüfdatum der URL
Prüfungsdatum der Dissertation
Finanzierungsart
Kommentar zur Publikation
Allianzlizenz
Corresponding Authors der Uni Konstanz vorhanden
Internationale Co-Autor:innen
Universitätsbibliographie
Ja
Begutachtet
Ja
Diese Publikation teilen