11.09.2024 | Concise Research Report
Testing a Breast Cancer Screening Decision aid Designed for Health Literacy Accessibility
verfasst von:
Christine M. Gunn, PhD, Nancy R. Kressin, PhD, Tracy A. Battaglia, MD, MPH, Mara A. Schonberg, MD, MPH, Michael K. Paasche-Orlow, MD, MPH, Anna N. A. Tosteson, ScD
Erschienen in:
Journal of General Internal Medicine
|
Ausgabe 16/2024
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Excerpt
Shared decision making (SDM) is important for breast cancer screening decision-making related to age of initiation, screening intervals, and modality,
1 especially in the setting of 2024 changes to the United States Preventive Services Task Force (USPSTF) guidelines.
2 To guide screening decisions, individuals require individual risk assessment, and a discussion of screening’s benefits and harms. Yet studies consistently demonstrate that few clinicians assess breast cancer risk or discuss screening harms with their patients, resulting in confusion, and low engagement in decision-making for many patients. Decision aids (DAs) support patients in making deliberate, informed, preference-aligned health decisions, but often have relatively high health literacy demands. We developed MyMammogram,
3 an online mammographic breast cancer screening decision aid, to minimize cognitive demands and address preferences for risk communication. …
