Use of a Decision Aid Did Increase Patient Interest in Cancer Screening
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<br>The BMC Medical Informatics and Decision Making reports on a study into the use of a decision aid to improve patients' uptake of colorectal cancer screening.
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<br>Although colorectal cancer screening is recommended by major policymaking organizations, rates of screening remain low. The aim of this study was to develop a patient directed, computer-based decision aid about colorectal cancer screening and investigate whether it could increase patient interest in screening.
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<br>The study used content from evidence-based literature reviews and previous decision aid research to develop a prototype. They performed two rounds of usability testing with representative patients to revise the content and format.
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<br>Most found the aid useful and reported that it improved their knowledge about screening. Sixty percent said they were ready to be tested, 18% needed more information, and 22% were not ready to be screened. Within 6 months of viewing, 43% of patients had completed screening tests.
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<br>The study concluded that a computer-based decision aid can increase patient intent to be screened and increase interest in screening. This decision aid can be viewed by patients prior to provider appointments to increase motivation to be screened and to help them decide about which modality to use for screening. Further work is required to integrate the decision aid with other practice change strategies to raise screening rates to target levels.
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