Mp24-08 Shared Decision Making in Prostate Cancer Screening: A Cognitive Interview Study Comparing Decision AIds

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP24)1 May 2024MP24-08 SHARED DECISION MAKING IN PROSTATE CANCER SCREENING: A COGNITIVE INTERVIEW STUDY COMPARING DECISION AIDS Sunny Nalavenkata, Oskar Bergengren, Zara McPartland, Daniela Shill, Khadra Dualeh, Kathleen Lynch, Nicholas Emard, Sené Martin, Mia Austria, Gabriel Ogbennaya, Jason Gonsky, Andrew Vickers, Angela Fagerlin, Yuelin Li, Jada G. Hamilton, Jennifer Hay, and Sigrid Carlsson Sunny NalavenkataSunny Nalavenkata , Oskar BergengrenOskar Bergengren , Zara McPartlandZara McPartland , Daniela ShillDaniela Shill , Khadra DualehKhadra Dualeh , Kathleen LynchKathleen Lynch , Nicholas EmardNicholas Emard , Sené MartinSené Martin , Mia AustriaMia Austria , Gabriel OgbennayaGabriel Ogbennaya , Jason GonskyJason Gonsky , Andrew VickersAndrew Vickers , Angela FagerlinAngela Fagerlin , Yuelin LiYuelin Li , Jada G. HamiltonJada G. Hamilton , Jennifer HayJennifer Hay , and Sigrid CarlssonSigrid Carlsson View All Author Informationhttps://doi.org/10.1097/01.JU.0001008860.46052.c4.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Patient decision aids have been shown by a Cochrane review of 105 randomized control trials to improve quality of patient care and informed treatment decisions in patients. In attempts to standardize a patient decision aid, importance has been placed on content of information however this comes at the expense of increasing complexity. Furthermore, most decision aids lack incorporation of behavioral science research on decision making and risk perception. We hypothesize that a "gist-based" decision aid that focused on the gist of the decision would increase the utility of a decision aid. METHODS: Following an iterative, systematic process, we developed a novel, gist-based, decision aid for men aged 45-60 considering PSA screening. The tool was developed to minimize health literacy demands, as well as information overload. Two rounds of cognitive interviews were conducted where participants compared our novel-gist based decision aids to a traditional decision aid. During the cognitive interviews, we conducted a structured interview where we asked participants different attributes regarding perceived utility of the decision aids. Qualitative analysis included thematic content analysis. Paired data was analyzed using McNemar's test. RESULTS: A total of 16 men were recruited for this study, with a median age of 55 with 14 (88%) patients having a bachelor's degree or higher. Analysis of these cognitive interviews suggested that men found the gist-based decision tools easier to understand and exhibited less information overload compared to traditional tools. When viewing the traditional decision aid, the participants noted it was informative and useful, but descriptions included "a lot of information", "academic" and "overkill". There was no difference between groups in terms of information delivery, helpfulness, or usefulness. Compared to the gist-based decision aid, more men found the traditional decision aid to be unclear (50% vs. 6%, p<0.0001) (Table 1). CONCLUSIONS: This study provides a critical advance in the field of shared decision-making that enhances our understanding of methods to designing decision aids and supports a novel gist-based approach. Further randomized data is needed to evaluate the effectiveness of a gist-based vs. traditional decision aid in a population setting. Source of Funding: National Institutes of Health/National Cancer Institute (K22 CA234400) © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e395 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Sunny Nalavenkata More articles by this author Oskar Bergengren More articles by this author Zara McPartland More articles by this author Daniela Shill More articles by this author Khadra Dualeh More articles by this author Kathleen Lynch More articles by this author Nicholas Emard More articles by this author Sené Martin More articles by this author Mia Austria More articles by this author Gabriel Ogbennaya More articles by this author Jason Gonsky More articles by this author Andrew Vickers More articles by this author Angela Fagerlin More articles by this author Yuelin Li More articles by this author Jada G. Hamilton More articles by this author Jennifer Hay More articles by this author Sigrid Carlsson More articles by this author Expand All Advertisement PDF downloadLoading ...