Rethinking the objectives of decision aids: a call for conceptual clarity.

PubWeight™: 1.54‹?› | Rank: Top 4%

🔗 View Article (PMID 17873251)

Published in Med Decis Making on September 14, 2007

Authors

Wendy L Nelson1, Paul K J Han, Angela Fagerlin, Michael Stefanek, Peter A Ubel

Author Affiliations

1: Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA. nelsonw@mail.nih.gov

Articles citing this

A decision aid to support informed choices about bowel cancer screening among adults with low education: randomised controlled trial. BMJ (2010) 4.43

Varieties of uncertainty in health care: a conceptual taxonomy. Med Decis Making (2011) 2.11

Entertainment education for prostate cancer screening: a randomized trial among primary care patients with low health literacy. Patient Educ Couns (2008) 1.50

Pilot testing of a decision support tool for patients with abdominal aortic aneurysms. J Vasc Surg (2010) 1.42

Shared decision-making--transferring research into practice: the Analytic Hierarchy Process (AHP). Patient Educ Couns (2008) 1.33

Development and evaluation of a decision aid on mammography screening for women 75 years and older. JAMA Intern Med (2014) 1.18

Testing whether decision aids introduce cognitive biases: results of a randomized trial. Patient Educ Couns (2009) 1.04

Longitudinal changes in patient distress following interactive decision aid use among BRCA1/2 carriers: a randomized trial. Med Decis Making (2010) 1.03

Enhancing informed choice to undergo health screening: a systematic review. Am J Health Behav (2013) 0.98

Cognitive and emotional factors predicting decisional conflict among high-risk breast cancer survivors who receive uninformative BRCA1/2 results. Health Psychol (2009) 0.95

Adjuncts or adversaries to shared decision-making? Applying the Integrative Model of behavior to the role and design of decision support interventions in healthcare interactions. Implement Sci (2009) 0.91

On the suitability of fast and frugal heuristics for designing values clarification methods in patient decision aids: a critical analysis. Health Expect (2011) 0.90

Development and initial evaluation of a treatment decision dashboard. BMC Med Inform Decis Mak (2013) 0.87

Primary care nurses' experiences of how the mass media influence frontline healthcare in the UK. BMC Fam Pract (2013) 0.86

"I don't know" my cancer risk: exploring deficits in cancer knowledge and information-seeking skills to explain an often-overlooked participant response. Med Decis Making (2015) 0.84

Supporting participation in clinical research: decision aids for trial recruitment? Health Expect (2008) 0.83

Results from a randomized trial of a web-based, tailored decision aid for women at high risk for breast cancer. Patient Educ Couns (2013) 0.83

Do men make informed decisions about prostate cancer screening? Baseline results from the "take the wheel" trial. Med Decis Making (2010) 0.81

Women's perceptions of their involvement in treatment decision making for early stage breast cancer. Support Care Cancer (2013) 0.78

Feasibility of a randomized controlled trial to evaluate the impact of decision boxes on shared decision-making processes. BMC Med Inform Decis Mak (2015) 0.77

Decisional Conflict, Regret, and the Burden of Rational Decision Making. Med Decis Making (2017) 0.75

Mediators and Moderators of Improvements in Medication Adherence: Secondary Analysis of a Community Health Worker-Led Diabetes Medication Self-Management Support Program. Health Educ Behav (2016) 0.75

Impact of a web-based treatment decision aid for early-stage prostate cancer on shared decision-making and health outcomes: study protocol for a randomized controlled trial. Trials (2015) 0.75

Articles by these authors

Lying to insurance companies: the desire to deceive among physicians and the public. Am J Bioeth (2004) 8.49

American Society of Clinical Oncology guidance statement: the cost of cancer care. J Clin Oncol (2009) 6.77

Measuring numeracy without a math test: development of the Subjective Numeracy Scale. Med Decis Making (2007) 4.80

Sex differences in attainment of independent funding by career development awardees. Ann Intern Med (2009) 4.62

The influence of bio-behavioural factors on tumour biology: pathways and mechanisms. Nat Rev Cancer (2006) 4.27

Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies. Arch Intern Med (2012) 3.79

Patient involvement in surgery treatment decisions for breast cancer. J Clin Oncol (2005) 3.65

Solid-organ transplantation in HIV-infected patients. N Engl J Med (2002) 3.34

Differences between primary care physicians' and oncologists' knowledge, attitudes and practices regarding the care of cancer survivors. J Gen Intern Med (2011) 3.11

Validation of the Subjective Numeracy Scale: effects of low numeracy on comprehension of risk communications and utility elicitations. Med Decis Making (2007) 2.89

Opioid contracts in chronic nonmalignant pain management: objectives and uncertainties. Am J Med (2006) 2.82

Satisfaction with surgery outcomes and the decision process in a population-based sample of women with breast cancer. Health Serv Res (2005) 2.75

In a mailed physician survey, questionnaire length had a threshold effect on response rate. J Clin Epidemiol (2005) 2.71

Clinical implications of numeracy: theory and practice. Ann Behav Med (2008) 2.69

Gender differences in salary in a recent cohort of early-career physician-researchers. Acad Med (2013) 2.68

Gender differences in the salaries of physician researchers. JAMA (2012) 2.66

Helping patients decide: ten steps to better risk communication. J Natl Cancer Inst (2011) 2.61

When do patients and their physicians agree on diabetes treatment goals and strategies, and what difference does it make? J Gen Intern Med (2003) 2.51

Reducing the influence of anecdotal reasoning on people's health care decisions: is a picture worth a thousand statistics? Med Decis Making (2005) 2.43

The impact of the format of graphical presentation on health-related knowledge and treatment choices. Patient Educ Couns (2008) 2.42

Racial/ethnic disparities in the treatment of localized/regional prostate cancer. J Urol (2004) 2.39

Communicating the uncertainty of harms and benefits of medical interventions. Med Decis Making (2007) 2.34

Randomized trial of 5 dollars versus 10 dollars monetary incentives, envelope size, and candy to increase physician response rates to mailed questionnaires. Med Care (2002) 2.30

Personalized estimates of benefit from preventive care guidelines: a proof of concept. Ann Intern Med (2013) 2.29

Use of the Internet and ratings of information sources for medical decisions: results from the DECISIONS survey. Med Decis Making (2010) 2.25

The influence of race, ethnicity, and individual socioeconomic factors on breast cancer stage at diagnosis. Am J Public Health (2006) 2.20

Does competition for transplantable hearts encourage 'gaming' of the waiting list? Health Aff (Millwood) (2004) 2.15

Correlates of between-surgeon variation in breast cancer treatments. Med Care (2006) 2.08

Harnessing the power of default options to improve health care. N Engl J Med (2007) 2.07

Making numbers matter: present and future research in risk communication. Am J Health Behav (2007) 2.05

Physician roles in the cancer-related follow-up care of cancer survivors. Fam Med (2013) 2.00

Presenting quantitative information about decision outcomes: a risk communication primer for patient decision aid developers. BMC Med Inform Decis Mak (2013) 1.99

Why It's Not Time for Health Care Rationing. Hastings Cent Rep (2015) 1.97

Impact of the model for end-stage liver disease allocation policy on the use of high-risk organs for liver transplantation. Gastroenterology (2008) 1.95

Similarities and differences in the career trajectories of male and female career development award recipients. Acad Med (2011) 1.81

Correlates of breast reconstruction: results from a population-based study. Cancer (2005) 1.79

Caregiving behavior is associated with decreased mortality risk. Psychol Sci (2009) 1.76

Psychotherapy and survival in cancer: the conflict between hope and evidence. Psychol Bull (2007) 1.70

The role of physicians' recommendations in medical treatment decisions. Med Decis Making (2002) 1.70

Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer. Qual Life Res (2005) 1.67

Alternate methods of framing information about medication side effects: incremental risk versus total risk of occurrence. J Health Commun (2008) 1.65

The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions. Med Decis Making (2010) 1.63

The MedSeq Project: a randomized trial of integrating whole genome sequencing into clinical medicine. Trials (2014) 1.62

Mentor networks in academic medicine: moving beyond a dyadic conception of mentoring for junior faculty researchers. Acad Med (2013) 1.60

Communicating side effect risks in a tamoxifen prophylaxis decision aid: the debiasing influence of pictographs. Patient Educ Couns (2008) 1.60

Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Ann Emerg Med (2008) 1.57

Informing the uninformed: optimizing the consent message using a fractional factorial design. JAMA Pediatr (2013) 1.55

Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern Med (2011) 1.53

Patterns and correlates of local therapy for women with ductal carcinoma-in-situ. J Clin Oncol (2005) 1.53

Influence of "GERD" label on parents' decision to medicate infants. Pediatrics (2013) 1.52

"If I'm better than average, then I'm ok?": Comparative information influences beliefs about risk and benefits. Patient Educ Couns (2007) 1.51

Screening experiments and the use of fractional factorial designs in behavioral intervention research. Am J Public Health (2008) 1.50

Improving understanding of adjuvant therapy options by using simpler risk graphics. Cancer (2008) 1.50

Context changes choices: a prospective study of the effects of hospitalization on life-sustaining treatment preferences. Med Decis Making (2006) 1.49

Effect of framing as gain versus loss on understanding and hypothetical treatment choices: survival and mortality curves. Med Decis Making (2002) 1.48

Breast cancer treatment experiences of Latinas in Los Angeles County. Am J Public Health (2005) 1.48

Women's decisions regarding tamoxifen for breast cancer prevention: responses to a tailored decision aid. Breast Cancer Res Treat (2010) 1.47

Surgical risk reduction: prophylactic salpingo-oophorectomy and prophylactic mastectomy. Am J Obstet Gynecol (2004) 1.47

How making a risk estimate can change the feel of that risk: shifting attitudes toward breast cancer risk in a general public survey. Patient Educ Couns (2005) 1.47

Support for physician deception of insurance companies among a sample of Philadelphia residents. Ann Intern Med (2003) 1.46

The effect of format on parents' understanding of the risks and benefits of clinical research: a comparison between text, tables, and graphics. J Health Commun (2010) 1.45

Stability of older adults' preferences for life-sustaining medical treatment. Health Psychol (2003) 1.45

Evidence-based patient choice: a prostate cancer decision aid in plain language. BMC Med Inform Decis Mak (2005) 1.44

The polarizing effect of news media messages about the social determinants of health. Am J Public Health (2009) 1.44

Continental Divide? The attitudes of US and Canadian oncologists on the costs, cost-effectiveness, and health policies associated with new cancer drugs. J Clin Oncol (2010) 1.40

A matter of perspective: choosing for others differs from choosing for yourself in making treatment decisions. J Gen Intern Med (2006) 1.39

Work-life balance in academic medicine: narratives of physician-researchers and their mentors. J Gen Intern Med (2013) 1.37

Perceived ambiguity about screening mammography recommendations: association with future mammography uptake and perceptions. Cancer Epidemiol Biomarkers Prev (2007) 1.37

A gift of life: ethical and practical problems with conditional and directed donation. Transplantation (2008) 1.37

Effectiveness of rheumatoid hand surgery: contrasting perceptions of hand surgeons and rheumatologists. J Hand Surg Am (2003) 1.36

Frequency, nature, effects, and correlates of conflicts of interest in published clinical cancer research. Cancer (2009) 1.34

Lung cancer screening practices of primary care physicians: results from a national survey. Ann Fam Med (2012) 1.33

How does feeling informed relate to being informed? The DECISIONS survey. Med Decis Making (2010) 1.33

Do unmet expectations for specific tests, referrals, and new medications reduce patients' satisfaction? J Gen Intern Med (2004) 1.32

Mentoring and the career satisfaction of male and female academic medical faculty. Acad Med (2014) 1.31

Misremembering colostomies? Former patients give lower utility ratings than do current patients. Health Psychol (2006) 1.27

Ignorance of hedonic adaptation to hemodialysis: a study using ecological momentary assessment. J Exp Psychol Gen (2005) 1.26

Negotiation in academic medicine: narratives of faculty researchers and their mentors. Acad Med (2013) 1.26

Deficits and variations in patients' experience with making 9 common medical decisions: the DECISIONS survey. Med Decis Making (2010) 1.23

Failure to discount for conflict of interest when evaluating medical literature: a randomised trial of physicians. J Med Ethics (2010) 1.22

Clarifying values: an updated review. BMC Med Inform Decis Mak (2013) 1.22

The benefits of discussing adjuvant therapies one at a time instead of all at once. Breast Cancer Res Treat (2010) 1.21

A demonstration of ''less can be more'' in risk graphics. Med Decis Making (2010) 1.21

U.S. primary care physicians' lung cancer screening beliefs and recommendations. Am J Prev Med (2010) 1.21

Disparities in hospice care among older women dying with ovarian cancer. Gynecol Oncol (2011) 1.20

Belief in numbers: When and why women disbelieve tailored breast cancer risk statistics. Patient Educ Couns (2013) 1.20

Risk perception measures' associations with behavior intentions, affect, and cognition following colon cancer screening messages. Health Psychol (2011) 1.20