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Updated: Jan 24, 2026

Author Spotlight: Advancing Prostate Cancer Research Through Improved Tissue Sampling and Biobanking
Published on: November 17, 2023
User-testing an interactive option grid decision aid for prostate cancer screening: lessons to improve usability
Peter Scalia1, Marie-Anne Durand1, Marjan Faber2
1The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, New Hampshire, USA.
This study evaluated a web-based tool for prostate-specific antigen (PSA) testing decisions. Men with low health literacy struggled with navigation, indicating a need for improved design for all users.
Area of Science:
- Health Informatics
- Patient Decision Aids
- Health Literacy Research
Background:
- Patient decision aids are crucial for informed healthcare choices.
- The prostate-specific antigen (PSA) test involves complex risk-benefit considerations.
- Health literacy significantly impacts a patient's ability to engage with health information.
Purpose of the Study:
- To user-test an interactive, web-based Option Grid decision aid for the PSA test.
- To determine the usability, acceptability, and feasibility of the tool for men with varying health literacy levels.
Main Methods:
- A semi-structured interview study was conducted with 20 men aged 45+.
- Participants were recruited from senior centers, academic hospitals, and college libraries.
- Participants were categorized by health literacy (low vs. high) based on education level.
Main Results:
- Men with high health literacy used the Option Grid tool independently.
- Men with low health literacy could understand the content but required assistance for navigation.
- Users found the information acceptable but desired more personalized risk data (age, family history).
Conclusions:
- The current Option Grid design presents usability challenges for individuals with limited health literacy.
- Improvements are needed to ensure equitable access and understanding of the decision aid.
- The tool holds potential for clinical implementation to enhance patient-clinician dialogue if usability is enhanced.
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