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Comprehensibility of Fact Sheets Addressing Benefits and Risks of Preventive Interventions: A Cross-Sectional
Bigna Hut1, Stefania Di Gangi1, Giuseppe Pichierri1
1Institute of Primary Care, University of Zurich and University Hospital Zurich, Zurich, Switzerland.
Patient fact sheets for preventive tests and procedures (PTPs) show promise for shared decision-making. While generally comprehensible, risk details and visuals require refinement for better patient understanding and guideline adherence.
Area of Science:
- Health communication
- Medical decision making
- Evidence-based practice
Background:
- Preventive tests and procedures (PTPs) aim to reduce disease burden.
- Discrepancies between patient expectations and guidelines lead to PTP overuse or underuse.
- Shared decision-making (SDM) requires clear, evidence-based patient information.
Purpose of the Study:
- To develop prototype fact sheets for informed decisions about PTPs.
- To conduct an initial evaluation of these fact sheets' user experience and comprehensibility.
Main Methods:
- Developed 11 PTP fact sheets based on guideline recommendations.
- Assessed user experience and comprehensibility via a university population survey.
- Collected ratings on comprehensibility, content, and design; analyzed subgroup differences.
Main Results:
- Median fact sheet approval score was 77%; 6/11 sheets exceeded 80% comprehensibility.
- Lower approval for risk descriptions, usefulness in consultations, and visuals; cancer screening sheets scored lowest.
- Younger age groups and higher education levels reported lower approval.
Conclusions:
- Fact sheets demonstrated generally positive user ratings for comprehensibility and experience.
- Risk presentation and visuals need adaptation, particularly for cancer screening topics.
- Tailored informational materials are crucial for effective SDM support.
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