TY - JOUR
T1 - Decision aids for benign prostatic hyperplasia
T2 - Applicability across race and education
AU - Rovner, David R.
AU - Wills, Celia E.
AU - Bonham, Vence
AU - Williams, Gilbert
AU - Lillie, Janet
AU - Kelly-Blake, Karen
AU - Williams, Mark V.
AU - Holmes-Rovner, Margaret
PY - 2004/7
Y1 - 2004/7
N2 - Background/Method. Decision aids have not been widely tested in diverse audiences. The authors conducted interviews in a 2 × 2 race by education design with participants who were ≥50 years old (n = 188). The decision aid was a benign prostatic hyperplasia videotape. Results. There was an increase in knowledge equal in all groups, with baseline knowledge higher in whites. The decision stage increased in all groups and was equivalent in the marginal-illiterate subgroup (n = 0.15). Conclusion. Contrary to expectations, results show no difference by race or college education in knowledge gain or increase in reported readiness to decide. The video appeared to produce change across race and education. The end decision stage was high, especially in less educated men. Results suggest that decision aids may be effective without tailoring, as suggested previously to enhance health communication in diverse audiences. Research should test findings in representative samples and in clinical encounters and identify types of knowledge absorbed from decision aids and whether the shift to decision reflects datal knowledge or shared decision-making message.
AB - Background/Method. Decision aids have not been widely tested in diverse audiences. The authors conducted interviews in a 2 × 2 race by education design with participants who were ≥50 years old (n = 188). The decision aid was a benign prostatic hyperplasia videotape. Results. There was an increase in knowledge equal in all groups, with baseline knowledge higher in whites. The decision stage increased in all groups and was equivalent in the marginal-illiterate subgroup (n = 0.15). Conclusion. Contrary to expectations, results show no difference by race or college education in knowledge gain or increase in reported readiness to decide. The video appeared to produce change across race and education. The end decision stage was high, especially in less educated men. Results suggest that decision aids may be effective without tailoring, as suggested previously to enhance health communication in diverse audiences. Research should test findings in representative samples and in clinical encounters and identify types of knowledge absorbed from decision aids and whether the shift to decision reflects datal knowledge or shared decision-making message.
KW - Decision making
KW - Decision support interventions
KW - Health literacy
KW - Race
UR - http://www.scopus.com/inward/record.url?scp=3242733696&partnerID=8YFLogxK
U2 - 10.1177/0272989X04267010
DO - 10.1177/0272989X04267010
M3 - Article
C2 - 15271274
AN - SCOPUS:3242733696
SN - 0272-989X
VL - 24
SP - 359
EP - 366
JO - Medical Decision Making
JF - Medical Decision Making
IS - 4
ER -