Sian K Smith|Paul Kearney|Lyndal Trevena|Alexandra Barratt|Don Nutbeam|Kirsten McCaffery
Informed choice in bowel cancer screening: a qualitative study to explore how adults with lower education use decision aids
University of Sydney|University of Sydney|University of Southampton|University of Sydney
offering informed choice screening increasingly advocated little known evidencebased information benefits harms screening influences understanding participation screeningwe aimed explore bowel cancer screening decision aid influenced decision making screening behaviour among adults lower education literacytwentyone men women aged 5564 years lower education levels interviewed using decision aid make screening decision participants purposively selected include made informed choiceunderstanding purpose decision aid important factor whether participants made informed choice screening participants varied understood integrated quantitative risk information benefits harms screening decision making read carefully used justify screening decision whereas others dismissed sceptical lacked confidence numeracy ability participants prior knowledge beliefs screening influenced made sense informationparticipants valued information offered choice nondirective way concerned would deter people screening healthcare providers need aware people respond screening information diverse ways involving range literacy skills cognitive processes