Margaret Holmes?Rovner|Sue Stableford|Angela Fagerlin|John T. Wei|Rodney L. Dunn|Janet Ohene-Frempong|Karen Kelly?Blake|David R. Rovner
Evidence-based patient choice: a prostate cancer decision aid in plain language
Michigan State University|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Michigan State University|Michigan State University
decision aids da assist patients evaluating treatment options sharing decision making proliferated recent years require high literacy use plain language principles describe one first attempts design decision aid using principles reading research document design plain language da prototype addressed treatment decisions localized prostate cancer evaluation assessed impact knowledge decisions discussions doctors men newly diagnosed prostate cancerdocument development steps included preparing evidencebased da standard medical parlance iteratively translating emphasize shared decision making plain language three formats booklet internet audiotape scientific review medical content integrated expert health literacy review document structure design formative evaluation methods included focus groups n 4 survey new sample men newly diagnosed prostate cancer n 60 compared historical controls n 184a transparent description development process design elements reported formative evaluation among newly diagnosed prostate cancer patients found da clear useful reaching decision newly diagnosed patients reported discussions doctors treatment options showed increases knowledge side effects radiation therapythe plain language da presenting medical evidence text numerical formats appears acceptable useful decisionmaking localized prostate cancer treatment testing evaluate impact three media decisions made quality life survivorship period especially among low literacy men