M. L. Essink-Bot|Evelien Dekker|Daniëlle R. M. Timmermans|Ellen Uiters|Mirjam P. Fransen
Knowledge and Informed Decision-Making about Population-Based Colorectal Cancer Screening Participation in Groups with Low and Adequate Health Literacy
Academic Medical Center|University of Amsterdam|University of Amsterdam|Academic Medical Center|EMGO Institute for Health and Care Research|National Institute for Public Health and the Environment|National Institute for Public Health and the Environment|Academic Medical Center|University of Amsterdam
objective analyze compare decisionrelevant knowledge decisional conflict informed decisionmaking colorectal cancer crc screening participation potential screening participants low adequate health literacy hl defined skills access understand apply information make informed decisions health methods survey including 71 individuals low hl 70 adequate hl eligible dutch organized crc screening program knowledge attitude intention participate decisional conflict assessed reading standard information materials hl assessed using short assessment health literacy dutch informed decisionmaking analyzed multidimensional measure informed choice results 64 study population adequate knowledge crc crc screening low hl 4371 61 adequate hl 4770 67mmlmath xmlnsmmlhttpwwww3org1998mathmathml idm1mmlmipmmlmimmlmogtmmlmommlmn fontstyleitalic005mmlmnmmlmath 57 informed decisionmakers low hl 3471 55 adequate hl 3970 58mmlmath xmlnsmmlhttpwwww3org1998mathmathml idm2mmlmipmmlmimmlmogtmmlmommlmn fontstyleitalic005mmlmnmmlmath intention participate 89 low hl 6371 89 adequate hl 6370 90 respondents low hl experienced significantly decisional conflict 258 versus 161mmlmath xmlnsmmlhttpwwww3org1998mathmathml idm3mmlmipmmlmimmlmommlmommlmn fontstyleitalic000mmlmnmmlmath conclusion informed decisionmaking crc screening participation suboptimal among individuals low hl individuals adequate hl research required develop implement effective strategies convey decisionrelevant knowledge crc screening screening invitees