Kathleen M. Mazor|Donald L. Rubin|Douglas Roblin|Andrew E. Williams|Paul Han|Bridget Gaglio|Sarah L. Cutrona|Mary E. Costanza|Joann L. Wagner
Health literacy–listening skill and patient questions following cancer prevention and screening discussions
University of Massachusetts Chan Medical School|University of Georgia|Georgia State University|Kaiser Permanente|Maine Medical Center|Maine Medical Center Research Institute|Maine Medical Center|Maine Medical Center Research Institute|Kaiser Permanente|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School
patient questionasking essential shared decision making sought describe patients questions faced cancer prevention screening decisions explore differences questionasking function health literacy respect spoken information health literacylisteningfourhundred thirtythree 433 adults listened simulated physicianpatient interactions discussing prophylactic tamoxifen breast cancer prevention ii psa testing prostate cancer iii colorectal cancer screening identified questions would health literacylistening assessed using cancer message literacy testlistening cmltlistening two authors developed coding scheme applied questions analyses examined whether participants scoring median cmltlistening asked similar variety questionsquestions coded six major function categories risksbenefits procedure details personalizing information additional information decision making credibility participants scored higher cmltlistening asked greater variety risksbenefits questions scored lower asked greater variety questions seeking personalize information difference persisted adjusting educationpatients health literacylistening associated distinctive patterns question utilization following cancer screening prevention counselling providers responsive question functions patient favours also seek ensure patient exposed full range information needed shared decision making