Danielle M Muscat|Jenna Smith|Olivia Mac|Tamara Cadet|Anik Giguère|Ashley J. Housten|Aisha T. Langford|Sian K Smith|Marie?Anne Durand|Kirsten McCaffery
Addressing Health Literacy in Patient Decision Aids: An Update from the International Patient Decision Aid Standards
University of Sydney|University of Sydney|University of Sydney|Simmons University|Harvard University|Université Laval|Washington University in St. Louis|UNSW Sydney|Université Toulouse III - Paul Sabatier|Centre universitaire de médecine générale et santé publique, Lausanne|Dartmouth Institute for Health Policy and Clinical Practice|Dartmouth College|University of Sydney|University of Bath
increasing recognition importance addressing health literacy patient decision aid ptda developmentan updated review part ipdas 20 examined extent ptdas designed meet needs people low health literacysociallydisadvantaged populationsreference lists cochrane reviews randomized controlled trials rcts ptdas 2014 2017 upcoming 2021 versionsrcts assessed impact ptdas low health literacy sociallydisadvantaged groups ie 50 participants sociallydisadvantaged groups andor subgroup analysis sociallydisadvantaged groupstwo researchers independently extracted data standardized form including ptda development evaluation details searched online repositories emailed authors access ptdas verify grade reading level understandability actionabilitytwentyfive 213 rcts met inclusion criteria illustrating 12 studies addressed needs low health literacy sociallydisadvantaged groups grade reading level calculated 8 25 studies 33 recommended previous ipdas guidelines accessed independently assessed 11 ptdas none written sixthgrade level ten ptdas met recommended threshold understandability 5 met recommended threshold actionability also conducted post hoc subgroup metaanalysis found knowledge improvements receiving ptda greater studies reported using strategies reduce cognitive demand ptda development compared studies 2 1411 p 00002 i2 929we unable access 13 24 ptdas conclusions greater attention health literacy sociallydisadvantaged populations needed field ptdas ensure equity decision support