Peter A. Briss|Barbara K. Rimer|Brigg Reilley|Ralph C. Coates|Nancy C. Lee|Patricia Dolan Mullen|Phaedra S. Corso|Angela B. Hutchinson|Robert A. Hiatt|Jon Kerner|Prethibha George|Cornelia White|Nisha Gandhi|Mona Saraiya|Rosalind A. Breslow|George Isham|Steven M. Teutsch|Alan R. Hinman|Robert S. Lawrence
Promoting informed decisions about cancer screening in communities and healthcare systems
Centers for Disease Control and Prevention|National Institutes of Health|National Cancer Institute|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|The University of Texas Health Science Center at Houston|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|National Institutes of Health|National Cancer Institute|National Institutes of Health|National Cancer Institute|National Center for Infectious Diseases|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|California Department of Health Care Services|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|HealthPartners|United States Military Academy|The Task Force for Global Health|Johns Hopkins University
individuals increasingly involved decisions health care shared decision making sdm intervention clinical setting patients providers collaborate decision making important approach informing patients involving health care however sdm cannot bear entire burden informing involving individuals populationoriented interventions promote informed decision making idm also explored review provides conceptual background populationoriented interventions promote informed decisions idm interventions followed systematic review studies idm interventions promote cancer screening review specifically asked whether idm interventions 1 promote understanding cancer screening 2 facilitate participation decision making cancer screening level comfortable individuals 3 encourage individuals make cancerscreening decisions consistent preferences valuesfifteen intervention arms met intervention definition used small media counseling smallgroup education provideroriented strategies combinations promote idm interventions generally consistent improving individuals knowledge disease accuracy risk perceptions knowledge beliefs pros cons screening treatment options however studies evaluated whether interventions resulted individuals participating decision making desirable level whether led decisions consistent individuals values preferences research needed best promote facilitate individuals participation health care work especially needed facilitate participation level desired individuals promote decisions patients consistent preferences values perform effective costeffective idm interventions healthcare systems providers community settings outside clinical settings implement interventions diverse populations populations older nonwhite disadvantaged finally work needed presence magnitude barriers harms idm interventions might avoided