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Patients’ Knowledge about 9 Common Health Conditions: The DECISIONS Survey

Author

Listed:
  • Angela Fagerlin
  • Karen R. Sepucha
  • Mick P. Couper
  • Carrie A. Levin
  • Eleanor Singer
  • Brian J. Zikmund-Fisher

Abstract

Background To make informed decisions, patients must have adequate knowledge of key decision-relevant facts. Objective To determine adults’ knowledge about information relevant to common types of medication, screening, or surgery decisions they recently made. Setting National sample of US adults identified by random-digit dialing. Design Cross-sectional survey conducted between November 2006 and May 2007. Participants A total of 2575 English-speaking adults aged 40 y or older who reported having discussed the following medical decisions with a health care provider within the previous 2 y: prescription medications for hypertension, hypercholesterolemia, or depression; screening tests for colorectal, breast, or prostate cancer; or surgeries for knee/hip replacement, cataracts, or lower back pain. Measurements Participants answered knowledge questions and rated the importance of their health care provider, family/friends, and the media as sources of information. Results Accuracy rates varied widely across questions and decision contexts. For example, patients considering cataract surgery were more likely to correctly estimate recovery time than those patients considering lower back pain or knee/hip replacement (78% v. 29% and 39%, P

Suggested Citation

  • Angela Fagerlin & Karen R. Sepucha & Mick P. Couper & Carrie A. Levin & Eleanor Singer & Brian J. Zikmund-Fisher, 2010. "Patients’ Knowledge about 9 Common Health Conditions: The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 35-52, September.
    • Handle: RePEc:sae:medema:v:30:y:2010:i:5_suppl:p:35-52
    DOI: 10.1177/0272989X10378700
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    References listed on IDEAS

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    1. Mick P. Couper & Eleanor Singer & Carrie A. Levin & Floyd J. Fowler Jr. & Angela Fagerlin & Brian J. Zikmund-Fisher, 2010. "Use of the Internet and Ratings of Information Sources for Medical Decisions: Results from the DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 106-114, September.
    2. Annette M. O'Connor & Dawn Stacey & Michael J. Barry & Nananda F. Col & Karen B. Eden & Vikki Entwistle & Valerie Fiset & Margaret Holmes-Rovner & Sara Khangura & Hilary Llewellyn-Thomas & David R. Ro, 2007. "Do Patient Decision Aids Meet Effectiveness Criteria of the International Patient Decision Aid Standards Collaboration? A Systematic Review and Meta-analysis," Medical Decision Making, , vol. 27(5), pages 554-574, September.
    3. Brian J. Zikmund-Fisher & Mick P. Couper & Eleanor Singer & Carrie A. Levin & Floyd J. Fowler Jr. & Sonja Ziniel & Peter A. Ubel & Angela Fagerlin, 2010. "The DECISIONS Study: A Nationwide Survey of United States Adults Regarding 9 Common Medical Decisions," Medical Decision Making, , vol. 30(5_suppl), pages 20-34, September.
    4. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
    5. Isaac M. Lipkus & Greg Samsa & Barbara K. Rimer, 2001. "General Performance on a Numeracy Scale among Highly Educated Samples," Medical Decision Making, , vol. 21(1), pages 37-44, February.
    6. Gafni, Amiram & Charles, Cathy & Whelan, Tim, 1998. "The physician-patient encounter: The physician as a perfect agent for the patient versus the informed treatment decision-making model," Social Science & Medicine, Elsevier, vol. 47(3), pages 347-354, August.
    7. Wendy L. Nelson & Paul K. J. Han & Angela Fagerlin & Michael Stefanek & Peter A. Ubel, 2007. "Rethinking the Objectives of Decision Aids: A Call for Conceptual Clarity," Medical Decision Making, , vol. 27(5), pages 609-618, September.
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    1. Brian J. Zikmund-Fisher & Mick P. Couper & Eleanor Singer & Carrie A. Levin & Floyd J. Fowler Jr. & Sonja Ziniel & Peter A. Ubel & Angela Fagerlin, 2010. "The DECISIONS Study: A Nationwide Survey of United States Adults Regarding 9 Common Medical Decisions," Medical Decision Making, , vol. 30(5_suppl), pages 20-34, September.

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