37th Annual Meeting of the Society for Medical Decision Making
(Source: Medical Decision Making)
Source: Medical Decision Making - May 24, 2016 Category: Health Management Tags: Web Only Abstracts Source Type: research
Uptake and Documentation of the Use of an Encounter Decision Aid in Usual Practice: A Retrospective Analysis of the Use of the Statin/Aspirin Choice Decision Aid
(Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Inselman, J., Branda, M., Castaneda-Guarderas, A., Gionfriddo, M. R., Zeballos-Palacios, C. L., Morris, M. M., Shah, N. D., Montori, V. M., LeBlanc, A. Tags: Brief Reports Source Type: research
Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients
This study examined the relationship between health literacy and decision-making preferences in a medically underserved population. Methods. We analyzed a sample of 576 primary care patients. Multivariable logistic regression was used to examine the independent association of health literacy (measured by the Rapid Estimate of Adult Literacy in Medicine–Revised) and patients’ decision-making preferences (physician directed or patient involved), controlling for age, race/ethnicity, and gender. We tested whether having a regular doctor modified this association. Results. Adequate health literacy (odds ratio [OR] =...
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Seo, J., Goodman, M. S., Politi, M., Blanchard, M., Kaphingst, K. A. Tags: Brief Reports Source Type: research
Can Medical Diagnosis Benefit from "Unconscious Thought"?
The unconscious thought theory argues that making complex decisions after a period of distraction can lead to better decision quality than deciding either immediately or after conscious deliberation. Two studies have tested this unconscious thought effect (UTE) in clinical diagnosis with conflicting results. The studies used different methodologies and had methodological weaknesses. We attempted to replicate the UTE in medical diagnosis by providing favorable conditions for the effect while maintaining ecological validity. Family physicians (N = 116) diagnosed 3 complex cases in 1 of 3 thinking modes: immediate, unconsciou...
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Woolley, A., Kostopoulou, O., Delaney, B. C. Tags: Original Articles Source Type: research
The Wisdom of Crowds of Doctors: Their Average Predictions Outperform Their Individual Ones
Conclusions. Averaging clinician predictions may have merit over individual clinician predictions but still not reasonably replace a carefully built statistical model. However, averaging clinician predictions could prove helpful in situations where statistical models do not yet exist or where existing models are inadequate. (Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Kattan, M. W., ORourke, C., Yu, C., Chagin, K. Tags: Original Articles Source Type: research
Risk Stratification and Shared Decision Making for Colorectal Cancer Screening: A Randomized Controlled Trial
Conclusions. Providers perceived risk stratification to be useful in their decision making but often failed to comply with patient preferences for tests other than colonoscopy, even among those deemed to be at low risk of ACN. (Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Schroy, P. C., Duhovic, E., Chen, C. A., Heeren, T. C., Lopez, W., Apodaca, D. L., Wong, J. B. Tags: Original Articles Source Type: research
Shared Medical Decision Making in Lung Cancer Screening: Experienced versus Descriptive Risk Formats
The objective of this study was to compare descriptive versus experienced probability formats on patients’ knowledge, beliefs, endorsement of screening for heavy smokers, and preference (choice predisposition) to undergo screening. Methods. A total of 276 patients attending an outpatient pulmonary practice were randomized to learn about screening using 1 of 3 formats: numbers only, numbers + icon arrays, numbers + a set of slides illustrating LDCT scans of 250 people in random order that displayed the number of normal scans, false-positive lung nodules, cancers found leading to a life saved, and cancers found leading...
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Fraenkel, L., Peters, E., Tyra, S., Oelberg, D. Tags: Original Articles Source Type: research
In Sickness but Not in Wealth: Field Evidence on Patients Risk Preferences in Financial and Health Domains
We present results from a hypothetical framed field experiment assessing whether risk preferences significantly differ across the health and financial domains when they are elicited through the same multiple price list paired-lottery method. We consider a sample of 300 patients attending outpatient clinics in a university hospital in Athens during the Greek financial crisis. Risk preferences in finance were elicited using paired-lottery questions with hypothetical payments. The questions were adapted to the health domain by framing the lotteries as risky treatments in hypothetical health care scenarios. Using maximum likel...
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Galizzi, M. M., Miraldo, M., Stavropoulou, C. Tags: Original Articles Source Type: research
Does Introducing Imprecision around Probabilities for Benefit and Harm Influence the Way People Value Treatments?
Conclusions. These findings provide insight into how conveying imprecision information influences patient treatment choices. (Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Bansback, N., Harrison, M., Marra, C. Tags: Original Articles Source Type: research
Unknown Risks: Parental Hesitation about Vaccination
Conclusions. VHPs’ refusal of vaccination may reflect their aversion to both the risk and ambiguity they perceive to be associated with vaccination. Mitigating this vaccine hesitancy likely requires reconstructing the risks and ambiguities associated with vaccination—a challenging task that requires providing parents with meaningful evidence-based information on the known risks of vaccination versus VPDs and explicitly acknowledging the risks that remain truly unknown. (Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Blaisdell, L. L., Gutheil, C., Hootsmans, N. A. M., Han, P. K. J. Tags: Original Articles Source Type: research
Goals and Social Comparisons Promote Walking Behavior
The effectiveness of a pedometer intervention was affected by manipulating the goals given to participants and by providing social comparison feedback about how participants’ performance compared with others. In study 1 (n = 148), university staff members received a low, medium, or high walking goal (10%, 50%, or 100% increase over baseline walking). Participants walked 1358 more steps per day (95% confidence interval [CI], 729, 1985), when receiving a high goal than when receiving a medium goal, but a medium goal did not increase walking relative to a low goal (554 more steps; 95% CI, –71,1179). In study 2 (n ...
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Chapman, G. B., Colby, H., Convery, K., Coups, E. J. Tags: Original Articles Source Type: research
Design Features of Explicit Values Clarification Methods: A Systematic Review
Conclusions. Explicit values clarification methods have diverse designs but can be systematically cataloged within the structure of a taxonomy. Developers of values clarification methods should carefully consider each of the design features in this taxonomy and publish adequate descriptions of their designs. More research is needed to study the effects of different design features. (Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Witteman, H. O., Scherer, L. D., Gavaruzzi, T., Pieterse, A. H., Fuhrel-Forbis, A., Chipenda Dansokho, S., Exe, N., Kahn, V. C., Feldman-Stewart, D., Col, N. F., Turgeon, A. F., Fagerlin, A. Tags: Reviews Source Type: research
The Impact of Patient Participation in Health Decisions Within Medical Encounters: A Systematic Review
Conclusions: Very few RCTs in the field have measures of participation in decision making and at least one health outcome. Moreover, extant studies exhibit little consistency in measurement of these variables, and results are mixed. There is a great need for well-designed, reproducible research on clinically relevant outcomes of patient participation in medical decisions. (Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Authors: Clayman, M. L., Bylund, C. L., Chewning, B., Makoul, G. Tags: Reviews Source Type: research
2nd Asia-Pacific Conference of the Society for Medical Decision Making
(Source: Medical Decision Making)
Source: Medical Decision Making - March 30, 2016 Category: Health Management Tags: Web-Only Abstracts Source Type: research
Methods for Building and Validating Equations for Physiology-Based Mathematical Models: Glucose Metabolism and Type 2 Diabetes in the Archimedes Model
Conclusions. The methods can be used to derive equations that represent the relationships between physiological variables and the causes of diseases and that validate well against empirical data. (Source: Medical Decision Making)
Source: Medical Decision Making - February 29, 2016 Category: Health Management Authors: Eddy, D. M., Schlessinger, L. Tags: Tutorial Source Type: research
