Making decisions on your own: Self-administered decision aids about colorectal cancer screening - A systematic review and meta-analyses

PATIENT EDUCATION AND COUNSELING

卷:105

Review

Larsen, Mette Bach¹  Stokholm, Rikke¹  Kirkegaard, Pia¹  Laursen, Henrik Sehested²  Gabel, Pernille¹  Andersen, Berit^1,3 

[1] Randers Reg Hosp, Univ Res Clin Canc Screening, Dept Publ Hlth Programmes, Skovlyvej 15, DK-8930 Randers NO, Denmark

[2] Reg Hosp Cent Jutland, Med Lib, Heibergs Alle 5A, DK-8800 Viborg, Denmark

[3] Aarhus Univ, Dept Clin Med, Incuba Skejby, Bldg 2,Palle Juul Jensens Blvd 82, DK-8200 Aarhus N, Denmark

关键词: Cancer screening;    Decision aid;    Informed choice;    Decisional conflict;   

DOI  :  10.1016/j.pec.2021.07.035

来源: Elsevier

【 摘 要 】

Objective: To provide a systematic review of self-administered decision aids (DAs) for citizens invited to participate in colorectal cancer screening synthesizing the effectiveness of self-administered DAs on informed choice or the components hereof; knowledge, attitudes, and participation. Methods: The literature search was undertaken in PubMed, CINAHL, PsycINFO, Embase and Scopus and last updated 19 March 2021. Results were presented by narrative synthesis, meta-analyses and vote counting based on direction of effect. Results: Fourteen studies of fair methodological quality were included. One study reported on informed choice and 13 studies reported on the components. Self-administered DAs increased participation and knowledge whereas it was inconclusive with regard to attitudes towards screening. The studies were very heterogeneous with different comparators, outcomes and means of measurement. Conclusion: This systematic review showed a potential for self-administered DAs to support informed choice in colorectal cancer screening, especially by increasing knowledge. Practice Implications: It seems reasonable to consider informed choice to be one of the main outcomes of self-administered DAs. Yet there is a need for consensus on how to measure informed choice in cancer screening, especially a validated measurement of knowledge defining what constitutes 'adequate knowledge'. (c) 2021 The Authors. Published by Elsevier B.V.

【 授权许可】

Free