Dataset Information

User-testing an interactive option grid decision aid for prostate cancer screening: lessons to improve usability.

ABSTRACT:

Objective

To user-test a web-based, interactive Option Grid decision aid 'prostate-specific antigen (PSA) test: yes or no?' to determine its usability, acceptability and feasibility with men of high and low health literacy.

Design

A semi-structured interview study.

Setting

Interviews were conducted at a senior centre, academic hospital or college library in New Hampshire and Vermont.

Participants

Individuals over 45 years of age with no history of prostate cancer who voluntarily contacted study authors after viewing local invitations were eligible for inclusion. Twenty interviews were conducted: 10 participants had not completed a college degree, of which eight had low health literacy, and 10 participants had high health literacy.

Intervention

An interactive, web-based Option Grid patient decision aid for considering whether or not to have a PSA test.

Results

Users with lower health literacy levels were able to understand the content in the tool but were not able to navigate the Option Grid independent of assistance. The tool was used independently by men with high health literacy. In terms of acceptability, the flow of questions and answers embedded in the tool did not seem intuitive to some users who preferred seeing more risk information related to age and family history. Users envisioned that the tool could be feasibly implemented in clinical workflows.

Conclusion

Men in our sample with limited health literacy had difficulty navigating the Option Grid, thus suggesting that the tool was not appropriately designed to be usable by all audiences. The information provided in the tool is acceptable, but users preferred to view personalised risk information. Some participants could envision using this tool prior to an encounter in order to facilitate a better dialogue with their clinician.

Ethics approval

The study received ethical approval from the Dartmouth College Committee for the Protection of Human Subjects (STUDY00030116).

SUBMITTER: Scalia P

PROVIDER: S-EPMC6538002 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

User-testing an interactive option grid decision aid for prostate cancer screening: lessons to improve usability.

Scalia Peter P Durand Marie-Anne MA Faber Marjan M Kremer J A JA Song Julia J Elwyn Glyn G

BMJ open 20190527 5

<h4>Objective</h4>To user-test a web-based, interactive Option Grid decision aid 'prostate-specific antigen (PSA) test: yes or no?' to determine its usability, acceptability and feasibility with men of high and low health literacy.<h4>Design</h4>A semi-structured interview study.<h4>Setting</h4>Interviews were conducted at a senior centre, academic hospital or college library in New Hampshire and Vermont.<h4>Participants</h4>Individuals over 45 years of age with no history of prostate cancer who ...[more]

PMID: 31133587

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Dataset Information

User-testing an interactive option grid decision aid for prostate cancer screening: lessons to improve usability.

Objective

Design

Setting

Participants

Intervention

Results

Conclusion

Ethics approval

Publications

User-testing an interactive option grid decision aid for prostate cancer screening: lessons to improve usability.

Similar Datasets

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