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

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Making decisions on your own: Self-administered decision aids about colorectal cancer screening : A systematic review and meta-analyses. / Larsen, Mette Bach; Stokholm, Rikke Nicoline; Kirkegaard, Pia et al.

I: Patient Education and Counseling, Bind 105, Nr. 3, 03.2022, s. 534-546.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

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@article{b86820a5cd2a4e2c9a767d9f997bd0b7,
title = "Making decisions on your own: Self-administered decision aids about colorectal cancer screening: A systematic review and meta-analyses",
abstract = "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'.",
keywords = "Cancer screening, Decision aid, Decisional conflict, Informed choice",
author = "Larsen, {Mette Bach} and Stokholm, {Rikke Nicoline} and Pia Kirkegaard and Laursen, {Henrik Sehested} and Gabel, {Pernille Josefine} and Berit Andersen",
year = "2022",
month = mar,
doi = "10.1016/j.pec.2021.07.035",
language = "English",
volume = "105",
pages = "534--546",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd.",
number = "3",

}

RIS

TY - JOUR

T1 - Making decisions on your own: Self-administered decision aids about colorectal cancer screening

T2 - A systematic review and meta-analyses

AU - Larsen, Mette Bach

AU - Stokholm, Rikke Nicoline

AU - Kirkegaard, Pia

AU - Laursen, Henrik Sehested

AU - Gabel, Pernille Josefine

AU - Andersen, Berit

PY - 2022/3

Y1 - 2022/3

N2 - 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'.

AB - 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'.

KW - Cancer screening

KW - Decision aid

KW - Decisional conflict

KW - Informed choice

U2 - 10.1016/j.pec.2021.07.035

DO - 10.1016/j.pec.2021.07.035

M3 - Review

C2 - 34376303

VL - 105

SP - 534

EP - 546

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 3

ER -