Factors Associated with Informed Decisions and Participation in Bowel Cancer Screening among Adults with Lower Education and Literacy

Sian K. Smith, Judy M. Simpson, Lyndal J. Trevena and Kirsten J. McCaffery

Medical Decision Making, 2014, vol. 34, issue 6, 756-772

Abstract: Background . Making informed decisions about cancer screening involves understanding the benefits and harms in conjunction with personal values. There is little research examining factors associated with informed decision making or participation in screening in the context of a decision aid trial. Objectives . To identify factors associated with informed choice and participation in fecal occult blood testing (FOBT) among lower education populations. Design . Randomized controlled trial of an FOBT decision aid conducted between July and November 2008. Setting . Socioeconomically disadvantaged areas in New South Wales, Australia. Participants . Included 572 adults aged 55 to 64 years with lower education. Measurements . Sociodemographic variables, perceived health literacy, and involvement preferences in decision making were examined to identify predictors of informed choice (knowledge, attitudes, and behavior). Results . Multivariate analysis identified independent predictors of making an informed choice as having higher education (relative risk [RR], 1.49; 95% confidence interval [CI], 1.13–1.95; P = 0.001), receiving the decision aid (RR, 2.88; 95% CI, 1.87–4.44; P

Keywords: decision-making; informed choice; education; health literacy; predictors; decision aids; cancer screening; fecal occult blood test; randomized controlled trials (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:34:y:2014:i:6:p:756-772

DOI: 10.1177/0272989X13518976

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