TY - JOUR
T1 - Testing the Effects of Modality and Narration Style on Patients’ Information Use in a Lung Cancer Treatment Decision Aid
AU - Yılmaz, Nida Gizem
AU - van Weert, Julia C. M.
AU - Peters, Ellen
AU - Lissenberg-Witte, Birgit I.
AU - Becker, Annemarie
AU - Senan, Suresh
AU - Dickhoff, Chris
AU - Timmermans, Daniëlle R. M.
AU - Damman, Olga C.
N1 - With supplementary files.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Background: Risk information in patient decision aids (PDAs) is often difficult for older patients to process. Providing audiovisual and narrative information may enhance the understanding and use of health-related information. We studied the effects on patients’ information processing and use of audiovisual and narrative information of an early-stage non–small-cell lung cancer treatment decision aid explaining surgery and stereotactic ablative radiotherapy. We further investigated differences between older and younger patients. Methods: We conducted a 2 (modality: textual v. audiovisual) × 2 (narration style: factual v. narrative) online experiment among cancer patients and survivors (N = 305; Mage = 62.42, SD = 11.68 y). Age was included as a potential modifier: younger (<65 y) versus older (≥65 y) age. We assessed 1) perceived cognitive load, 2) satisfaction with information, 3) comprehension, 4) information recall, and 5) decisional conflict. Analysis of variance was used for data analysis. Results: Irrespective of patient age, audiovisual information (compared with textual information) led to lower perceived cognitive load, higher satisfaction with information, and lower decisional conflict (subscale Effective Decision). Narrative information (compared with factual information) led to reduced decisional conflict (subscale Uncertainty) but only in younger patients. Combining audiovisual information with factual information also resulted in lower perceived cognitive load in younger patients as compared with older patients. Limitations: Patients who actually face the decision, especially older patients, might be more motivated to process our decision-aid information than the present study participants who responded to a hypothetical situation online. Conclusions: Providing participants with audiovisual information, irrespective of their age, improved their processing and use of information in a decision aid. Narratives did not clearly benefit information processing.
AB - Background: Risk information in patient decision aids (PDAs) is often difficult for older patients to process. Providing audiovisual and narrative information may enhance the understanding and use of health-related information. We studied the effects on patients’ information processing and use of audiovisual and narrative information of an early-stage non–small-cell lung cancer treatment decision aid explaining surgery and stereotactic ablative radiotherapy. We further investigated differences between older and younger patients. Methods: We conducted a 2 (modality: textual v. audiovisual) × 2 (narration style: factual v. narrative) online experiment among cancer patients and survivors (N = 305; Mage = 62.42, SD = 11.68 y). Age was included as a potential modifier: younger (<65 y) versus older (≥65 y) age. We assessed 1) perceived cognitive load, 2) satisfaction with information, 3) comprehension, 4) information recall, and 5) decisional conflict. Analysis of variance was used for data analysis. Results: Irrespective of patient age, audiovisual information (compared with textual information) led to lower perceived cognitive load, higher satisfaction with information, and lower decisional conflict (subscale Effective Decision). Narrative information (compared with factual information) led to reduced decisional conflict (subscale Uncertainty) but only in younger patients. Combining audiovisual information with factual information also resulted in lower perceived cognitive load in younger patients as compared with older patients. Limitations: Patients who actually face the decision, especially older patients, might be more motivated to process our decision-aid information than the present study participants who responded to a hypothetical situation online. Conclusions: Providing participants with audiovisual information, irrespective of their age, improved their processing and use of information in a decision aid. Narratives did not clearly benefit information processing.
KW - audiovisual information
KW - information processing
KW - lung cancer
KW - modality
KW - narration style
KW - narrative information
KW - non-small cell
KW - older patients
KW - patient decision aids
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85092892950&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/33078684
UR - https://pure.uva.nl/ws/files/55303008/Yilmaz_NG_et_al._Appendix_A_FINAL.rjf_online_supp.docx
UR - https://pure.uva.nl/ws/files/55303010/Yilmaz_NG_et_al._Appendix_B_FINAL.rjf_online_supp.docx
UR - https://pure.uva.nl/ws/files/55303012/Yilmaz_NG_et_al._Appendix_C_FINAL.rjf_online_supp.docx
U2 - https://doi.org/10.1177/0272989X20960436
DO - https://doi.org/10.1177/0272989X20960436
M3 - Article
C2 - 33078684
SN - 0272-989X
VL - 40
SP - 990
EP - 1002
JO - Medical Decision Making
JF - Medical Decision Making
IS - 8
ER -