Evidence-based patient information about treatment of multiple sclerosis--a phase one study on comprehension and emotional responses.
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Evidence-based patient information about treatment of multiple sclerosis--a phase one study on comprehension and emotional responses. / Kasper, Jürgen; Köpke, Sascha; Mühlhauser, Ingrid; Heesen, Christoph.
in: PATIENT EDUC COUNS, Jahrgang 62, Nr. 1, 1, 2006, S. 56-63.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Evidence-based patient information about treatment of multiple sclerosis--a phase one study on comprehension and emotional responses.
AU - Kasper, Jürgen
AU - Köpke, Sascha
AU - Mühlhauser, Ingrid
AU - Heesen, Christoph
PY - 2006
Y1 - 2006
N2 - OBJECTIVE: This study analysis the comprehension and emotional responses of people suffering from multiple sclerosis when provided with an evidence-based information module. It is a core module of a comprehensive decision aid about immunotherapy. The core module is designed to enable patients to process scientific uncertainty without adverse effects. It considers existing standards for risk communication and presentation of data. METHODS: Using a mailing approach we investigated 169 patients with differing courses of disease in a before-after design. Items addressed the competence in processing relative and absolute risk information and patients' emotional response to the tool, comprising grade of familiarity with the information, understanding, relevance, emotional arousal, and certainty. RESULTS: Overall, numeracy improved (p <0.001), although 99 of 169 patients did not complete the numeracy task correctly. Understanding depended on the relevance related to the course of disease. A moderate level of uncertainty was induced. No adverse emotional responses could be shown, neither in those who did comprehend the information, nor in those who did not develop numeracy skills. CONCLUSION: In conclusion, the tool supports people suffering from multiple sclerosis to process evidence-based medical information and scientific uncertainty without burdening them emotionally. PRACTICE IMPLICATIONS: This study is an example for the documentation of an important step in the development process of a complex intervention.
AB - OBJECTIVE: This study analysis the comprehension and emotional responses of people suffering from multiple sclerosis when provided with an evidence-based information module. It is a core module of a comprehensive decision aid about immunotherapy. The core module is designed to enable patients to process scientific uncertainty without adverse effects. It considers existing standards for risk communication and presentation of data. METHODS: Using a mailing approach we investigated 169 patients with differing courses of disease in a before-after design. Items addressed the competence in processing relative and absolute risk information and patients' emotional response to the tool, comprising grade of familiarity with the information, understanding, relevance, emotional arousal, and certainty. RESULTS: Overall, numeracy improved (p <0.001), although 99 of 169 patients did not complete the numeracy task correctly. Understanding depended on the relevance related to the course of disease. A moderate level of uncertainty was induced. No adverse emotional responses could be shown, neither in those who did comprehend the information, nor in those who did not develop numeracy skills. CONCLUSION: In conclusion, the tool supports people suffering from multiple sclerosis to process evidence-based medical information and scientific uncertainty without burdening them emotionally. PRACTICE IMPLICATIONS: This study is an example for the documentation of an important step in the development process of a complex intervention.
M3 - SCORING: Zeitschriftenaufsatz
VL - 62
SP - 56
EP - 63
JO - PATIENT EDUC COUNS
JF - PATIENT EDUC COUNS
SN - 0738-3991
IS - 1
M1 - 1
ER -