Communication of benefits and harms in shared decision making with patients with limited health literacy: A systematic review of risk communication strategies

被引:9
|
作者
Richter, Romy [1 ,4 ]
Jansen, Jesse [1 ]
Bongaerts, Iris [1 ]
Damman, Olga [2 ]
Rademakers, Jany [1 ,3 ]
van der Weijden, Trudy [1 ]
机构
[1] Maastricht Univ, Dept Family Med, CAPHRI, Maastricht, Netherlands
[2] Free Univ Amsterdam, Amsterdam Univ, Amsterdam Publ Hlth Res Inst, Dept Publ & Occupat Hlth,Med Ctr, Amsterdam, Netherlands
[3] Netherlands Inst Hlth Serv Res Nivel, Utrecht, Netherlands
[4] Dept Family Med, P Debyepl 1 DEB1, NL-6229 HA Maastricht, Netherlands
关键词
Shared decision making; Risk communication; Limited health literacy; VISUAL AIDS; FORMAT; NUMERACY; INFORMATION; PERCEPTION; IMPACT; UNDERSTAND; PEOPLE; REDUCE;
D O I
10.1016/j.pec.2023.107944
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: Risk communication (RC), as part of shared decision making, is challenging with people with limited health literacy (LHL). We aim to provide an overview of strategies to communicate benefits and harms of diagnostic and treatment options to this group. Methods: We systematically searched PubMed, Embase, Cinahl and PsycInfo. We included 28 studies on RC in informed/shared decision making without restriction to a health setting or condition and using a broad conceptualization of health literacy. Two researchers independently selected studies and one researcher performed data extraction. We descriptively compared findings for people with LHL towards recommendations for RC. Results: Health literacy levels varied in the included studies. Most studies used experimental designs, primarily on visual RC. Findings show verbal RC alone should be avoided. Framing of risk information influences risk perception (less risky when positively framed, riskier when negatively framed). Most studies recommended the use of icon arrays. Graph literacy should be considered when using visual RC. Conclusions: The limited available evidence suggests that recommended RC strategies seem mainly to be valid for people with LHL, but more research is required.
引用
收藏
页数:13
相关论文
共 50 条