MP24-07 PRESENTING INFORMATION IN PROSTATE CANCER SCREENING DECISION AIDS: MORE INFORMATION OR THE BOTTOM-LINE GIST? A RANDOMIZED CONTROLLED TRIAL

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP24)1 May 2024MP24-07 PRESENTING INFORMATION IN PROSTATE CANCER SCREENING DECISION AIDS: MORE INFORMATION OR THE BOTTOM-LINE GIST? A RANDOMIZED CONTROLLED TRIAL Sunny Nalavenkata, Melissa Assel, Rebecca Yu, Oskar Bergengren, Kristina Stevanovic, Mia Austria, Jason Gonsky, Angela Fagerlin, Jada Hamilton, Jennifer Hay, Andrew Vickers, and Sigrid Carlsson Sunny NalavenkataSunny Nalavenkata , Melissa AsselMelissa Assel , Rebecca YuRebecca Yu , Oskar BergengrenOskar Bergengren , Kristina StevanovicKristina Stevanovic , Mia AustriaMia Austria , Jason GonskyJason Gonsky , Angela FagerlinAngela Fagerlin , Jada HamiltonJada Hamilton , Jennifer HayJennifer Hay , Andrew VickersAndrew Vickers , and Sigrid CarlssonSigrid Carlsson View All Author Informationhttps://doi.org/10.1097/01.JU.0001008860.46052.c4.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: AUA endorses the use of decision aids for many decisions including prostate cancer screening. However, most decision aids focus on quantitative detail with overly complex information. One such prostate cancer screening tool is a 12-page document with 12 separate statistics and 8 resources. We aimed to assess the impact of increasing decision aid complexity on decision-making ability, and to determine the added value of focusing on the key point (gist) of the decision. METHODS: We conducted a randomized controlled trial, recruiting a sample of people aged 40–60 from NIH's online research registry (ResearchMatch). Participants were allocated to either receive a decision aid for a hypothetical "Cancer X" with or without gist (arm 1 vs arm 2 respectively). An additional arm was randomization to existing decision aids ranked on complexity (results not reported here). Within each arm, participants were randomly assigned to one of 8 groups with decision aids of increasing complexity (1 - trivial information, 8 - most complex information). We hypothesized that decision making about cancer screening is a non-linear function of complexity of information that reaches an inflection point, beyond which additional information leads to cognitive overload and inhibits decision making. Patient demographics were collected, followed by a survey assessing screening choice, ability to decide and cognitive load. Data was analyzed by informational load rank and trial. RESULTS: A total of 714 people participated in the trial. In arm 1 (without gist), cognitive load increased in an exponential manner with decision aid complexity, while use of the gist (arm 2) transformed this to a linear relationship. When assessing the helpfulness of the decision aid, our results demonstrate that increasing the complexity of decision aids beyond a certain threshold reduces people's ability to understand and act on a decision aid. The inclusion of the gist abolished this effect by reducing cognitive load irrespective of the complexity of aid. (Figure 1). CONCLUSIONS: Our data demonstrates evidence that levels of complexity common in contemporary decision aids detract from decision making. Further research is urgently required to determine how providing a gist would ameliorate the issue of information overload. Download PPT Source of Funding: NIH/NCI K22-CA234400, P30-CA008748 © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e394 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Sunny Nalavenkata More articles by this author Melissa Assel More articles by this author Rebecca Yu More articles by this author Oskar Bergengren More articles by this author Kristina Stevanovic More articles by this author Mia Austria More articles by this author Jason Gonsky More articles by this author Angela Fagerlin More articles by this author Jada Hamilton More articles by this author Jennifer Hay More articles by this author Andrew Vickers More articles by this author Sigrid Carlsson More articles by this author Expand All Advertisement PDF downloadLoading ...