Improving bone mineral density reporting to patients with an illustration of personal fracture risk

Stephanie W Edmonds; Peter Cram; Xin Lu; Douglas W Roblin; Nicole C Wright; Kenneth G Saag; Samantha L Solimeo; PAADRN Investigators

doi:10.1186/s12911-014-0101-y

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$Improving bone mineral density reporting to patients with an illustration of personal fracture risk$

Journal article

Open access

Peer reviewed

Improving bone mineral density reporting to patients with an illustration of personal fracture risk

Stephanie W Edmonds, Peter Cram, Xin Lu, Douglas W Roblin, Nicole C Wright, Kenneth G Saag, Samantha L Solimeo and PAADRN Investigators

BMC medical informatics and decision making, Vol.14(1), pp.101-101

11/25/2014

DOI: 10.1186/s12911-014-0101-y

PMCID: PMC4260260

PMID: 25743200

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Abstract

To determine patients' preferences for, and understanding of, FRAX® fracture risk conveyed through illustrations. Drawing on examples from published studies, four illustrations of fracture risk were designed and tested for patient preference, ease of understanding, and perceived risk. We enrolled a convenience sample of adults aged 50 and older at two medical clinics located in the Midwestern and Southern United States. In-person structured interviews were conducted to elicit patient ranking of preference, ease of understanding, and perceived risk for each illustration. Most subjects (n = 142) were female (64%), Caucasian (76%) and college educated (78%). Of the four risk depictions, a plurality of participants (37%) listed a bar graph as most preferred. Subjects felt this illustration used the stoplight color system to display risk levels well and was the most "clear," "clean," and "easy to read". The majority of subjects (52%) rated the pictogram as the most difficult to understand as this format does not allow people to quickly ascertain their individual risk category. Communicating risk to patients with illustrations can be done effectively with clearly designed illustrations responsive to patient preference. ClinicalTrials.gov Identifier: NCT01507662.

Bone Density

Humans

Middle Aged

Fractures, Bone

Female

Male

Risk

Aged

Comprehension

Medical Illustration

Patient Preference - psychology

Randomized Controlled Trials as Topic

Details

Title: Subtitle: Improving bone mineral density reporting to patients with an illustration of personal fracture risk
Creators: Stephanie W Edmonds - College of Nursing, University of Iowa, Iowa City, IA, USA. stephanie-edmonds@uiowa.edu
Peter Cram - University Health Network and Mount Sinai Hospital, Toronto, ON, Canada. peter.cram@uhn.ca
Xin Lu - Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA. xin-lu@uiowa.edu
Douglas W Roblin - School of Public Health, Georgia State University, Atlanta, GA, USA. droblin@gsu.edu
Nicole C Wright - Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA. ncwright@uab.edu
Kenneth G Saag - Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA. ksaag@uab.edu
Samantha L Solimeo - Department of Veterans Affairs, Center for Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA. samantha.solimeo@va.gov
PAADRN Investigators
Resource Type: Journal article
Publication Details: BMC medical informatics and decision making, Vol.14(1), pp.101-101
DOI: 10.1186/s12911-014-0101-y
PMID: 25743200
PMCID: PMC4260260
NLM abbreviation: BMC Med Inform Decis Mak
ISSN: 1472-6947
eISSN: 1472-6947
Grant note: K24 AR062133 / NIAMS NIH HHS R01 AG033035 / NIA NIH HHS
Language: English
Date published: 11/25/2014
Academic Unit: Nursing; General Internal Medicine; Internal Medicine
Record Identifier: 9984094571902771

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