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Current Oncology
Volume 26
Issue 2
10.3747/co.26.4621
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Are Patient Education Materials about Cancer Screening More Effective When Co-Created with Patients? A Qualitative Interview Study and Randomized Controlled Trial

by
N.Y. Bashir
1,
J.E. Moore
1,
D. Buckland
1,
M. Rodrigues
1,
M. Tonelli
2,
B.D. Thombs
3,
N.R. Bell
4,
W. Isaranuwatchai
1,
T. Peng
1,
D.M. Shilman
1 and
S.E. Straus
1,5,*
1
Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, Canada
2
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
3
Lady Davis Institute, Sir Mortimer B. Davis Jewish General Hospital, and McGill University, Montreal, QC, Canada
4
Department of Family Medicine, University of Alberta, Edmonton, AB, Canada
5
Department of Medicine, University of Toronto, Toronto, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2019, 26(2), 124-136; https://doi.org/10.3747/co.26.4621
Submission received: 8 January 2019 / Revised: 7 February 2019 / Accepted: 7 March 2019 / Published: 1 April 2019

Abstract

Background: Patient education materials (PEMS) are frequently used to help patients make cancer screening decisions. However, because PEM are typically developed by experts, they might inadequately address patient barriers to screening. We co-created, with patients, a prostate cancer (pca) screening PEM, and we compared how the co-created PEM and a PEM developed by experts affected decisional conflict and screening intention in patients. Methods: We identified and used patient barriers to pca screening to co-create a pca screening PEM with patients, clinicians, and researchers. We then conducted a parallel-group randomized controlled trial with men 40 years of age and older in Ontario to compare decisional conflict and intention about pca screening after those men had viewed the co-created PEM (intervention) or an expert-created PEM (control). Participants were randomized using dynamic block randomization, and the study team was blinded to the allocation. Results: Of 287 participants randomized to exposure to the co-created PEM, 230 were analyzed, and of 287 randomized to exposure to the expert-created PEM, 223 were analyzed. After PEM exposure, intervention and control participants did not differ significantly in Decisional Conflict Scale scores [mean difference: 0.37 ± 1.23; 95% confidence interval (CI): −2.05 to 2.79]; in sure (Sure of myself, Understand information, Risk–benefit ratio, or Encouragement) scores (odds ratio: 0.75; 95% CI: 0.52 to 1.08); or in screening intention (mean difference: 0.09 ± 0.08; 95% CI: −0.06 to 0.24]). Conclusions: The effectiveness of the co-created PEM did not differ from that of the PEM developed by experts. Thus, PEM developers should choose the method that best fits their goals and resources.
Keywords: patient engagement; co-creation; patient education materials; patient education; pca screening patient engagement; co-creation; patient education materials; patient education; pca screening

Share and Cite

MDPI and ACS Style

Bashir, N.Y.; Moore, J.E.; Buckland, D.; Rodrigues, M.; Tonelli, M.; Thombs, B.D.; Bell, N.R.; Isaranuwatchai, W.; Peng, T.; Shilman, D.M.; et al. Are Patient Education Materials about Cancer Screening More Effective When Co-Created with Patients? A Qualitative Interview Study and Randomized Controlled Trial. Curr. Oncol. 2019, 26, 124-136. https://doi.org/10.3747/co.26.4621

AMA Style

Bashir NY, Moore JE, Buckland D, Rodrigues M, Tonelli M, Thombs BD, Bell NR, Isaranuwatchai W, Peng T, Shilman DM, et al. Are Patient Education Materials about Cancer Screening More Effective When Co-Created with Patients? A Qualitative Interview Study and Randomized Controlled Trial. Current Oncology. 2019; 26(2):124-136. https://doi.org/10.3747/co.26.4621

Chicago/Turabian Style

Bashir, N.Y., J.E. Moore, D. Buckland, M. Rodrigues, M. Tonelli, B.D. Thombs, N.R. Bell, W. Isaranuwatchai, T. Peng, D.M. Shilman, and et al. 2019. "Are Patient Education Materials about Cancer Screening More Effective When Co-Created with Patients? A Qualitative Interview Study and Randomized Controlled Trial" Current Oncology 26, no. 2: 124-136. https://doi.org/10.3747/co.26.4621

APA Style

Bashir, N. Y., Moore, J. E., Buckland, D., Rodrigues, M., Tonelli, M., Thombs, B. D., Bell, N. R., Isaranuwatchai, W., Peng, T., Shilman, D. M., & Straus, S. E. (2019). Are Patient Education Materials about Cancer Screening More Effective When Co-Created with Patients? A Qualitative Interview Study and Randomized Controlled Trial. Current Oncology, 26(2), 124-136. https://doi.org/10.3747/co.26.4621

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