Effect of Individualized Preventive Care Recommendations vs Usual Care on Patient Interest and Use of Recommendations
Author(s) -
Glen B. Taksler,
Bo Hu,
Frederic DeGrandis,
Víctor M. Montori,
Angela Fagerlin,
Zsolt Nagykáldi,
Michael B. Rothberg
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2021.31455
Subject(s) - medicine , randomized controlled trial , life expectancy , guideline , expectancy theory , intervention (counseling) , family medicine , medline , physical therapy , nursing , population , environmental health , pathology , political science , law , management , economics
Key Points Question Do patients benefit from an evidence-based tool individualized for patient risk factors that helps prioritize preventive services based on their potential to improve life expectancy? Findings In this pilot randomized clinical trial including 104 patients and 20 physicians, intervention patients found an individualized decision tool helpful and wanted to use it again. Compared with the control group, intervention patients more often correctly identified the service least likely (46.2% vs zero) to improve their life expectancy. Meaning An individualized preventive care decision tool was feasible, acceptable, and improved patient understanding of primary prevention.
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