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      Effectiveness of a decision aid for colorectal cancer screening on components of informed choice according to educational attainment: A randomised controlled trial

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          Abstract

          Background

          The decision to take up colorectal cancer screening has to be made on informed grounds balancing benefits and harms. Self-administered decision aids can support citizens in making an informed choice. A self-administered web-based decision aid targeting citizens with lower educational attainment has been evaluated within the target population. However, the effectiveness in the general screening population remains unexplored. The aim of this study was to evaluate the effectiveness of a web-based decision aid for colorectal cancer screening on components of informed choice among previous non-participants in colorectal cancer screening.

          Methods and findings

          The study was designed as a parallel randomised controlled trial among non-participants in colorectal cancer screening in Central Denmark Region (men and women aged 53–74 years). Respondents to baseline and follow-up questionnaires comprised the study population (n = 1,723). The intervention group received the decision aid electronically along with the second reminder. The control group received only the second reminder. The main outcomes (knowledge, attitudes, uptake and decisional conflict) were obtained through questionnaires data and from the Danish Colorectal Cancer Screening Database.

          The decision aid increased the uptake rate by 8 percentage points (95% CI: 3.4;12.6) but had no effect on either knowledge (scale score differences: 0.09; 95% CI: -0.05;0.24) or attitudes (0.45; 95% CI: -0.00;0.91). Decisional conflict decreased by 1.69 scale points (95% CI: -3.18;-0.20). The effect was similar across educational attainment levels.

          Conclusions

          The web-based decision aid offers a feasible way to provide individualised screening information in a "one size fits all" approach that may hold the potential to increase informed CRC screening uptake.

          Trial registration

          ClinicalTrials.gov registration number: NCT03253888.

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          Most cited references29

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          Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

          Paul A. Harris, Robert Taylor, Robert Thielke … (2009)
          Research electronic data capture (REDCap) is a novel workflow methodology and software solution designed for rapid development and deployment of electronic data capture tools to support clinical and translational research. We present: (1) a brief description of the REDCap metadata-driven software toolset; (2) detail concerning the capture and use of study-related metadata from scientific research teams; (3) measures of impact for REDCap; (4) details concerning a consortium network of domestic and international institutions collaborating on the project; and (5) strengths and limitations of the REDCap system. REDCap is currently supporting 286 translational research projects in a growing collaborative network including 27 active partner institutions.
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            Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures

            Dorcas E. Beaton, Claire Bombardier, Marcos Ferraz … (2001)
            Article 0 comments Cited 1566 times – based on 0 reviews     Review now
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              The Danish Civil Registration System.

              Carsten Bøcker Pedersen (2011)
              The Danish Civil Registration System (CRS) was established in 1968, and all persons alive and living in Denmark were registered for administrative use. CRS includes individual information on the unique personal identification number, name, gender, date of birth, place of birth, citizenship, identity of parents and continuously updated information on vital status, place of residence and spouses. Since 1968, CRS has recorded current and historical information on all persons living in Denmark. Among persons born in Denmark in 1960 or later it contains complete information on maternal identity. For women born in Denmark in April 1935 or later it contains complete information on all their children. CRS contains complete information on immigrations and emigrations from 1969 onwards, permanent residence in a Danish municipality from 1971 onwards, and full address in Denmark from 1977 onwards. CRS in connection with other registers and biobanks will continue to provide the basis for significant knowledge relevant to the aetiological understanding and possible prevention of human diseases.
              Article 0 comments Cited 712 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Pernille Gabel: Role: ConceptualizationRole: Data curationRole: InvestigationRole: MethodologyRole: Project administrationRole: Writing – original draft
                Mette Bach Larsen:
                ORCID: https://orcid.org/0000-0002-0727-5571
                Role: ConceptualizationRole: MethodologyRole: Writing – review & editing
                Adrian Edwards: Role: ConceptualizationRole: MethodologyRole: Supervision
                Pia Kirkegaard: Role: ConceptualizationRole: MethodologyRole: Supervision
                Berit Andersen: Role: ConceptualizationRole: MethodologyRole: Supervision
                Joshua Byrnes: Role: Editor
                Journal
                Journal ID (nlm-ta): PLoS One
                Journal ID (iso-abbrev): PLoS One
                Journal ID (publisher-id): plos
                Journal ID (pmc): plosone
                Title: PLoS ONE
                Publisher: Public Library of Science (San Francisco, CA USA )
                ISSN (Electronic): 1932-6203
                Publication date (Electronic): 10 November 2020
                Publication date Collection: 2020
                Volume: 15
                Issue: 11
                Electronic Location Identifier: e0241703
                Affiliations
                [1 ] Department of Public Health Programmes, Randers Regional Hospital, Randers, Denmark
                [2 ] Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom
                [3 ] Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
                Griffith University, AUSTRALIA
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0002-0727-5571
                Article
                Publisher ID: PONE-D-20-03862
                DOI: 10.1371/journal.pone.0241703
                PMC ID: 7654753
                PubMed ID: 33170877
                SO-VID: 192514f7-8cc2-4956-8d38-5debcc7b3f07
                Copyright © © 2020 Gabel et al
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date received : 20 February 2020
                Date accepted : 13 October 2020
                Page count
                Figures: 1, Tables: 5, Pages: 16
                Funding
                The trial has been funded by grants from: TrygFonden; The Danish Cancer Society; The Health Research Fund of Central Denmark Region; Health, Aarhus University; The Private Foundation of the Family Spogárd, The Health Foundation, Denmark; Danish Cancer Research Foundation; The Private Foundation of Ringgaard-Bohn, and the Danish Health Authority. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Subject: Research Article
                Subject: Social Sciences
                Subject: Sociology
                Subject: Education
                Subject: Educational Attainment
                Subject: Medicine and Health Sciences
                Subject: Oncology
                Subject: Cancers and Neoplasms
                Subject: Colorectal Cancer
                Subject: Biology and Life Sciences
                Subject: Psychology
                Subject: Psychological Attitudes
                Subject: Social Sciences
                Subject: Psychology
                Subject: Psychological Attitudes
                Subject: Medicine and Health Sciences
                Subject: Diagnostic Medicine
                Subject: Cancer Detection and Diagnosis
                Subject: Cancer Screening
                Subject: Medicine and Health Sciences
                Subject: Oncology
                Subject: Cancer Detection and Diagnosis
                Subject: Cancer Screening
                Subject: Research and Analysis Methods
                Subject: Research Design
                Subject: Survey Research
                Subject: Questionnaires
                Subject: People and Places
                Subject: Population Groupings
                Subject: Ethnicities
                Subject: European People
                Subject: Danish People
                Subject: People and places
                Subject: Geographical locations
                Subject: Europe
                Subject: European Union
                Subject: Denmark
                Subject: Biology and Life Sciences
                Subject: Neuroscience
                Subject: Cognitive Science
                Subject: Cognitive Psychology
                Subject: Decision Making
                Subject: Biology and Life Sciences
                Subject: Psychology
                Subject: Cognitive Psychology
                Subject: Decision Making
                Subject: Social Sciences
                Subject: Psychology
                Subject: Cognitive Psychology
                Subject: Decision Making
                Subject: Biology and Life Sciences
                Subject: Neuroscience
                Subject: Cognitive Science
                Subject: Cognition
                Subject: Decision Making
                Custom metadata
                Data Availability Survey data, screening data and background data were linked at Statistics Denmark’s research server. Restrictions apply to the availability of these data, which were used under license for this study. Data can be requested upon reasonable request to Statistics Denmark ( forskningsservice@ 123456dst.dk ).

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                ScienceOpen disciplines: Uncategorized

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