Online Trial Examining Validity and Reliability of the Shared Decision Making Process Survey

• Sponsor: Massachusetts General Hospital (Other)
• Overall Status: Completed
• CT.gov ID: NCT04317690
• Collaborator: Carol Cosenza, Center for Survey Research at University of Massachusetts, Boston (Other)
• Enrollment: 539
• Location: 1
• Actual Duration (Months): 3.4
• Patients Per Site Per Month: 157.7

Study Details

Study Description

Brief Summary

The purpose of this study is to survey a sample of adults who have recently made a decision about treatment of high cholesterol or high blood pressure or a decision about screening for colorectal cancer, breast cancer, or prostate cancer. The main goal is to gather evidence of the validity and reliability of the Shared Decision Making Process scale. Secondary goal is to gather evidence on the quality of decisions for these common medical situations.

Condition or Disease	Intervention/Treatment	Phase
High Cholesterol; High Blood Pressure; Colorectal Cancer; Breast Cancer; Prostate Cancer

Detailed Description

Study staff worked with a national sampling firm to recruit subjects for five different medical decisions. The five decisions are (1) treatment of high cholesterol, (2) treatment of high blood pressure (3) when to start breast cancer screening (4) whether or not to have prostate cancer screening and (5) which test to have for colorectal cancer screening. Respondents complete a survey about their experiences talking with health care providers about the specific clinical decision. The survey measured the amount of shared decision making, knowledge, preferences, decisional conflict and decision regret. The study will obtain 500 responses total, or 100 for each decision.

Sample is an online non-probability panel of adults living in the United States. In the survey, participants were screened to meet specific qualifications. After 1 week, a random selection of 50 respondents are invited to complete the retest instrument.

All analyses will be conducted separately for each group, and results may be pooled across cancer screening and medication contexts. First, study staff will examine the descriptives for the Shared Decision Making Process items. Study staff will also test several hypotheses to examine validity of the scores such as whether higher shared decision making process scores are associated with less decisional conflict and less regret. Staff will also examine retest reliability of the Shared Decision Making Process scale.

Study Design

• Study Type: Observational
• Actual Enrollment: 539 participants
• Observational Model: Other
• Time Perspective: Retrospective
• Official Title: Online Trial Examining Validity and Reliability of the Shared Decision Making Process Survey
• Actual Study Start Date: Mar 17, 2020
• Actual Primary Completion Date: Jun 29, 2020
• Actual Study Completion Date: Jun 29, 2020

Arms and Interventions

Arm	Intervention/Treatment
High Cholesterol People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.
High Blood Pressure People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Colorectal Cancer Screening People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.
Breast Cancer Screening Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.
Prostate Cancer Screening Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.

Outcome Measures

Primary Outcome Measures

1. Shared Decision Making Process Measure [Baseline survey]

   The Shared Decision Making Process is a short patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.

Secondary Outcome Measures

1. Decisional Conflict Tool (SURE) [Baseline survey]

   Measures decisional conflict, consists of 4 yes/no items. Scores range 0-4 where 0 indicates no decisional conflict, and scores 1 to 3 indicate decisional conflict. The measure is often reported as a top-score of 0, thus the percentage of patients with a total score of 0 or no decisional conflict.

2. Decision Regret Scale [Baseline survey]

   5-item decision regret scale ranges from 0-100 with higher scores indicating greater decisional regret.

3. Single-Item Measure of Decision Regret [Baseline survey]

   Single item asking "If you knew then what you know now, do you think you would make the same decision about [how to manage your high cholesterol/ how to manage your high blood pressure/breast cancer screening/colon cancer screening/ prostate cancer screening]?" where the last part varies by group. Response options are: Definitely yes, Probably yes, Probably no, Definitely no

4. Treatment Choice [Baseline survey]

   Single item asking patient "What did you want to do" in regard to (depending on the group) high cholesterol/high blood pressure/colon cancer screening/breast cancer screening/prostate cancer screening

5. Adapted Controlled Preference Scale [Baseline survey]

   Single item asking the participant who made the ultimate decision. The categorical response options are 1) the patient made the decision, 2)the provider made the decision, or 3) both patient and provider made the decision together.

6. Shared Decision Making Process Measure Retest [1 week after baseline survey]

   The Shared Decision Making Process is a short patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.

7. Knowledge [Baseline survey]

   Multiple choice knowledge items for each topic will be combined to a total knowledge score (0-100) with higher scores indicating higher knowledge

Other Outcome Measures

1. Adherence [Baseline survey]

   3 item measure of adherence to medication asked for the high cholesterol and high blood pressure sample participants who indicate that they are taking medicine. (patients in the cancer screening arm did not get this question). composite score ranged from 0-100, with higher scores indicating greater adherence to medication within the last 30 days.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 30 Years to 75 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

High Blood Pressure Group

• Between the ages of 30-75

• No previous heart attack or stroke

• Have been diagnosed with high blood pressure

• Taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years

High Cholesterol

• Between the ages of 30-75

• No previous heart attack or stroke

• Have been diagnosed with high cholesterol

• Taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years

Colorectal Cancer Screening

• Between the ages of 50-75

• No previous diagnosis of colon cancer

• Have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years

• Had first colon cancer screening in past 2 years

Breast Cancer Screening

• Female

• Between the ages of 40-55

• No previous diagnosis of breast cancer

• Have had mammogram (or discussed having a mammogram) in the past 2 years

• Had first mammogram in past 2 years

Prostate Cancer Screening

• Male

• Between the ages of 45-69

• No previous diagnosis of prostate cancer

• Have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years

• Had first prostate cancer screening in past 2 years

Exclusion Criteria:

High Blood Pressure Group

• None

High Cholesterol

• None

Colorectal Cancer Screening

• None

Breast Cancer Screening

• None

Prostate Cancer Screening

• None

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Massachusetts General Hospital	Boston	Massachusetts	United States	02114

Sponsors and Collaborators

• Massachusetts General Hospital
• Carol Cosenza, Center for Survey Research at University of Massachusetts, Boston

Investigators

• Principal Investigator: Karen Sepucha, PhD, Massachusetts General Hospital

Study Documents (Full-Text)

• Study Protocol and Statistical Analysis Plan - Mar 18, 2020

More Information

Publications

None provided.

• Responsible Party: Karen Sepucha, Director of the Health Decision Sciences Center, Massachusetts General Hospital
• ClinicalTrials.gov Identifier: NCT04317690
• Other Study ID Numbers: 2019P001434-1
• First Posted: Mar 23, 2020
• Last Update Posted: May 20, 2022
• Last Verified: May 1, 2022

• Individual Participant Data (IPD) Sharing Statement: Yes
• Plan to Share IPD: Yes
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Karen Sepucha, Director of the Health Decision Sciences Center, Massachusetts General Hospital: shared decision making
• Additional relevant MeSH terms: Hypertension; Hypercholesterolemia

Study Results

Participant Flow

Recruitment Details	March 2020 - July 2020 using a national, non-probability panel obtained from Marketing Systems Group (MSG). MSG recruited participants by sending out invitation emails to potential responders.
Pre-assignment Detail	Eligible respondents were adults in the US who had talked with a healthcare provider about screening for cancer (breast, colon, or prostate) or taking medication for a common chronic condition (depression, high cholesterol, or high blood pressure) in the past two years. Respondents were re-contacted approximately one-week post survey for a re-test survey.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Period Title: Overall Study
STARTED	100	100	140	100	99
COMPLETED	100	96	140	98	99
NOT COMPLETED	0	4	0	2	0

Baseline Characteristics

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening	Total
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	Total of all reporting groups
Overall Participants	100	96	140	98	99	533
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]	52 (12)	43 (11)	61 (7)	44 (3)	52 (4)	52 (11)
Sex: Female, Male (Count of Participants)
Female	63 63%	41 42.7%	43 30.7%	98 100%	0 0%	245 46%
Male	37 37%	55 57.3%	97 69.3%	0 0%	99 100%	288 54%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino	10 10%	11 11.5%	10 7.1%	8 8.2%	6 6.1%	45 8.4%
Not Hispanic or Latino	90 90%	85 88.5%	130 92.9%	90 91.8%	93 93.9%	488 91.6%
Unknown or Not Reported	0 0%	0 0%	0 0%	0 0%	0 0%	0 0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native	0 0%	1 1%	1 0.7%	0 0%	1 1%	3 0.6%
Asian	4 4%	2 2.1%	4 2.9%	7 7.1%	0 0%	17 3.2%
Native Hawaiian or Other Pacific Islander	0 0%	0 0%	0 0%	0 0%	0 0%	0 0%
Black or African American	8 8%	11 11.5%	16 11.4%	9 9.2%	17 17.2%	61 11.4%
White	78 78%	74 77.1%	112 80%	75 76.5%	75 75.8%	414 77.7%
More than one race	3 3%	4 4.2%	2 1.4%	2 2%	1 1%	12 2.3%
Unknown or Not Reported	7 7%	4 4.2%	5 3.6%	5 5.1%	5 5.1%	26 4.9%
Race and Ethnicity Not Collected (Count of Participants)
Count of Participants [Participants]	0 0%

Outcome Measures

1. Primary Outcome

Title	Shared Decision Making Process Measure
Description	The Shared Decision Making Process is a short patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

participants who provided complete information to calculate a shared decision making process score (primary outcome of interest)

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	100	96	140	98	99
Mean (Standard Deviation) [score on a scale]	2.12 (1.03)	2.65 (1.04)	1.61 (1.12)	1.4 (1.1)	1.87 (0.97)

2. Secondary Outcome

Title	Decisional Conflict Tool (SURE)
Description	Measures decisional conflict, consists of 4 yes/no items. Scores range 0-4 where 0 indicates no decisional conflict, and scores 1 to 3 indicate decisional conflict. The measure is often reported as a top-score of 0, thus the percentage of patients with a total score of 0 or no decisional conflict.
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

participants who completed all 4 items of the short decisional conflict scale. Only 532/533 participants provided enough information to calculate a SURE score.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	100	96	139	98	99
Number [percentage of participants]	68 68%	70 72.9%	68 48.6%	78 79.6%	71 71.7%

3. Secondary Outcome

Title	Decision Regret Scale
Description	5-item decision regret scale ranges from 0-100 with higher scores indicating greater decisional regret.
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

Participants who answered all 5 decision regret questions. Only 526/533 participants provided enough information to calculate decision regret score.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	100	94	139	95	98
Mean (Standard Deviation) [score on a scale]	22 (18)	27 (18)	17 (18)	16 (16)	25 (22)

4. Secondary Outcome

Title	Single-Item Measure of Decision Regret
Description	Single item asking "If you knew then what you know now, do you think you would make the same decision about [how to manage your high cholesterol/ how to manage your high blood pressure/breast cancer screening/colon cancer screening/ prostate cancer screening]?" where the last part varies by group. Response options are: Definitely yes, Probably yes, Probably no, Definitely no
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

participants who answered the single-item regret question.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	100	96	140	98	99
Definitely yes	49 49%	52 54.2%	77 55%	61 62.2%	50 50.5%
Probably yes	44 44%	37 38.5%	54 38.6%	32 32.7%	39 39.4%
Probably no	5 5%	7 7.3%	8 5.7%	4 4.1%	7 7.1%
Definitely no	2 2%	0 0%	1 0.7%	1 1%	3 3%

5. Secondary Outcome

Title	Treatment Choice
Description	Single item asking patient "What did you want to do" in regard to (depending on the group) high cholesterol/high blood pressure/colon cancer screening/breast cancer screening/prostate cancer screening
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

participants who answered the treatment preference question.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	100	96	140	97	99
take medicine/(start) screen for cancer	37 37%	64 66.7%	123 87.9%	72 73.5%	71 71.7%
not take medicine/(wait) not screen for cancer	61 61%	32 33.3%	16 11.4%	19 19.4%	25 25.3%
other	2 2%	0 0%	1 0.7%	6 6.1%	3 3%

6. Secondary Outcome

Title	Adapted Controlled Preference Scale
Description	Single item asking the participant who made the ultimate decision. The categorical response options are 1) the patient made the decision, 2)the provider made the decision, or 3) both patient and provider made the decision together.
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

participants who answered the controlled preference scale question.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	100	96	140	98	99
Mainly my decision	43 43%	46 47.9%	59 42.1%	49 50%	68 68.7%
Mainly the healthcare provider's decision	18 18%	24 25%	25 17.9%	13 13.3%	10 10.1%
We made the decision together	39 39%	26 27.1%	56 40%	36 36.7%	21 21.2%

7. Secondary Outcome

Title	Shared Decision Making Process Measure Retest
Description	The Shared Decision Making Process is a short patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.
Time Frame	1 week after baseline survey

Outcome Measure Data

Analysis Population Description

Participants who completed the baseline survey were re-contacted approximately 1 week post-survey for a retest. Participants who completed the retest survey and provided enough information to calculate the shared decision making process score were part of this analysis.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	45	40	65	42	38
Mean (Standard Deviation) [score on a scale]	2.27 (1.02)	2.32 (1.42)	1.68 (1.13)	1.57 (1.18)	1.67 (1.02)

8. Secondary Outcome

Title	Knowledge
Description	Multiple choice knowledge items for each topic will be combined to a total knowledge score (0-100) with higher scores indicating higher knowledge
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

participants who answered at least 50% of the knowledge items in their respective clinical groups. Participants in the high cholesterol group were not given a knowledge score. Only 131/234 provided enough information to calculate a shared decision making process score (primary outcome of interest)

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	0	96	137	98	99
Mean (Standard Deviation) [score on a scale]	61 (29)	56 (22)	40 (18)	43 (26)

9. Other Pre-specified Outcome

Title	Adherence
Description	3 item measure of adherence to medication asked for the high cholesterol and high blood pressure sample participants who indicate that they are taking medicine. (patients in the cancer screening arm did not get this question). composite score ranged from 0-100, with higher scores indicating greater adherence to medication within the last 30 days.
Time Frame	Baseline survey

Outcome Measure Data

Analysis Population Description

participants in the high cholesterol and high blood pressure groups who answered all 3 medication adherence questions. participants in the three cancer screening groups were not assigned medication adherence questions and thus were not part of this analysis. Only 56/100 (high cholesterol) and 68/96 (high blood pressure) participants provided enough information to calculate adherence score.

Arm/Group Title	High Cholesterol	High Blood Pressure	Colorectal Cancer Screening	Breast Cancer Screening	Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Measure Participants	56	68	0	0	0
Mean (Standard Deviation) [score on a scale]	85 (19)	87 (14)

Adverse Events

Time Frame	Surveys responses were reviewed within 2 weeks of completion for evidence of adverse events
Adverse Event Reporting Description	Our definition of adverse event and/or serious adverse event did not differ.
Arm/Group Title	High Cholesterol		High Blood Pressure		Colorectal Cancer Screening		Breast Cancer Screening		Prostate Cancer Screening
Arm/Group Description	People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.		People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.		People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.		Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.		Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
All Cause Mortality
	High Cholesterol		High Blood Pressure		Colorectal Cancer Screening		Breast Cancer Screening		Prostate Cancer Screening
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/100 (0%)		0/100 (0%)		0/140 (0%)		0/100 (0%)		0/99 (0%)
Serious Adverse Events
	High Cholesterol		High Blood Pressure		Colorectal Cancer Screening		Breast Cancer Screening		Prostate Cancer Screening
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/100 (0%)		0/100 (0%)		0/140 (0%)		0/100 (0%)		0/99 (0%)
Other (Not Including Serious) Adverse Events
	High Cholesterol		High Blood Pressure		Colorectal Cancer Screening		Breast Cancer Screening		Prostate Cancer Screening
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/100 (0%)		0/100 (0%)		0/140 (0%)		0/100 (0%)		0/99 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.