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Understanding quality data correctly : a randomized comparison of presentation formats among cancer patients and relatives

Langballe, Rikke ; Nilbert, Mef Christina LU ; Christensen, Jane ; Tybjerg, Anne Julie and Bidstrup, Pernille Envold (2022) In Acta Oncologica 61(12). p.1454-1462
Abstract

Background: Patient representatives are increasingly engaged in quality in health care, and even though quality data are publicly available, correct interpretation may be challenging. We designed a randomized study with the primary aim to examine the association between preferred data presentation format and the interpretation of quality data among cancer patients and relatives. Material and methods: Surveys were distributed to the Danish Cancer Society Citizens’ Panel between 31 March and 14 April 2019 and 55% completed the survey (N = 464) including six storyboards that presented authentic quality data in table format, league table and point estimates. The storyboards were randomized to expose participants to the data in the three... (More)

Background: Patient representatives are increasingly engaged in quality in health care, and even though quality data are publicly available, correct interpretation may be challenging. We designed a randomized study with the primary aim to examine the association between preferred data presentation format and the interpretation of quality data among cancer patients and relatives. Material and methods: Surveys were distributed to the Danish Cancer Society Citizens’ Panel between 31 March and 14 April 2019 and 55% completed the survey (N = 464) including six storyboards that presented authentic quality data in table format, league table and point estimates. The storyboards were randomized to expose participants to the data in the three different formats and in varying presentation order. Logistic regression models were used to calculate Odds Ratios (ORs) and 95% confidence intervals (CIs) for the association between preferred presentation format, health literacy, education and cohabitation status as exposures and interpretation of quality data as outcome. Results: The majority of participants (97%) had high literacy and 57% had a medium or long higher education. A total of 60% found the questions difficult or very difficult and 33% were not able to correctly interpret at least one format. Correct interpretation was associated with preferred league table (OR = 1.62; 95% CI = 1.04–5.52) and if the data was presented in the preferred format. Medium and long education were associated with correct interpretation of at least one format (OR = 1.93; 95% CI = 1.16–3.21 and OR = 3.89; 95% CI = 1.90–7.95, respectively) while health literacy and cohabitation status were not. Conclusions: More than one third of the participants were not able to correctly interpret the data and the understanding of quality data improved with longer education and if the data was presented in the preferred format. Decision-makers should carefully consider displaying quality data according to preferred presentation format and to guide interpretation for individuals with short education.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cancer quality registry, patient preferences, Performance evaluation, presentation formats, quality data
in
Acta Oncologica
volume
61
issue
12
pages
1454 - 1462
publisher
Taylor & Francis
external identifiers
  • scopus:85144211693
  • pmid:36527434
ISSN
0284-186X
DOI
10.1080/0284186X.2022.2153619
language
English
LU publication?
yes
id
4eb23600-7bf7-494e-b90d-3eea67940647
date added to LUP
2023-01-24 09:44:05
date last changed
2024-05-30 08:45:33
@article{4eb23600-7bf7-494e-b90d-3eea67940647,
  abstract     = {{<p>Background: Patient representatives are increasingly engaged in quality in health care, and even though quality data are publicly available, correct interpretation may be challenging. We designed a randomized study with the primary aim to examine the association between preferred data presentation format and the interpretation of quality data among cancer patients and relatives. Material and methods: Surveys were distributed to the Danish Cancer Society Citizens’ Panel between 31 March and 14 April 2019 and 55% completed the survey (N = 464) including six storyboards that presented authentic quality data in table format, league table and point estimates. The storyboards were randomized to expose participants to the data in the three different formats and in varying presentation order. Logistic regression models were used to calculate Odds Ratios (ORs) and 95% confidence intervals (CIs) for the association between preferred presentation format, health literacy, education and cohabitation status as exposures and interpretation of quality data as outcome. Results: The majority of participants (97%) had high literacy and 57% had a medium or long higher education. A total of 60% found the questions difficult or very difficult and 33% were not able to correctly interpret at least one format. Correct interpretation was associated with preferred league table (OR = 1.62; 95% CI = 1.04–5.52) and if the data was presented in the preferred format. Medium and long education were associated with correct interpretation of at least one format (OR = 1.93; 95% CI = 1.16–3.21 and OR = 3.89; 95% CI = 1.90–7.95, respectively) while health literacy and cohabitation status were not. Conclusions: More than one third of the participants were not able to correctly interpret the data and the understanding of quality data improved with longer education and if the data was presented in the preferred format. Decision-makers should carefully consider displaying quality data according to preferred presentation format and to guide interpretation for individuals with short education.</p>}},
  author       = {{Langballe, Rikke and Nilbert, Mef Christina and Christensen, Jane and Tybjerg, Anne Julie and Bidstrup, Pernille Envold}},
  issn         = {{0284-186X}},
  keywords     = {{cancer quality registry; patient preferences; Performance evaluation; presentation formats; quality data}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{1454--1462}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Oncologica}},
  title        = {{Understanding quality data correctly : a randomized comparison of presentation formats among cancer patients and relatives}},
  url          = {{http://dx.doi.org/10.1080/0284186X.2022.2153619}},
  doi          = {{10.1080/0284186X.2022.2153619}},
  volume       = {{61}},
  year         = {{2022}},
}