Reducing low-value health services is a complex issue, with significant clinical and health policy implications. This is the first randomized study to demonstrate that the consumer Choosing Wisely questions and a video intervention to promote question asking and engagement in SDM may improve participants’ intention [...]
Researchers are moving away from a smallest worthwhile effect threshold and characterising the magnitude of effect as (albeit arbitrary) small, moderate or large, which then leaves the patient to decide whether a small, moderate or large effect is worthwhile for them. In the absence of [...]
Risk stratification of bowel cancer screening was acceptable to the informed public. Using data within the current system (age, sex and screening results) was considered an obvious next step and collecting additional data for lifestyle and/or genetic risk assessment was also preferable to age-based screening. [...]
We found that public awareness of DCIS remains very low, but women developed reasonable understanding of DCIS following a short informational presentation. There was substantial support for offering the option of de-escalated treatment for low-risk DCIS, especially among older women. If clinical trials are to [...]
Health information is less effective when it does not meet the health literacy needs of its consumers. For health organisations, assessing the appropriateness of their existing health information resources is a key step to addressing this issue. This study describes novel methods for a consumer-centred [...]
Building health literacy about potentially modifiable risk factors for breast cancer may help to empower women to make more informed decisions about their breast health; however there has been limited qualitative research on this topic. This study aimed to explore current knowledge, understanding and experience [...]
Health behaviour change can be difficult to maintain. Action plans can address this issue, however, there has been little qualitative research to understand how to optimise action plan interventions. This study explored how people engage with a specific type of action plan intervention, the “volitional [...]
This paper outlines the development of the SHeLL (Sydney Health Literacy Lab) Health Literacy Editor, an automated tool to facilitate the implementation of health literacy guidelines for the production of easy-to-read written health information. Target users were any person or organization that develops consumer-facing education [...]
Most studies investigating the prognosis of low back pain (LBP) enrol people presenting for care, rather than all people who have an episode of LBP. We aimed to describe the prognosis of an acute episode of LBP in a community inception cohort.
Anticholinergic burden has been associated with adverse outcomes such as falls. To date, no gold standard measure has been identified to assess anticholinergic burden, and no conclusion has been drawn on which of the different measure algorithms best predicts falls in older patients from general [...]