Research Topics
| Brian J Zikmund-FisherSummaryAffiliation: University of Michigan Country: USA Publications
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Detail Information
Publications
Cool but counterproductive: interactive, Web-based risk communications can backfireBrian J Zikmund-Fisher
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, United States bzikmund at umich edu
J Med Internet Res 13:e60. 2011..Such interactive tools could potentially be incorporated in a new generation of Web-based decision aids...- "Is 28% good or bad?" Evaluability and preference reversals in health care decisionsBrian J Zikmund-Fisher
Veterans Affairs Health Services Research and Development Center for Practice Management and Outcomes Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Med Decis Making 24:142-8. 2004..9 v. 6.7, P = 0.051). The results suggest that clinicians and developers of patient information materials alike should consider information evaluability when deciding how to present health care options to patients... - Alternate methods of framing information about medication side effects: incremental risk versus total risk of occurrenceBrian J Zikmund-Fisher
VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan 48109 5429, USA
J Health Commun 13:107-24. 2008..Presenting adverse reaction risks in this manner may improve patient comprehension of the effects of treatment decisions and support effective risk communication... - The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisionsBrian J Zikmund-Fisher
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Med Decis Making 30:20S-34S. 2010..Yet no study has specifically examined how and when a representative sample of patients considered, discussed, and made medical decisions... - Risky feelings: why a 6% risk of cancer does not always feel like 6%Brian J Zikmund-Fisher
Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI 48109 2029, USA
Patient Educ Couns 81:S87-93. 2010..We sought to discuss and put into context several lines of research that have explored the links between emotion and risk perceptions... - Does labeling prenatal screening test results as negative or positive affect a woman's responses?Brian J Zikmund-Fisher
Center for Practice Management and Outcomes Research, Health Services Research and Development Service, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Am J Obstet Gynecol 197:528.e1-6. 2007..We tested whether adding interpretive labels (eg, "negative test") to prenatal genetic screening test results changes perceived risk and preferences for amniocentesis... - Deficits and variations in patients' experience with making 9 common medical decisions: the DECISIONS surveyBrian J Zikmund-Fisher
VA Health Services Research and Development Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Med Decis Making 30:85S-95S. 2010.... - Communicating side effect risks in a tamoxifen prophylaxis decision aid: the debiasing influence of pictographsBrian J Zikmund-Fisher
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Patient Educ Couns 73:209-14. 2008.... - A demonstration of ''less can be more'' in risk graphicsBrian J Zikmund-Fisher
VA Health Services Research and Development Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Med Decis Making 30:661-71. 2010..The graphical format typically displays 4 outcomes simultaneously: survival, mortality due to cancer, other-cause mortality, and incremental survival due to adjuvant treatment... - The benefits of discussing adjuvant therapies one at a time instead of all at onceBrian J Zikmund-Fisher
Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI 48109 2029, USA
Breast Cancer Res Treat 129:79-87. 2011..Sequential approaches to adjuvant therapy decisions may reduce use of chemotherapy among those at low risk for recurrence... - Validation of the Subjective Numeracy Scale: effects of low numeracy on comprehension of risk communications and utility elicitationsBrian J Zikmund-Fisher
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Med Decis Making 27:663-71. 2007..In a companion article, the authors describe the Subjective Numeracy Scale (SNS), a self-assessment of numerical aptitude and preferences for numbers that correlates strongly with objective numeracy... - What's time got to do with it? Inattention to duration in interpretation of survival graphsBrian J Zikmund-Fisher
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 48109, USA
Risk Anal 25:589-95. 2005..g., in the title) and remind readers that attending to graph axis labels is the only way to pierce these visual illusions... - 'I'll do what they did": social norm information and cancer treatment decisionsBrian J Zikmund-Fisher
Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI 48109 2029, USA
Patient Educ Couns 85:225-9. 2011..Using a cancer-treatment scenario, we tested whether descriptive norm information (e.g., the proportion of other people choosing a particular treatment) would influence people's hypothetical treatment choices... - Improving understanding of adjuvant therapy options by using simpler risk graphicsBrian J Zikmund-Fisher
Health Services Research and Development Center for Clinical Management Research, Veterans Administration Ann Arbor Healthcare System, Ann Arbor, MI, USA
Cancer 113:3382-90. 2008..However, the graphical format used to display these results (a set of 4 horizontal stacked bars) may be suboptimal. The authors tested whether using simpler formats would improve comprehension of the relevant risk statistics... - The potential impact of decision role and patient age on end-of-life treatment decision makingB J Zikmund-Fisher
Center for Behavioral and Decision Sciences in Medicine, 300 North Ingalls Building, Room 7C27, Ann Arbor, Michigan 48109 0429, USA
J Med Ethics 34:327-31. 2008..We examine the impact of decision role, patient age, decision maker age and multiple individual differences on these treatment decisions... - Testing whether decision aids introduce cognitive biases: results of a randomized trialPeter A Ubel
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Patient Educ Couns 80:158-63. 2010..Decision aids (DAs) offer a promising method of helping them make this decision. But concern lingers that DAs might introduce cognitive biases... - Patients' knowledge about 9 common health conditions: the DECISIONS surveyAngela Fagerlin
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Med Decis Making 30:35S-52S. 2010..To make informed decisions, patients must have adequate knowledge of key decision-relevant facts... - Perceived risk of cancer and patient reports of participation in decisions about screening: the DECISIONS studyAmanda J Dillard
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Med Decis Making 30:96S-105S. 2010..Health behavior theories suggest that high perceived risk for cancer will be associated with screening, but few studies have examined how perceived risk relates to the screening decision process... - Use of the Internet and ratings of information sources for medical decisions: results from the DECISIONS surveyMick P Couper
Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan 48106, USA
Med Decis Making 30:106S-114S. 2010..The rise in Internet use for seeking health information raises questions about the role the Internet may play in how patients make medical decisions... - Helping patients decide: ten steps to better risk communicationAngela Fagerlin
Center for Bioethics and Social Sciences in Medicine, 300 North Ingalls St, Rm 7C27, Ann Arbor, MI 48109 5429, USA
J Natl Cancer Inst 103:1436-43. 2011.... - Women's interest in taking tamoxifen and raloxifene for breast cancer prevention: response to a tailored decision aidAngela Fagerlin
Ann Arbor VA HSR and D Center for Practice Management and Outcomes Research, Ann Arbor, MI, USA
Breast Cancer Res Treat 127:681-8. 2011..Over 50% did not perceive a change in their risk of getting breast cancer if they took tamoxifen or raloxifene. After reading a DA about tamoxifen and raloxifene, few women were interested in taking either breast cancer prevention drug... - "If I'm better than average, then I'm ok?": Comparative information influences beliefs about risk and benefitsAngela Fagerlin
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, United States
Patient Educ Couns 69:140-4. 2007..To test whether providing comparative risk information changes risk perceptions... - How making a risk estimate can change the feel of that risk: shifting attitudes toward breast cancer risk in a general public surveyAngela Fagerlin
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Patient Educ Couns 57:294-9. 2005..001). Asking people to estimate risks influenced their subsequent perceptions of the risk of breast cancer... - Women's decisions regarding tamoxifen for breast cancer prevention: responses to a tailored decision aidAngela Fagerlin
Ann Arbor VA HSR and D, Center for Clinical Management Research, Ann Arbor, MI, USA
Breast Cancer Res Treat 119:613-20. 2010..After viewing the DA, women demonstrated good understanding of tamoxifen's risks and benefits, but most were not interested in taking tamoxifen for breast cancer chemoprevention... - Presenting research risks and benefits to parents: does format matter?Alan R Tait
Department of Anesthesiology, University of Michigan Health System, 1500 E Medical Center Drive, Ann Arbor, MI 48109, USA
Anesth Analg 111:718-23. 2010..We examined the effect of tabular and graphical presentation of risks and benefits on parents' understanding of a research study... - Mortality versus survival graphs: improving temporal consistency in perceptions of treatment effectivenessBrian J Zikmund Fisher
Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, United States
Patient Educ Couns 66:100-7. 2007..Previous research has demonstrated that people perceive treatments as less effective when survival graphs show fewer years of data versus more data. We tested whether using mortality graphs would reduce this temporal inconsistency bias... - A matter of perspective: choosing for others differs from choosing for yourself in making treatment decisionsBrian J Zikmund-Fisher
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
J Gen Intern Med 21:618-22. 2006..Many people display omission bias in medical decision making, accepting the risk of passive nonintervention rather than actively choosing interventions (such as vaccinations) that result in lower levels of risk... - Effect of various risk/benefit trade-offs on parents' understanding of a pediatric research studyAlan R Tait
Department of Anesthesiology, University of Michigan Health System, 1500 E Medical Center Dr, Ann Arbor, MI 48109, USA
Pediatrics 125:e1475-82. 2010..This study was designed to examine the effect of factors including manipulation of risk/benefit trade-offs, numeracy, and sociodemographics on parents' understanding of risks and benefits... - Patient-provider concordance in the prioritization of health conditions among hypertensive diabetes patientsDonna M Zulman
Department of Veterans Affairs, Health Services Research and Development Center of Excellence, Ann Arbor, MI, USA
J Gen Intern Med 25:408-14. 2010..Many patients with diabetes have multiple other chronic conditions, but little is known about whether these patients and their primary care providers agree on the relative importance that they assign these comorbidities... - Measuring numeracy without a math test: development of the Subjective Numeracy ScaleAngela Fagerlin
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Med Decis Making 27:672-80. 2007..Basic numeracy skills are necessary before patients can understand the risks of medical treatments. Previous research has used objective measures, similar to mathematics tests, to evaluate numeracy... - Patient decision making about organ quality in liver transplantationMichael L Volk
Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, MI 48109, USA
Liver Transpl 17:1387-93. 2011.... - Why people refuse to make tradeoffs in person tradeoff elicitations: a matter of perspective?Laura J Damschroder
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Med Decis Making 27:266-80. 2007..The authors explore whether people would be more willing to make tradeoffs if the focus was changed from trading off groups of patients to choosing the best decision or evaluating treatment benefits... - Risk estimates from an online risk calculator are more believable and recalled better when expressed as integersHolly O Witteman
Program in Health Communication and Decision Making, Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, United States
J Med Internet Res 13:e54. 2011..People interpret numbers in varying ways depending on how they are presented, and we do not know how the number of decimal places displayed might influence perceptions of risk estimates... - The effect of format on parents' understanding of the risks and benefits of clinical research: a comparison between text, tables, and graphicsAlan R Tait
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan 48109, USA
J Health Commun 15:487-501. 2010..These results underscore the difficulties associated with presenting risk/benefit information for clinical research but suggest a simple method for enhancing parents' informed understanding of the relevant statistics... - Narratives that address affective forecasting errors reduce perceived barriers to colorectal cancer screeningAmanda J Dillard
University of Michigan, Center for Behavioral and Decision Sciences in Medicine, 300 N Ingalls, 7B02, Ann Arbor, MI, United States
Soc Sci Med 71:45-52. 2010..The narrative also increased risk perception for colorectal cancer and interest in screening in the next year... - The accuracy of predicting parity as a prerequisite for cesarean delivery on maternal requestKristie Keeton
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA
Obstet Gynecol 112:285-9. 2008..We sought to estimate the accuracy with which women were able to predict their final parity... - The impact of considering adaptation in health state valuationLaura J Damschroder
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor MI 48109 0429, USA
Soc Sci Med 61:267-77. 2005..Our findings suggest that asking non-patients to do an adaptation exercise before giving QoL ratings may help close the gap in ratings between patients and citizen non-patients... - Making numbers matter: present and future research in risk communicationAngela Fagerlin
Ann Arbor VA HSR and D Center for Excellence, Division of General Internal Medicine, University of Michigan, Ann Arbor, MI 48109 0429, USA
Am J Health Behav 31:S47-56. 2007..To summarize existing research on individual numeracy and methods for presenting risk information to patients... - Cure me even if it kills me: preferences for invasive cancer treatmentAngela Fagerlin
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI 48109, USA
Med Decis Making 25:614-9. 2005..This study assessed the proportion of people choosing nonoptimal treatments (treatments which reduced survival chances) when presented with hypothetical cancer scenarios which varied by outcome cause... - An online community improves adherence in an internet-mediated walking program. Part 1: results of a randomized controlled trialCaroline R Richardson
Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104 1213, United States
J Med Internet Res 12:e71. 2010..However, the impact of some Internet-mediated programs is limited by high attrition rates. Online communities that allow participants to communicate with each other by posting and reading messages may decrease participant attrition... - Disparities in patient reports of communications to inform decision making in the DECISIONS surveyBrian J Zikmund-Fisher
Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, USA Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, USA Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, USA
Patient Educ Couns 87:198-205. 2012..To identify patient- and decision-type predictors of two key aspects of informed decision making: discussing the cons (not just the pros) of medical interventions and asking patients what they want to do... - The role of clinical uncertainty in treatment decisions for diabetic patients with uncontrolled blood pressureEve A Kerr
Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System and the University of Michigan Department of Internal Medicine, Ann Arbor, Michigan 48113 0170, USA
Ann Intern Med 148:717-27. 2008..Factors underlying failure to intensify therapy in response to elevated blood pressure have not been systematically studied... - The importance of age in allocating health care resources: does intervention-type matter?Mira Johri
SOLIDAGE McGill University, Université de Montréal Research Group on Integrated Services for Older Persons, Canada
Health Econ 14:669-78. 2005..We investigated whether the perceived importance of age in resource allocation decisions differs among intervention-types...