Research Topics
| Angela FagerlinSummaryAffiliation: University of Michigan Country: USA Publications
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Detail Information
Publications
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...- 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... 
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...- An informed decision? Breast cancer patients and their knowledge about treatmentAngela 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 64:303-12. 2006..The objective of the current study was to evaluate women's knowledge of survival and recurrence rates for mastectomy and breast conserving surgery (BCS) and the factors associated with this knowledge... 
The influence of race, ethnicity, and individual socioeconomic factors on breast cancer stage at diagnosisPaula M Lantz
Department of Health Management and Policy and the Institute for Social Research, University of Michigan, Ann Arbor, MI, 48109 2029, USA
Am J Public Health 96:2173-8. 2006..This study investigated the relation between race/ethnicity, individual socioeconomic status, and breast cancer stage at diagnosis...- Patient involvement in surgery treatment decisions for breast cancerSteven J Katz
Division of General Medicine, Department of Internal Medicine, University of Michigan, 300 N Ingalls, Ste 7E12, Box 0429, Ann Arbor, MI 48109 0429, USA
J Clin Oncol 23:5526-33. 2005..We examined the relationship between patient involvement in decision making and type of surgical treatment for women with breast cancer... - 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.... - Satisfaction with surgery outcomes and the decision process in a population-based sample of women with breast cancerPaula M Lantz
109 Observatory, Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, 48109-2029, USA
Health Serv Res 40:745-67. 2005..The most salient aspect for satisfaction with the decision making process is the match between patients' preferences and experiences regarding participation... - Correlates of between-surgeon variation in breast cancer treatmentsSarah T Hawley
Division of General Medicine, Department of Internal Medicine, University of Michigan, 300 N Ingalls, Ann Arbor, MI 48109, USA
Med Care 44:609-16. 2006..Determinants of between-surgeon variation in breast cancer treatment utilization are not well understood... - "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... - 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... - Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancerNancy K Janz
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1420 Washington Heights, Ann Arbor, MI, 48109 2029, USA
Qual Life Res 14:1467-79. 2005..To examine the relationship between cancer stage, surgical treatment and chemotherapy on quality of life (QOL) after breast cancer and determine if sociodemographic characteristics modify the observed relationships... - Surgeon perspectives about local therapy for breast carcinomaSteven J Katz
Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan 48109 0429, USA
Cancer 104:1854-61. 2005..Geographic variations in the use of mastectomy and the use of radiation therapy (RT) after breast-conserving surgery (BCS) have motivated concerns that surgeons are not uniformly adhering to treatment standards... - Evidence-based patient choice: a prostate cancer decision aid in plain languageMargaret Holmes-Rovner
Department of Medicine, Michigan State University, C214 East Fee, East Lansing, MI, USA
BMC Med Inform Decis Mak 5:16. 2005..The plain language DA prototype addressed treatment decisions for localized prostate cancer. Evaluation assessed impact on knowledge, decisions, and discussions with doctors in men newly diagnosed with prostate cancer... - 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... - 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... - 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... - Racial/ethnic disparities in knowledge about risks and benefits of breast cancer treatment: does it matter where you go?Sarah T Hawley
Division of General Medicine, University of Michigan Health System and Ann Arbor VA Medical Center, 300 N Ingalls Room 7C27, Ann Arbor, MI, USA
Health Serv Res 43:1366-87. 2008..DATA SOURCES/DATA COLLECTION: Survey responses and clinical data from breast cancer patients of Detroit and Los Angeles SEER registries were merged with surgeon survey responses (N=1,132 patients, 277 surgeons)... - 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.... - 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.... - 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... - 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, MI 48109 2029, 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... - Breast cancer treatment experiences of Latinas in Los Angeles CountySteven J Katz
Department of Medicine, University of Michigan, Ann Arbor, MI 48109 0429, USA
Am J Public Health 95:2225-30. 2005..We examined breast cancer treatment experiences of and outcomes for Latinas in Los Angeles County... - 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... - 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... - 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... - 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... - 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... - 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... - 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... - 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... - 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... - 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... - What is perfect health to an 85-year-old?: evidence for scale recalibration in subjective health ratingsPeter A Ubel
Program for Improving Health Care Decisions, University of Michigan, Ann Arbor, and the Veterans Affairs Medical Center, Ann Arbor, Michigan 48109 0429, USA
Med Care 43:1054-7. 2005.... - 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... - Screening experiments and the use of fractional factorial designs in behavioral intervention researchVijay Nair
Department of Statistics, University of Michigan, 439 West Hall, Ann Arbor, MI 48109, USA
Am J Public Health 98:1354-9. 2008..We then use 2 ongoing behavioral intervention projects to illustrate the usefulness of FFDs. FFDs should be supplemented with follow-up experiments in the refining phase so any critical assumptions about interactions can be verified... - 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... - 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... - Primary care perspectives on prostate cancer screeningTed A Skolarus
Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Mich, USA
Nurse Pract 36:39-44. 2011.... - 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... - Reducing the influence of anecdotal reasoning on people's health care decisions: is a picture worth a thousand statistics?Angela Fagerlin
VA Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI 48109 0429, USA
Med Decis Making 25:398-405. 2005..People's treatment decisions are often influenced by anecdotal rather than statistical information. This can lead to patients making decisions based on others' experiences rather than on evidence-based medicine... - The impact of the format of graphical presentation on health-related knowledge and treatment choicesSarah T Hawley
Division of General Medicine, Center for Behavioral and Decision Sciences in Medicine, University of Michigan, Ann Arbor, United States, United States
Patient Educ Couns 73:448-55. 2008..To evaluate the ability of six graph formats to impart knowledge about treatment risks/benefits to low and high numeracy individuals... - 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... - Racial/ethnic disparities in the treatment of localized/regional prostate cancerWillie Underwood
Department of Urology, University of Michigan, Veterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor, Michigan 48109-0759, USA
J Urol 171:1504-7. 2004..Our observation of an association between tumor grade and the racial/ethnic disparity in definitive therapy ties together relevant biological and social factors that may contribute to the observed racial/ethnic disparity in mortality... - Patterns and correlates of local therapy for women with ductal carcinoma-in-situSteven J Katz
Department of Medicine and Health Management and Policy, University of Michigan, 300 N Ingalls, Ste 7E12, Box 0429, Ann Arbor, MI 48109 0429, USA
J Clin Oncol 23:3001-7. 2005.... - "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... - Chemotherapy was not associated with cognitive decline in older adults with breast and colorectal cancer: findings from a prospective cohort studyVictoria A Shaffer
Department of Health Sciences, School of Health Professions, University of Missouri, Columbia, MO 65221 4290, USA
Med Care 50:849-55. 2012.... - Ignorance of hedonic adaptation to hemodialysis: a study using ecological momentary assessmentJason Riis
Department of Psychology, University of Michigan, MI, USA
J Exp Psychol Gen 134:3-9. 2005..This relative negativity in controls' estimates of their own moods could also contribute to their underestimation of the moods and overall well-being of patients... - Patient education materials about the treatment of early-stage prostate cancer: a critical reviewAngela Fagerlin
Veterans Administration Center for Practice Management and Outcomes Research, Veterans Administration Healthcare System, and Division of General Medicine, University of Michigan, Ann Arbor, Michigan 48109 0429, USA
Ann Intern Med 140:721-8. 2004..To ensure that patients make informed medical decisions, patient education materials must communicate treatment risks and benefits... - Clinical implications of numeracy: theory and practiceWendy Nelson
Basic and Biobehavioral Research Branch, DCCPS, National Cancer Institute, 6130 Executive Blvd, Bethesda, MD 20892, USA
Ann Behav Med 35:261-74. 2008.... - The "Hassle Factor": what motivates physicians to manipulate reimbursement rules?Rachel M Werner
Department of Internal Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
Arch Intern Med 162:1134-9. 2002..This study sought to determine the relationship between the likelihood of a successful appeal, appeals process length, and severity of the health condition and physicians' willingness to sanction deception... - Correlates of breast reconstruction: results from a population-based studyMonica Morrow
Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111 2497, USA
Cancer 104:2340-6. 2005..The purpose of the current study was to identify patient attitudes and preferences associated with breast reconstruction, and whether these differed by race... - Rethinking the objectives of decision aids: a call for conceptual clarityWendy L Nelson
Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA
Med Decis Making 27:609-18. 2007..Second, the authors argue that the goal of reducing decisional conflict is conceptually untenable and propose that it be eliminated as an objective of decision aids... - Context changes choices: a prospective study of the effects of hospitalization on life-sustaining treatment preferencesPeter H Ditto
Department of Psychology and Social Behavior, 3340 Social Ecology II, University of California, Irvine, CA 92697 7085, USA
Med Decis Making 26:313-22. 2006..To test this assumption, the authors examine the life-sustaining treatment preferences of a sample of elderly adults prior to, soon after, and several months after a hospitalization experience... - Effect of assessment method on the discrepancy between judgments of health disorders people have and do not have: a web studyJonathan Baron
Department of Psychology, University of Pennsylvania, Philadelphia, PA 19104 6196, USA
Med Decis Making 23:422-34. 2003..The discrepancy varied in size and direction across disorders. Subjects also thought that they would be less affected than others... - Stability of older adults' preferences for life-sustaining medical treatmentPeter H Ditto
Department of Psychology and Social Behavior, University of California, Irvine 92696 7085, USA
Health Psychol 22:605-15. 2003.... - Enough. The failure of the living willAngela Fagerlin
Ann Arbor VA HSR and D Center for Practice Management and Outcomes Research, Program for Improving Health Care Decisions, Department of Internal Medicine, University of Michigan, USA
Hastings Cent Rep 34:30-42. 2004..But the policy has not produced results, and should be abandoned... - Reflections from the population: survey methodsLaurence F McMahon
J Clin Gastroenterol 38:307-8. 2004 - Support for physician deception of insurance companies among a sample of Philadelphia residentsG Caleb Alexander
University of Pennsylvania, Philadelphia, USA
Ann Intern Med 138:472-5. 2003..Some physicians seem to be willing to sanction deception of insurance companies. Little is known about public attitudes regarding this practice...