Brian J Zikmund-Fisher

Summary

Affiliation: University of Michigan
Country: USA

Publications

  1. pmc A matter of perspective: choosing for others differs from choosing for yourself in making treatment decisions
    Brian 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
  2. doi request reprint Deficits and variations in patients' experience with making 9 common medical decisions: the DECISIONS survey
    Brian 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
  3. pmc Testing whether decision aids introduce cognitive biases: results of a randomized trial
    Peter 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
  4. doi request reprint Patients' knowledge about 9 common health conditions: the DECISIONS survey
    Angela 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
  5. doi request reprint Perceived risk of cancer and patient reports of participation in decisions about screening: the DECISIONS study
    Amanda 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
  6. pmc Women's interest in taking tamoxifen and raloxifene for breast cancer prevention: response to a tailored decision aid
    Angela 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
  7. doi request reprint Use of the Internet and ratings of information sources for medical decisions: results from the DECISIONS survey
    Mick P Couper
    Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan 48106, USA
    Med Decis Making 30:106S-114S. 2010
  8. pmc Helping patients decide: ten steps to better risk communication
    Angela 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
  9. ncbi request reprint How making a risk estimate can change the feel of that risk: shifting attitudes toward breast cancer risk in a general public survey
    Angela 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
  10. doi request reprint Disparities in patient reports of communications to inform decision making in the DECISIONS survey
    Brian 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

Detail Information

Publications49

  1. pmc A matter of perspective: choosing for others differs from choosing for yourself in making treatment decisions
    Brian 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...
  2. doi request reprint Deficits and variations in patients' experience with making 9 common medical decisions: the DECISIONS survey
    Brian 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
    ....
  3. pmc Testing whether decision aids introduce cognitive biases: results of a randomized trial
    Peter 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...
  4. doi request reprint Patients' knowledge about 9 common health conditions: the DECISIONS survey
    Angela 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...
  5. doi request reprint Perceived risk of cancer and patient reports of participation in decisions about screening: the DECISIONS study
    Amanda 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...
  6. pmc Women's interest in taking tamoxifen and raloxifene for breast cancer prevention: response to a tailored decision aid
    Angela 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...
  7. doi request reprint Use of the Internet and ratings of information sources for medical decisions: results from the DECISIONS survey
    Mick 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...
  8. pmc Helping patients decide: ten steps to better risk communication
    Angela 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
    ....
  9. ncbi request reprint How making a risk estimate can change the feel of that risk: shifting attitudes toward breast cancer risk in a general public survey
    Angela 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...
  10. doi request reprint Disparities in patient reports of communications to inform decision making in the DECISIONS survey
    Brian 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...
  11. ncbi request reprint Validation of the Subjective Numeracy Scale: effects of low numeracy on comprehension of risk communications and utility elicitations
    Brian 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...
  12. ncbi request reprint Mortality versus survival graphs: improving temporal consistency in perceptions of treatment effectiveness
    Brian 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...
  13. pmc A demonstration of ''less can be more'' in risk graphics
    Brian 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...
  14. pmc "If I'm better than average, then I'm ok?": Comparative information influences beliefs about risk and benefits
    Angela 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...
  15. pmc 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...
  16. pmc Women's decisions regarding tamoxifen for breast cancer prevention: responses to a tailored decision aid
    Angela 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...
  17. pmc 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...
  18. pmc Animated graphics for comparing two risks: a cautionary tale
    Brian J Zikmund-Fisher
    Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, United States
    J Med Internet Res 14:e106. 2012
    ..Research on the use of animated graphics, however, has yielded mixed findings, and little research exists to identify the specific animations that might improve risk knowledge and patients' decision making...
  19. doi request reprint The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions
    Brian 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...
  20. pmc 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...
  21. pmc Effect of various risk/benefit trade-offs on parents' understanding of a pediatric research study
    Alan 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...
  22. pmc Patient-provider concordance in the prioritization of health conditions among hypertensive diabetes patients
    Donna 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...
  23. doi request reprint The role of perceived benefits and costs in patients' medical decisions
    Eleanor Singer
    Research Professor Emerita, Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MIResearch Professor, Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MIAssociate Professor, Department of Internal Medicine, University of Michigan and Research Scientist, VA Ann Arbor Center for Clinical Management Research, Ann Arbor, MISenior Scientific Advisor to the Foundation for Informed Medical Decision Making and Senior Research Fellow at the Survey Research Center, University of Massachusetts, Boston, MAResearch Director, Foundation for Informed Medical Decision Making, Boston, MAJohn O Blackburn Professor of Business, Fuqua Business School and Professor of Public Policy, Duke University, Durham, NCSenior Research Associate, Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MIAssistant Professor, Department of Health Behavior and Health Education, and Research Assistant Professor, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
    Health Expect 17:4-14. 2014
    ..The greater the difference between the importance attached to benefits and costs, the greater patients' confidence in their decision. ..
  24. pmc Influence of "GERD" label on parents' decision to medicate infants
    Laura D Scherer
    VA Ann Arbor Center for Clinical Management Research, Ann Arbor, Michigan, USA
    Pediatrics 131:839-45. 2013
    ..The factors that drive overtreatment of gastroesophageal reflux disease (GERD) are not well understood, but it has been proposed that the use of the "GERD" disease label could perpetuate use of medication in otherwise healthy infants...
  25. pmc Patient decision making about organ quality in liver transplantation
    Michael L Volk
    Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, MI 48109, USA
    Liver Transpl 17:1387-93. 2011
    ....
  26. pmc Risk estimates from an online risk calculator are more believable and recalled better when expressed as integers
    Holly 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...
  27. pmc 'I'll do what they did": social norm information and cancer treatment decisions
    Brian 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...
  28. pmc The effect of format on parents' understanding of the risks and benefits of clinical research: a comparison between text, tables, and graphics
    Alan 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...
  29. ncbi request reprint 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...
  30. doi request reprint Narratives that address affective forecasting errors reduce perceived barriers to colorectal cancer screening
    Amanda 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...
  31. ncbi request reprint Measuring numeracy without a math test: development of the Subjective Numeracy Scale
    Angela 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...
  32. doi request reprint The right tool is what they need, not what we have: a taxonomy of appropriate levels of precision in patient risk communication
    Brian J Zikmund-Fisher
    Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI 48109 2029, USA
    Med Care Res Rev 70:37S-49S. 2013
    ..Selecting need-congruent formats when designing communications about risks to patients is a novel approach that may better support patients' health care decision making...
  33. pmc Communicating side effect risks in a tamoxifen prophylaxis decision aid: the debiasing influence of pictographs
    Brian 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
    ....
  34. ncbi request reprint "Is 28% good or bad?" Evaluability and preference reversals in health care decisions
    Brian 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...
  35. doi request reprint Alternate methods of framing information about medication side effects: incremental risk versus total risk of occurrence
    Brian 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...
  36. pmc Cool but counterproductive: interactive, Web-based risk communications can backfire
    Brian 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...
  37. ncbi request reprint Making numbers matter: present and future research in risk communication
    Angela 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...
  38. pmc The effect of misunderstanding the chemical properties of environmental contaminants on exposure beliefs: a case involving dioxins
    Brian J Zikmund-Fisher
    Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI 48109 2029, USA
    Sci Total Environ 447:293-300. 2013
    ....
  39. doi request reprint The accuracy of predicting parity as a prerequisite for cesarean delivery on maternal request
    Kristie 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...
  40. doi request reprint The defining characteristics of Web 2.0 and their potential influence in the online vaccination debate
    Holly O Witteman
    Program in Health Communication and Decision Making, Center for Bioethics and Social Sciences in Medicine, Ann Arbor, MI 48109 5429, USA
    Vaccine 30:3734-40. 2012
    ....
  41. ncbi request reprint The impact of considering adaptation in health state valuation
    Laura 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...
  42. ncbi request reprint What's time got to do with it? Inattention to duration in interpretation of survival graphs
    Brian 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...
  43. ncbi request reprint Cure me even if it kills me: preferences for invasive cancer treatment
    Angela 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...
  44. pmc Improving understanding of adjuvant therapy options by using simpler risk graphics
    Brian 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...
  45. doi request reprint Racial and ethnic differences in direct-to-consumer genetic tests awareness in HINTS 2007: sociodemographic and numeracy correlates
    Aisha T Langford
    Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA
    J Genet Couns 21:440-7. 2012
    ..Although black respondents were generally less aware of DTC genetic tests than white respondents, this relationship appears to be partially mediated by numeracy...
  46. pmc The benefits of discussing adjuvant therapies one at a time instead of all at once
    Brian 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...
  47. pmc Anticipating the arrival of low-penetrance genetic testing to primary care medicine
    Beth A Tarini
    Child Health Evaluation and Research CHEAR Unit, Division of General Pediatrics, University of Michigan, 300 N Ingalls Street, Room 6D19, Ann Arbor, MI, 48109 0456, USA
    J Community Genet 4:285-8. 2013
    ....
  48. ncbi request reprint The role of clinical uncertainty in treatment decisions for diabetic patients with uncontrolled blood pressure
    Eve 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...
  49. ncbi request reprint 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...