Browsing by author "Jansen, Jesse"
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23 Heart age: intuitive communication tool or gateway to overdiagnosis? A comparison of 3 countries
Bonner, Carissa; McKinn, Shannon; McCaffery, Kirsten; Glasziou, Paul; Doust, Jenny; Jansen, Jesse; Bell, Katy J.L.Published 2019Heart age calculators are increasingly popular around the world as a way to promote and communicate cardiovascular disease (CVD) risk assessment to patients/consumers. While they have intuitive appeal, the implicit assumptions ...Presentation -
Appendix to "The influence of graphic display format on the interpretations of quantitative risk information among adults with lower education and literacy"
McCaffery, Kirsten; Dixon, Ann; Hayen, Andrew; Jansen, Jesse; Smith, Sian; Simpson, JudyPublished 2011-06-02Open AccessOther -
Benefits and Harms of Hypertension and High-Normal Labels: A Randomized Experiment
Muscat, Danielle M; Morris, Georgina M; Bell, Katy J.L.; Cvejic, Erin; Smith, Jenna; Jansen, Jesse; Thomas, Rae; Bonner, Carissa; Doust, Jenny; McCaffery, KirstenPublished 2021Recent US guidelines lowered the threshold for diagnosing hypertension while other international guidelines use alternative/no labels for the same group (blood pressure [BP], <140/90 mm Hg). We investigated potential ...Open AccessArticle -
Communicating cardiovascular disease risk: an interview study of General Practitioners’ use of absolute risk within tailored communication strategies
Bonner, Carissa; Jansen, Jesse; McKinn, Shannon; Irwig, Les; Doust, Jenny; Glasziou, Paul; McCaffery, KirstenPublished 2014-05-29Background: Cardiovascular disease (CVD) prevention guidelines encourage assessment of absolute CVD risk - the probability of a CVD event within a fixed time period, based on the most predictive risk factors. However, few ...Open AccessArticle -
The effect of information about overdetection of breast cancer on women's decision-making about mammography screening: Study protocol for a randomised controlled trial
Hersch, Jolyn; Barratt, Alexandra; Jansen, Jesse; Houssami, Nehmat; Irwig, Les; Jacklyn, Gemma; Dhillon, Haryana; Thornton, Hazel; McGeechan, Kevin; Howard, Kirsten; McCaffery, KirstenPublished 2014-05-15Introduction: Women are largely unaware that mammography screening can cause overdetection of inconsequential disease, leading to overdiagnosis and overtreatment of breast cancer. Evidence is lacking about how information ...Open AccessArticle -
Factors influencing general practitioners’ decisions about cardiovascular disease risk reassessment: findings from experimental and interview studies
McKinn, Shannon; Bonner, Carissa; Jansen, Jesse; Teixeira-Pinto, Armando; So, Matthew; Irwig, Les; Doust, Jenny; Glasziou, Paul; McCaffery, KirstenPublished 2016-08-05Background: Guidelines on cardiovascular disease (CVD) risk reassessment intervals are unclear, potentially leading to detrimental practice variation: too frequent can result in overtreatment and greater strain on the ...Open AccessArticle -
General practitioners’ decision making about primary prevention of cardiovascular disease in older adults: a qualitative study
Jansen, Jesse; McKinn, Shannon; Bonner, Carissa; Irwig, Les; Doust, Jenny; Glasziou, Paul; Bell, Katy J.L.; Naganathan, Vasi; McCaffery, KirstenPublished 2017-01-13Background: Primary cardiovascular disease (CVD) prevention in older people is challenging as they are a diverse group with varying needs, frequent presence of comorbidities, and are more sus- ceptible to treatment harms. ...Open AccessArticle -
General practitioners’ use of absolute risk versus individual risk factors in cardiovascular disease prevention: an experimental study
Jansen, Jesse; Bonner, Carissa; McKinn, Shannon; Irwig, Les; Glasziou, Paul; Doust, Jenny; Teixeira-Pinto, Armando; Hayen, Andrew; Turner, Robin; McCaffery, KirstenPublished 2014-05-01Objective: To understand general practitioners’ (GPs) use of individual risk factors (blood pressure and cholesterol levels) versus absolute risk in cardiovascular disease (CVD) risk management decision-making. Design: ...Open AccessArticle -
General practitioners’ use of different cardiovascular risk assessment strategies: a qualitative study
Bonner, Carissa; Jansen, Jesse; McKinn, Shannon; Irwig, Les; Doust, Jenny; Glasziou, Paul; Hayen, Andrew; McCaffery, KirstenPublished 2013-09-30Objectives: To identify factors that influence the extent to which general practitioners use absolute risk (AR) assessment in cardiovascular disease (CVD) risk assessment. Design, setting and participants: Semi-structured ...Open AccessArticle -
Health Literacy Demand of Printed Lifestyle Patient Information Materials Aimed at People With Chronic Kidney Disease: Are Materials Easy to Understand and Act On and Do They Use Meaningful Visual Aids?
Morony, Suzanne; McCaffery, Kirsten J; Kirkendall, Suzanne; Jansen, Jesse; Webster, Angela CPublished 2017-01-25People with chronic kidney disease (CKD) need usable information on how to live well and slow disease progression. This information is complex, difficult to communicate, and changes during the course of the disease. We ...Open AccessPost-print -
Heuristics and biases in cardiovascular disease prevention: How can we improve communication about risk, benefits and harms?
Bonner, Carissa; McKinn, Shannon; Lau, Annie; Jansen, Jesse; Doust, Jenny; Trevena, Lyndal; McCaffery, KirstenPublished 2018Objective Cardiovascular disease (CVD) prevention guidelines recommend medication based on the probability of a heart attack/stroke in the next 5–10 years. However, heuristics and biases make risk communication challenging ...Open AccessArticle -
How do General Practitioners and patients make decisions about cardiovascular disease risk?
Bonner, Carissa; Jansen, Jesse; McKinn, Shannon; Irwig, Les; Doust, Jenny; Glasziou, Paul; McCaffery, KirstenPublished 2015-03-01Objective: Although current guidelines around the world recommend using absolute risk (AR) thresholds to decide whether cardiovascular disease (CVD) risk should be managed with lifestyle or medication, the use of AR in ...Open AccessArticle -
How information about overdetection changes breast cancer screening decisions: a mediation analysis within a randomised controlled trial
Hersch, Jolyn; McGeechan, Kevin; Barratt, Alexandra; Jansen, Jesse; Irwig, Les; Jacklyn, Gemma; Houssami, Nehmat; Dhillon, Haryana; McCaffery, KirstenPublished 2017-10-06Objectives: In a randomised controlled trial, we found that informing women about overdetection changed their breast screening decisions. We now present a mediation analysis exploring the psychological pathways through ...Open AccessArticle -
I don't believe it, but I'd better do something about it: patient experiences of online 'heart age' risk calculators
Bonner, Carissa; Jansen, Jesse; Newell, Ben R.; Irwig, Les; Glasziou, Paul; Doust, Jenny; Dhillon, Haryana; McCaffery, KirstenPublished 2014-05-05Background: Health risk calculators are widely available on the internet, including cardiovascular disease (CVD) risk calculators that estimate the probability of a heart attack, stroke or death over a 5 or 10 year period. ...Open AccessArticle -
The impact of health literacy on psychosocial and behavioural outcomes among people at low risk of cardiovascular disease
Muscat, Danielle; Cvejic, Erin; Bell, Katy J.L.; Smith, Jenna; Morris, Georgina May; Jansen, Jesse; Thomas, Rae; Bonner, Carissa; Doust, Jenny; McCaffery, KirstenPublished 2022This study aimed to explore the impact of health literacy on psychosocial and behavioural outcomes for people who were not at high risk of cardiovascular disease receiving a hypothetical blood pressure reading of 135/85 ...Article -
Informing Women About Overdetection in Breast Cancer Screening: Two-Year Outcomes From a Randomized Trial
Hersch, Jolyn; Barratt, Alexandra; McGeechan, Kevin; Jansen, Jesse; Houssami, Nehmat; Dhillon, Haryana; Jacklyn, Gemma; Irwig, Les; McCaffery, KirstenPublished 2021Background Supporting well-informed decisions about breast cancer screening requires communicating that inconsequential disease may be detected, leading to overdiagnosis and overtreatment. Having previously shown that ...Article -
Is the NHS ‘Heart Age Test’ too much medicine?
Bonner, Carissa; McKinn, Shannon; McCaffery, Kirsten; Glasziou, Paul; Irwig, Les; Doust, Jenny; Jansen, Jesse; Bell, Katy J.L.Published 2019The NHS ‘Heart Age Test’has expanded cardiovascular disease (CVD) risk assessment in the UK to include younger people (< 40 years). Public Health England’s (PHE) Healthy Heart campaign, launched in September 2018, encourages ...Article -
Is the “heart age” concept helpful or harmful compared to absolute cardiovascular disease risk? An experimental study
Bonner, Carissa; Jansen, Jesse; Newell, Ben R.; Irwig, Les; Teixeira-Pinto, Armando; Glasziou, Paul; Doust, Jenny; McKinn, Shannon; McCaffery, KirstenPublished 2015-08-06Background: Cardiovascular disease (CVD) prevention guidelines are generally based on the absolute risk of a CVD event, but there is increasing interest in using ‘heart age’ to motivate lifestyle change when absolute risk ...Open AccessArticle -
Medicines Conversation Guide
Weir, Kristie; Jansen, Jesse; Bonner, Carissa; McCaffery, Kirsten; Naganathan, VasiPublished 2018-06-06A Medicines Conversation Guide was developed for pharmacists to use in the context of a Home Medicines Review. The Guide aims to increase patient involvement and support discussions about: general health understanding, ...Open AccessDataset -
Overdetection in breast cancer screening: Development and preliminary evaluation of a decision aid
Hersch, Jolyn; Jansen, Jesse; Barratt, Alexandra; Irwig, Les; Houssami, Nehmat; Jacklyn, Gemma; Thornton, Hazel; Dhillon, Haryana; McCaffery, KirstenPublished 2014-09-25Objective: To develop, pilot and refine a decision aid (ahead of a randomised trial evaluation) for women around age 50 facing their initial decision about whether to undergo mammography screening. Design: Two-stage ...Open AccessArticle
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