INTRODUCTION: Informed decision making has been highlighted as an important aspect of @entity2 screening programs. This study seeks to assess the efficacy of a web-based @entity1 decision @entity3224 for @entity2 screening, www.shouldiscreen.com. METHODS: A before-and-after study (August through December 2014) was conducted where @entity1 navigated a web-based decision @entity3224 that provided information about low-dose computed tomography @entity2 screening. Using an established prediction model, the decision @entity3224 computed baseline @entity2 risk and an individual's chances of benefiting from, and risk of being harmed by, screening. Outcome measures included knowledge of @entity2 risk factors and @entity2 screening, decisional conflict, concordance, and acceptability of the decision @entity3224 . Data were collected from 60 @entity1 who were current or former smokers, had no history of @entity2 , and had not received a chest computed tomographic scan in the previous year. Analysis took place in 2015. RESULTS: Knowledge increased after seeing the decision @entity3224 compared with before (p<0.001), whereas the score on the Decisional Conflict Scale decreased (p<0.001). Concordance between a @entity1 's preference to screen and the U.S. Preventive Services Task Force recommendation improved after seeing the decision @entity3224 (p<0.001). Risk perceptions among the screen-ineligible group changed (n=49), contrary to those who were eligible (n=11). Ninety-seven percent of the @entity1 reported that the decision @entity3224 was likely useful for @entity2 screening decision making. CONCLUSIONS: The web-based decision @entity3224 should be a helpful resource for individuals considering @entity2 screening, as well as for practitioners and health systems with @entity2 screening programs.

Evaluation of a Personalized, Web-Based Decision XXXX for Lung Cancer Screening.

@entity1 :: ('9606', 'Species') :: ['participants', 'participant', 'patient'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity3224 :: ('57379', 'Gene') :: ['aid']
@entity3224 :: (57379,Gene) :: ['Aid']
