Jürgen Kasper

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BACKGROUND AND PURPOSE To evaluate the effects of an evidence-based patient decision aid (DA) on multiple sclerosis (MS) immunotherapy. METHODS Two hundred and ninety-seven MS patients who were considering or reconsidering immunotherapy participated in a randomized community-based controlled trial in Germany. An intervention group (IG) received the DA and(More)
BACKGROUND Patients want to be more involved in medical decision-making. To this end, some decision aids are now available. METHODS We present an overview of this subject, in which we explain the terms "shared decision-making", "decision aid", and "evidence-based patient information" and survey information on the available decision aids in German and(More)
BACKGROUND The wide scale permeation of health care by the shared decision making concept (SDM) reflects its relevance and advanced stage of development. An increasing number of studies evaluating the efficacy of SDM use instruments based on various sub-constructs administered from different viewpoints. However, as the concept has never been captured in(More)
Consumers' autonomy regarding health increasingly requires competences to critically appraise health information. Critical health literacy refers to the concept of evidence-based medicine. Instruments to measure these competences in curriculum evaluation and surveys are lacking. We aimed to develop and validate an instrument to measure critical health(More)
Increasingly, patients and consumers are taking responsibility for their diagnostic and therapeutic decisions. This requires a certain amount of health literacy in order to critically assess the various procedures and products. The aim of this study was to develop and pilot test a curriculum of critical health literacy for secondary school students. The(More)
Objectives: To study consumers’ information needs for informed choice on colorectal cancer screening, and to develop and evaluate information material that is evidence-based and communicates benefit as well as lack of benefit and risks as natural frequencies. Methods: Design: Focus group study; during a first round consumers’ needs and attitudes were(More)
Der Beteiligung von Patienten an medizinischen Entscheidungen kommt eine wachsende Bedeutung zu. Das Modell des Shared Decision Making (SDM) ist ein viel versprechendes Konzept der medizinischen Entscheidungsfindung, das versucht, eine Brücke zwischen patientenzentrierter und evidenzbasierter Medizin zu schlagen. Der vorliegende Beitrag stellt das Modell(More)
BACKGROUND There is little knowledge as to whether the chronicity of a disease affects patients' desire for participation. AIM To study whether participation preferences vary according to the type of disease. DESIGN, PARTICIPANTS AND METHODS: Data of 1,393 patients from six trials with different medical conditions (hypertension, depression, breast cancer,(More)
Shared decision making is increasingly recognised as the ideal model of patient-physician communication especially in chronic diseases with partially effective treatments such as multiple sclerosis (MS). Since 2001, we studied prerequisites for patient participation in decision making as well as the effects of evidence-based patient information on decision(More)
OBJECTIVE Shared decision making is increasingly recognized as the ideal model of patient-physician communication especially in chronic diseases with partially effective treatments as multiple sclerosis (MS). To evaluate prerequisite factors for this kind of decision making we studied patients' decisional role preferences in medical decision making,(More)