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March/April 2011 Annals of Family Medicine tip sheet
Date:3/14/2011

to expect during the test. The latter was particularly upsetting to those interviewed and contributed to their negative perceptions of mammography. Participants reported feeling singled out for being unprepared, despite their desire to have at least one mammogram like other women their age. The authors assert that women with intellectual disabilities need more time and explanation to understand and process elements of the experience; and they want to be perceived as competent, not disabled, which compounds the anxiety of unfamiliar situations. Increasing patients' familiarity with the test, they conclude, may facilitate their ability to complete mammography successfully and to return for subsequent screenings. Based on their findings, the authors offer several recommendations for preparing intellectually disabled women for mammography, including allowing for extra time during the appointment so medical providers can describe the procedure, including details about where it occurs, how long it takes, what the experience will be like, as well as a brief explanation of why it is necessary.

'It's Easier Said Than Done': Perspectives on Mammography From Women With Intellectual Disabilities
By Joanne E. Wilkinson, M.D., M.Sc., et al
Boston University School of Medicine


Patients Want Doctors' Opinions on Preventive Cardiovascular Meds

Examining patient preferences for how doctors communicate the benefits of preventive cardiovascular medication, researchers found patients prefer a doctor give his or her opinion about the medication rather than explain the risks using numbers or pictures. Moreover, researchers found patients prefer visual depictions to words. Specifically, the study of 934 patients in Auckland, New Zealand, found 62 percent preferred to know what their doctor thinks about the medication, and 55 percent preferred pictorial presentations to numbers, with a people or bar chart being equally favored. Notably, irrespec
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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