Patient Education and Counseling
Volume 78, Issue 3 , Pages 316-328, March 2010

What constitutes evidence-based patient information? Overview of discussed criteria

  • Martina Bunge

      Affiliations

    • Corresponding Author InformationCorresponding author at: University of Hamburg, Unit of Health Science and Education, Martin-Luther-King-Platz 6, 20146 Hamburg, Germany. Tel.: +49 40 42838 7222; fax: +49 40 42838 3732.
  • ,
  • Ingrid Mühlhauser
  • ,
  • Anke Steckelberg

University of Hamburg, Unit of Health Sciences and Education, Hamburg, Germany

Received 30 April 2009; received in revised form 7 October 2009; accepted 23 October 2009. published online 14 December 2009.

Abstract 

Objective

To survey quality criteria for evidence-based patient information (EBPI) and to compile the evidence for the identified criteria.

Methods

Databases PubMed, Cochrane Library, PsycINFO, PSYNDEX and Education Research Information Center (ERIC) were searched to update the pool of criteria for EBPI. A subsequent search aimed to identify evidence for each criterion. Only studies on health issues with cognitive outcome measures were included. Evidence for each criterion is presented using descriptive methods.

Results

3 systematic reviews, 24 randomized-controlled studies and 1 non-systematic review were included. Presentation of numerical data, verbal presentation of risks and diagrams, graphics and charts are based on good evidence. Content of information and meta-information, loss- and gain-framing and patient-oriented outcome measures are based on ethical guidelines. There is a lack of studies on quality of evidence, pictures and drawings, patient narratives, cultural aspects, layout, language and development process.

Conclusion

The results of this review allow specification of EBPI and may help to advance the discourse among related disciplines. Research gaps are highlighted.

Practice implications

Findings outline the type and extent of content of EBPI, guide the presentation of information and describe the development process.

Keywords: Evidence-based patient information, Informed choice, Framing of data, Patient involvement, Risk communication

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PII: S0738-3991(09)00519-9

doi:10.1016/j.pec.2009.10.029

Patient Education and Counseling
Volume 78, Issue 3 , Pages 316-328, March 2010