Trial Outcomes & Findings for Online Trial Examining Validity and Reliability of the Shared Decision Making Process Survey (NCT NCT04317690)

Results Overview

The Shared Decision Making Process is a short patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.

Recruitment status

COMPLETED

Target enrollment

539 participants

Primary outcome timeframe

Baseline survey

Results posted on

2022-05-20

Participant Flow

March 2020 - July 2020 using a national, non-probability panel obtained from Marketing Systems Group (MSG). MSG recruited participants by sending out invitation emails to potential responders.

Eligible respondents were adults in the US who had talked with a healthcare provider about screening for cancer (breast, colon, or prostate) or taking medication for a common chronic condition (depression, high cholesterol, or high blood pressure) in the past two years. Respondents were re-contacted approximately one-week post survey for a re-test survey.

Participant milestones

Participant milestones
Measure	High Cholesterol People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	Colorectal Cancer Screening People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Overall Study STARTED	100	100	140	100	99
Overall Study COMPLETED	100	96	140	98	99
Overall Study NOT COMPLETED	0	4	0	2	0

Reasons for withdrawal

Reasons for withdrawal
Measure	High Cholesterol People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	Colorectal Cancer Screening People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.
Overall Study did not have complete information for primary outcome	0	4	0	2	0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	High Cholesterol n=100 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=96 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.	Colorectal Cancer Screening n=140 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=98 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=99 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	Total n=533 Participants Total of all reporting groups
Age, Continuous	52 years STANDARD_DEVIATION 12 • n=100 Participants	43 years STANDARD_DEVIATION 11 • n=96 Participants	61 years STANDARD_DEVIATION 7 • n=140 Participants	44 years STANDARD_DEVIATION 3 • n=98 Participants	52 years STANDARD_DEVIATION 4 • n=99 Participants	52 years STANDARD_DEVIATION 11 • n=533 Participants
Sex: Female, Male Female	63 Participants n=100 Participants	41 Participants n=96 Participants	43 Participants n=140 Participants	98 Participants n=98 Participants	0 Participants n=99 Participants	245 Participants n=533 Participants
Sex: Female, Male Male	37 Participants n=100 Participants	55 Participants n=96 Participants	97 Participants n=140 Participants	0 Participants n=98 Participants	99 Participants n=99 Participants	288 Participants n=533 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	10 Participants n=100 Participants	11 Participants n=96 Participants	10 Participants n=140 Participants	8 Participants n=98 Participants	6 Participants n=99 Participants	45 Participants n=533 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	90 Participants n=100 Participants	85 Participants n=96 Participants	130 Participants n=140 Participants	90 Participants n=98 Participants	93 Participants n=99 Participants	488 Participants n=533 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=100 Participants	0 Participants n=96 Participants	0 Participants n=140 Participants	0 Participants n=98 Participants	0 Participants n=99 Participants	0 Participants n=533 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=100 Participants	1 Participants n=96 Participants	1 Participants n=140 Participants	0 Participants n=98 Participants	1 Participants n=99 Participants	3 Participants n=533 Participants
Race (NIH/OMB) Asian	4 Participants n=100 Participants	2 Participants n=96 Participants	4 Participants n=140 Participants	7 Participants n=98 Participants	0 Participants n=99 Participants	17 Participants n=533 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=100 Participants	0 Participants n=96 Participants	0 Participants n=140 Participants	0 Participants n=98 Participants	0 Participants n=99 Participants	0 Participants n=533 Participants
Race (NIH/OMB) Black or African American	8 Participants n=100 Participants	11 Participants n=96 Participants	16 Participants n=140 Participants	9 Participants n=98 Participants	17 Participants n=99 Participants	61 Participants n=533 Participants
Race (NIH/OMB) White	78 Participants n=100 Participants	74 Participants n=96 Participants	112 Participants n=140 Participants	75 Participants n=98 Participants	75 Participants n=99 Participants	414 Participants n=533 Participants
Race (NIH/OMB) More than one race	3 Participants n=100 Participants	4 Participants n=96 Participants	2 Participants n=140 Participants	2 Participants n=98 Participants	1 Participants n=99 Participants	12 Participants n=533 Participants
Race (NIH/OMB) Unknown or Not Reported	7 Participants n=100 Participants	4 Participants n=96 Participants	5 Participants n=140 Participants	5 Participants n=98 Participants	5 Participants n=99 Participants	26 Participants n=533 Participants
Race and Ethnicity Not Collected	—	—	—	—	—	0 Participants Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Baseline survey

Population: participants who provided complete information to calculate a shared decision making process score (primary outcome of interest)

The Shared Decision Making Process is a short patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=140 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=98 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=99 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol n=100 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=96 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Shared Decision Making Process Measure	1.61 score on a scale Standard Deviation 1.12	1.4 score on a scale Standard Deviation 1.1	1.87 score on a scale Standard Deviation 0.97	2.12 score on a scale Standard Deviation 1.03	2.65 score on a scale Standard Deviation 1.04

SECONDARY outcome

Timeframe: Baseline survey

Population: participants who completed all 4 items of the short decisional conflict scale. Only 532/533 participants provided enough information to calculate a SURE score.

Measures decisional conflict, consists of 4 yes/no items. Scores range 0-4 where 0 indicates no decisional conflict, and scores 1 to 3 indicate decisional conflict. The measure is often reported as a top-score of 0, thus the percentage of patients with a total score of 0 or no decisional conflict.

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=139 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=98 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=99 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol n=100 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=96 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Decisional Conflict Tool (SURE)	68 percentage of participants	78 percentage of participants	71 percentage of participants	68 percentage of participants	70 percentage of participants

SECONDARY outcome

Timeframe: Baseline survey

Population: Participants who answered all 5 decision regret questions. Only 526/533 participants provided enough information to calculate decision regret score.

5-item decision regret scale ranges from 0-100 with higher scores indicating greater decisional regret.

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=139 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=95 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=98 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol n=100 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=94 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Decision Regret Scale	17 score on a scale Standard Deviation 18	16 score on a scale Standard Deviation 16	25 score on a scale Standard Deviation 22	22 score on a scale Standard Deviation 18	27 score on a scale Standard Deviation 18

SECONDARY outcome

Timeframe: Baseline survey

Population: participants who answered the single-item regret question.

Single item asking "If you knew then what you know now, do you think you would make the same decision about \[how to manage your high cholesterol/ how to manage your high blood pressure/breast cancer screening/colon cancer screening/ prostate cancer screening\]?" where the last part varies by group. Response options are: Definitely yes, Probably yes, Probably no, Definitely no

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=140 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=98 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=99 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol n=100 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=96 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Single-Item Measure of Decision Regret Definitely yes	77 Participants	61 Participants	50 Participants	49 Participants	52 Participants
Single-Item Measure of Decision Regret Probably yes	54 Participants	32 Participants	39 Participants	44 Participants	37 Participants
Single-Item Measure of Decision Regret Probably no	8 Participants	4 Participants	7 Participants	5 Participants	7 Participants
Single-Item Measure of Decision Regret Definitely no	1 Participants	1 Participants	3 Participants	2 Participants	0 Participants

SECONDARY outcome

Timeframe: Baseline survey

Population: participants who answered the treatment preference question.

Single item asking patient "What did you want to do" in regard to (depending on the group) high cholesterol/high blood pressure/colon cancer screening/breast cancer screening/prostate cancer screening

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=140 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=97 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=99 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol n=100 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=96 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Treatment Choice take medicine/(start) screen for cancer	123 Participants	72 Participants	71 Participants	37 Participants	64 Participants
Treatment Choice not take medicine/(wait) not screen for cancer	16 Participants	19 Participants	25 Participants	61 Participants	32 Participants
Treatment Choice other	1 Participants	6 Participants	3 Participants	2 Participants	0 Participants

SECONDARY outcome

Timeframe: Baseline survey

Population: participants who answered the controlled preference scale question.

Single item asking the participant who made the ultimate decision. The categorical response options are 1) the patient made the decision, 2)the provider made the decision, or 3) both patient and provider made the decision together.

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=140 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=98 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=99 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol n=100 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=96 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Adapted Controlled Preference Scale Mainly my decision	59 Participants	49 Participants	68 Participants	43 Participants	46 Participants
Adapted Controlled Preference Scale Mainly the healthcare provider's decision	25 Participants	13 Participants	10 Participants	18 Participants	24 Participants
Adapted Controlled Preference Scale We made the decision together	56 Participants	36 Participants	21 Participants	39 Participants	26 Participants

SECONDARY outcome

Timeframe: 1 week after baseline survey

Population: Participants who completed the baseline survey were re-contacted approximately 1 week post-survey for a retest. Participants who completed the retest survey and provided enough information to calculate the shared decision making process score were part of this analysis.

The Shared Decision Making Process is a short patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=65 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=42 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=38 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol n=45 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=40 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Shared Decision Making Process Measure Retest	1.68 score on a scale Standard Deviation 1.13	1.57 score on a scale Standard Deviation 1.18	1.67 score on a scale Standard Deviation 1.02	2.27 score on a scale Standard Deviation 1.02	2.32 score on a scale Standard Deviation 1.42

SECONDARY outcome

Timeframe: Baseline survey

Population: participants who answered at least 50% of the knowledge items in their respective clinical groups. Participants in the high cholesterol group were not given a knowledge score. Only 131/234 provided enough information to calculate a shared decision making process score (primary outcome of interest)

Multiple choice knowledge items for each topic will be combined to a total knowledge score (0-100) with higher scores indicating higher knowledge

Outcome measures

Outcome measures
Measure	Colorectal Cancer Screening n=137 Participants People between the ages of 50-75 with no previous diagnosis of colon cancer, who have been screened for colon cancer (or discussed screening for colon cancer) in the past 2 years, or who had first colon cancer screening in past 2 years. These people will see items only pertaining to colon cancer screening.	Breast Cancer Screening n=98 Participants Females between the ages of 40-50 with no previous diagnosis of breast cancer who have had mammogram (or discussed having a mammogram) in the past 2 years, or had first mammogram in past 2 years. These people will see items only pertaining to breast cancer screening.	Prostate Cancer Screening n=99 Participants Men between the ages of 45-69 with no previous diagnosis of prostate cancer who have been screened for prostate cancer (or discussed screening for prostate cancer) in the past 2 years or had first prostate cancer screening in the past 2 years. These people will see items only pertaining to prostate cancer screening.	High Cholesterol People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high cholesterol, who are either taking medication for high cholesterol for 2 years or less; or have discussed managing high cholesterol in the past 2 years. These people will see items only pertaining to high cholesterol.	High Blood Pressure n=96 Participants People between the ages of 30-75 ,with no previous heart attack or stroke history, who have been diagnosed with high blood pressure, who are either taking medication for high blood pressure for 2 years or less; or have discussed managing high blood pressure in the past 2 years. These people will see items only pertaining to high blood pressure.
Knowledge	56 score on a scale Standard Deviation 22	40 score on a scale Standard Deviation 18	43 score on a scale Standard Deviation 26	—	61 score on a scale Standard Deviation 29

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline survey

Population: participants in the high cholesterol and high blood pressure groups who answered all 3 medication adherence questions. participants in the three cancer screening groups were not assigned medication adherence questions and thus were not part of this analysis. Only 56/100 (high cholesterol) and 68/96 (high blood pressure) participants provided enough information to calculate adherence score.

3 item measure of adherence to medication asked for the high cholesterol and high blood pressure sample participants who indicate that they are taking medicine. (patients in the cancer screening arm did not get this question). composite score ranged from 0-100, with higher scores indicating greater adherence to medication within the last 30 days.