Nicole Exe

ORCID: 0000-0001-8864-8327
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About
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Research Areas
  • Genomics and Rare Diseases
  • Biomedical Text Mining and Ontologies
  • Health Systems, Economic Evaluations, Quality of Life
  • BRCA gene mutations in cancer
  • Media Influence and Health
  • Behavioral Health and Interventions
  • Psychology of Moral and Emotional Judgment
  • Health Literacy and Information Accessibility
  • Cancer Genomics and Diagnostics
  • Climate Change Communication and Perception
  • Patient-Provider Communication in Healthcare
  • Healthcare cost, quality, practices
  • Health and Medical Research Impacts
  • Misinformation and Its Impacts
  • Ethics in medical practice
  • Meta-analysis and systematic reviews
  • Clinical Reasoning and Diagnostic Skills
  • Vaccine Coverage and Hesitancy
  • Electronic Health Records Systems
  • Interdisciplinary Research and Collaboration
  • Global Cancer Incidence and Screening
  • Health Education and Validation
  • Biomedical and Engineering Education
  • Genomic variations and chromosomal abnormalities
  • Diabetes Management and Research

University of Michigan
2014-2025

Université Laval
2013-2016

The Quebec Population Health Research Network
2016

University of Missouri
2016

University of Padua
2016

Research has demonstrated that icon arrays (also called "pictographs") are an effective method of communicating risk statistics and appear particularly useful to less numerate graphically literate people. Yet research is very limited regarding whether type affects how people interpret remember these graphs.1502 age 35-75 from a demographically diverse online panel completed cardiovascular calculator based on Framingham data using their actual age, weight, other health data. Participants...

10.1177/0272989x13511706 article EN Medical Decision Making 2013-11-18

Increasing numbers of patients have direct access to laboratory test results outside clinical consultations. This offers increased opportunities for both self-management chronic conditions and advance preparation clinic visits if are able identify that the reference ranges.

10.2196/jmir.3241 article EN cc-by Journal of Medical Internet Research 2014-08-08

Most electronic health record systems provide laboratory test results to patients in table format. We tested whether presenting such visual displays (number lines) could improve understanding.We presented 1620 adults recruited from a demographically diverse Internet panel with hypothetical several common tests, first showing near-normal and then more extreme values. Participants viewed either format (with "standard range" provided) or one of 3 number line formats: simple 2-color format,...

10.1093/jamia/ocw169 article EN cc-by-nc-nd Journal of the American Medical Informatics Association 2016-11-22

Background: The increasing use of computer-administered risk communications affords the potential to replace static graphics with animations that motion cues reinforce key messages. Research on animated graphics, however, has yielded mixed findings, and little research exists identify specific might improve knowledge patients' decision making. Objective: To test whether viewing forms standard pictograph (icon array) displaying risks side effects would people's ability select treatment lowest...

10.2196/jmir.2030 article EN cc-by Journal of Medical Internet Research 2012-07-25

Many health-related decisions require choosing between two options, each with risks and benefits. When presented such tradeoffs, people often make choices that fail to align scientific evidence or their own values. This study tested whether risk communication values clarification methods could help parents guardians evidence-based, values-congruent about children's influenza vaccinations. In 2013-2014 we conducted an online 2×2 factorial experiment in which a diverse sample of U.S. (n = 407)...

10.1111/risa.12418 article EN Risk Analysis 2015-05-20

Abstract Background: The knowledge, skills, and abilities needed for clinical research professionals (CRPs) are described in the Joint Task Force (JTF) Clinical Trial Competencies Framework as a basis leveled educational programs, training curricula, certification. There is paucity of literature addressing team science competencies tailored to CRPs. Gaps training, research, education can restrict their capability effectively contribute science. Materials/Methods: CRP Team Science consisted...

10.1017/cts.2024.509 article EN cc-by-nc-nd Journal of Clinical and Translational Science 2024-01-01

Background: Risk communication involves conveying two inherently difficult concepts about the nature of risk: underlying random distribution outcomes and how a population-based proportion applies to an individual. Objective: The objective this study was test whether 4 design factors in icon arrays—animated dispersal risk events, avatars represent individual, personalization (operationalized as choosing avatar's color), moving avatar—might help convey randomness given thereby better aligning...

10.2196/jmir.2895 article EN cc-by Journal of Medical Internet Research 2014-03-18

As people increasingly turn to social media access and create health evidence, the greater availability of data information ought help more make evidence-informed decisions that align with what matters them. However, questions remain as whether can be swayed in favor or against options by polarized media, particularly case controversial topics. We created a composite mock news article about home birth from six real articles randomly assigned participants an online study view comments posted...

10.1377/hlthaff.2015.1382 article EN Health Affairs 2016-04-01

Background: Patient-facing displays of laboratory test results typically provide patients with one reference point (the “standard range”). Objective: To the effect including an additional harm anchor in visual results, which indicates how far outside standard range values would need to be order suggest substantial patient risk. Methods: Using a demographically diverse, online sample, we compared reactions 1618 adults United States who viewed line that included both and points (“Many doctors...

10.2196/jmir.8889 article EN cc-by Journal of Medical Internet Research 2018-03-26

Background. High-quality health decisions are often defined as those that both evidence informed and values congruent. A values-congruent decision aligns with what matters to most affected by the decision. Values clarification methods intended support decisions, but their effects on congruence rarely evaluated. Methods. We tested 11 strategies, including 3 commonly used methods, across 6 between-subjects online randomized experiments in demographically diverse US populations ( n1 = 1346, n2...

10.1177/0272989x20904955 article EN Medical Decision Making 2020-04-01

We describe an ongoing effort to improve communication of medical test results directly patients by providing important contextual information about the in a graphical format that is well suited online patient portals. undertook iterative, user-centered design process explore ways meaningful representations results. present findings from this have implications for communicating via

10.1145/2851581.2892523 article EN 2016-05-06

Most displays of laboratory test results include a standard reference range. For some patients (eg, those with chronic conditions), however, getting result within the range may be unachievable, inappropriate, or even harmful.

10.2196/11027 article EN cc-by Journal of Medical Internet Research 2018-07-10

The increased use of genomic sequencing in clinical diagnostics and therapeutics makes imperative the development guidelines policies about how to handle secondary findings. For reasons both practical ethical, creation these must take into consideration informed opinions lay public. As part a larger Clinical Sequencing Exploratory Research (CSER) consortium project, we organized deliberative democracy (DD) session that engaged 66 participants dialogue benefits risks associated with return...

10.1007/s10897-016-9987-0 article EN Journal of Genetic Counseling 2016-06-15

OBJECTIVES/GOALS: Team science competencies are not well-defined for nonfaculty staff of Clinical Research Professionals (CRPs) who conduct research. Using an existing framework, our work has determined skills associated with team as related to CRPs. Our also outlined examples those on a fundamental, skilled, and advanced level. METHODS/STUDY POPULATION: The consists both CRPs working in the Science space. This used modified Delphi approach determine leveling each competency. broke into four...

10.1017/cts.2023.471 article EN cc-by-nc-nd Journal of Clinical and Translational Science 2023-04-01

Purpose. Patient portals of electronic health record systems currently present patients with tables laboratory test results, but visual displays can increase patient understanding and sensitivity to result variations. We sought assess physician preferences concerns about display designs as potential motivators or barriers their implementation. Methods. In an online survey, 327 primary care physicians (>50% time) recruited through the e-community/survey research firm SERMO compared...

10.1177/0272989x19873625 article EN Medical Decision Making 2019-09-26

Background: High-quality health decisions are often defined as those that both evidence-informed and values-congruent. A values-congruent decision aligns with what matters to most affected by the decision. Values clarification methods intended support but their effects on values congruence rarely evaluated.Methods: We tested eleven strategies, including three commonly-used methods, across six between-subjects online randomized experiments in demographically-diverse US populations (n1=1346,...

10.31219/osf.io/4nhzg preprint EN 2018-12-11
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