Table 2.

Illustrative Quotes From Focus Groups and Key Findings From Survey^a

Focus Group Theme and Illustrative Quotes	Survey Result	Survey Adjusted Proportion (95% CI)
Patient interest in individualized recommendations
“I mean you look at [individualized recommendations], you’re like, ‘Geez, 64? I’m really not doing very well for my age. There are some things I can do to definitely put myself in a better health.’” (FG 3, main campus) “I think the graph is good because it’s a constant reminder of what your needs are; what you need to do to make your health better.” (FG 4, community health center) “I would know what to work on and actually, I would work on more than one of these simultaneously. But I’d know which one was the most important or that I really had to focus on immediately.” (FG 1, main campus) “I like the way it’s presented. The height of the bars tells you which one gives you the most impact, if you quit doing it, or do it.” (FG 1, main campus)	• Very easy to understand	88.2% (86.7% to 89.7%)
	• Very useful to compare preventive care services based on their ability to improve your health	77.2% (75.3% to 79.1%)
	• Very trustworthy way to present information	64.9% (62.8% to 67.0%)
	• Correctly identified which preventive care service was most likely to improve health or longevity*	81.3% (79.6% to 83.1%)
	• Correctly identified which preventive care service was least likely to improve health or longevityb	77.3% (75.4% to 79.2%)
Optimal communication about multiple interventions
“But we still need the conversation. You still need to feel that your doctor cares more than the piece of paper or the data that supports it. I think the data does not overweigh your doctor’s opinion and how he cares about your health.” (FG 3, main campus) “What the doctor says to you in connection with the graph. I really think that that is more likely to have a more significant impact. It really is going to depend on how the doctor frames it when the doctor gives you the graph.” (FG 3, main campus) “I think I would feel more comfortable [reviewing the graph] with my personal primary physician- the relationship is there already.” (FG 2, main campus) “I think it’s a great idea, because if all you’re trying to do is start a conversation, but [your doctor] might want to take it to the next step and say, ‘we can accomplish a couple of these quite easily, at least at the outset.’” (FG 3, main campus) “I think it depends on how it’s explained; what the doctor says to you in connection with the graph. I can see it as more likely to have a more significant impact depending on how the doctor frames it.” (FG 1, main campus)	• Very interested in talking about individualized preventive care recommendations with your doctor	77.5% (75.6% to 79.4%)
	• Talking about individualized preventive care recommendations with your doctor would be very helpful	75.5% (73.6% to 77.4%)
	Mrs. Smith’s doctor should . . .c
	• . . . make clear that a decision needs to be made about her preventive care	76.6% (74.8% to 78.5%)
	• . . . ask exactly how she wants to be involved in making a decision about her preventive care	74.1% (72.1% to 76.0%)
	• . . . tell her there are different options for her preventive care	77.7% (75.9% to 79.5%)
	• . . . precisely explain the advantages and disadvantages of the preventive care options	82.3% (80.5% to 84.0%)
	• . . . help her understand all the information	86.2% (84.6% to 87.8%)
	• . . . ask which preventive care options she prefers	67.4% (65.3% to 69.4%)
	Mrs. Smith and her doctor should . . .c
	• . . . thoroughly weigh the different preventive care options	77.3% (75.5% to 79.2%)
	• . . . select preventive care options together	75.8% (73.9% to 77.7%)
	• . . . reach an agreement on how to proceed	81.0% (79.2% to 82.7%)
Potential to impact patient decision-making
“It would actually motivate me. It would push me.” (FG 4, community health center) “[I]f you go to the doctor every three months, and they give you one of these graphs, well, it’s gonna tell you where you were three months ago [murmurs of agreement] and if you follow the chart as it specifically is laid out, it’s gonna tell you, well look, I was here, three months ago, but look where I am now.” (FG 4, community health center) “I’d put it on my refrigerator. I’d look at it every day, every time I go in the refrigerator and I’d know exactly what not to do and what I should do.” (FG 1, main campus) “I would [like it ahead of time] because if there’s something that’s of interest, then I would write it down and talk to the doctor about it. You’ve had time to reflect on it before your appointment.” (FG 2, main campus) “I’d like it during the appointment because if I don’t understand something or if I got some questions right then and there, because I freak out.” (FG 1, main campus)	• How helpful do you think talking about this information with your doctor would be in motivating you to improve your health?	75.5% (73.6% to 77.4%)
	• Would you be more likely to visit your doctor if you knew you were going to see the chart and talk about it?	52.2% (50.0% to 54.4%)
	• Would like to see individualized preventive care recommendations before your doctor visit	57.7% (55.6% to 59.9%)
	• Enough time to during typical check-up to discuss individualized preventive care recommendations	56.6% (54.1% to 59.1%)
	• Would definitely consider discussing individualized preventive care recommendations with a nurse	44.5%(42.3% to 46.7%)

CI, confidence interval; FG, focus group.

^aThis table summarizes key findings from the study. Unless otherwise noted, survey results show the proportion of participants choosing ≥6 on a 7-point Likert-type scale, adjusted for all variables in Table 1. See Appendix 1 for the focus group moderator guide and Appendix 2 for the survey.

^bAdjusted proportion of participants choosing the correct answer (out of six choices for males or seven choices for females).

^cModified SDM-Q-9 questionnaire. Pronouns were individualized for each respondent’s self-reported sex.