Should I take a statin? See 100 people like you.
A statin is a daily pill that lowers cholesterol. It can lower your chance of a heart attack or stroke. Let’s look at what that means for people like you.
1Tell us a little about you
We use this to pick a group of 100 people who are like you. Nothing is saved or sent.
Illustrative numbers — not medical advice Your doctor can use your real cholesterol and blood pressure numbers for a true estimate.
2Over the next 10 years…
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0have a heart attack or stroke
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0avoid one because they took a statin
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0do not have one either way
3What about side effects?
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1gets muscle aches caused by the statin. These usually go away if you stop or switch.
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<1is told they have diabetes a bit sooner. This is more likely if blood sugar is already high.
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Most people have no side effect from the statin.
- Illustrative — not medical advice
4What matters most to you?
There is no wrong answer. Slide to show what feels more important to you right now.
5Take this to your doctor
My questions about statinsSample Health Plan
6Check: did we explain it well?
This is a check on us, not on you. If something was unclear, we explain it again.
Why this works
- Icon arrays and natural frequencies. Showing risk as “12 out of 100 people” with pictures of people is easier to understand than percentages or relative risk. This is well-studied in risk communication (Zikmund-Fisher and colleagues; Garcia-Retamero and Galesic). We show both the “with” and “without” groups so the absolute difference is clear, not just a relative reduction.
- Patient decision aid elements. It shows options, benefits and harms with equal detail, and helps people clarify their values, in line with International Patient Decision Aid Standards (IPDAS). Cochrane reviews (Stacey et al.) find decision aids improve knowledge and accuracy of risk perception.
- Teach-back, built in. The check is framed as a test of our explanation, like the AHRQ teach-back method. Wrong answers get a plain re-explanation, then a second try.
- Multimedia principles (Mayer). Words and pictures together; read-aloud is optional and the user controls it.
Behavior Change Techniques (BCT Taxonomy v1): 5.1 Information about health consequences 9.2 Pros and cons 1.2 Problem solving 4.1 Instruction on how to perform the behavior 3.1 Social support (unspecified)
COM-B target: Capability (psychological — understanding absolute risk) and Reflective motivation (values-based choice). The goal is an informed choice, not a forced “yes”.
Persona tuned for: “Marcus, 58” — high blood pressure, distrusts pills, likes to see the numbers himself, reads at about a 6th-grade level.
How HealthLiteracyCopilot would make it: HealthLiteracyCopilot would generate the copy and structure from a decision-aid template; the risk model is supplied by the organization’s clinical team (never invented by AI). It would then be checked with an adapted PEMAT actionability rubric for interactive content, the CDC Clear Communication Index (numbers and risk items) and an IPDAS checklist, and tried with simulated “Marcus” readers (simulated participants, not patients) to find questions for human review. The Spanish version gets qualified human review.
What a pilot would measure: comprehension-check pass rate on first try; decisional conflict (SURE test) before/after; share of members who bring the card to a visit. Measures a pilot would track, not results or promised effects.