Abstract
This study aimed to explore the effects of a decision support intervention (DSI) and shared decision making (SDM) on knowledge, perceptions about treatment, and treatment choice among men diagnosed with localized low-risk prostate cancer (PCa). At a multidisciplinary clinic visit, 30 consenting men with localized low-risk PCa completed a baseline survey, had a nurse-mediated online DS session to clarify preference for active surveillance (AS) or active treatment (AT), and met with clinicians for SDM. Participants also completed a follow-up survey at 30 days. We assessed change in treatment knowledge, decisional conflict, and perceptions and identified predictors of AS. At follow-up, participants exhibited increased knowledge (p < 0.001), decreased decisional conflict (p < 0.001), and more favorable perceptions of AS (p = 0.001). Furthermore, 25 of the 30 participants (83 %) initiated AS. Increased family and clinician support predicted this choice (p < 0.001). DSI/SDM prepared patients to make an informed decision. Perceived support of the decision facilitated patient choice of AS.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 180-185 |
| Number of pages | 6 |
| Journal | Journal of Cancer Education |
| Volume | 33 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 1 2018 |
| Externally published | Yes |
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Keywords
- Active surveillance
- Decision support interventions
- Prostate cancer
- Shared decision making
ASJC Scopus subject areas
- Oncology
- Public Health, Environmental and Occupational Health
Cite this
Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer : a Pilot Study. / Myers, Ronald E.; Leader, Amy E.; Hoffman-Censits, Jean; Trabulsi, Edouard J.; Keith, Scott W.; Petrich, Anett M.; Quinn, Anna M.; Den, Robert B.; Hurwitz, Mark D.; Lallas, Costas D.; Hegarty, Sarah E.; Dicker, Adam P.; Zeigler-Johnson, Charnita M.; Giri, Veda N.; Ayaz, Hasan; Gomella, Leonard G.
In: Journal of Cancer Education, Vol. 33, No. 1, 01.02.2018, p. 180-185.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer
T2 - a Pilot Study
AU - Myers, Ronald E.
AU - Leader, Amy E.
AU - Hoffman-Censits, Jean
AU - Trabulsi, Edouard J.
AU - Keith, Scott W.
AU - Petrich, Anett M.
AU - Quinn, Anna M.
AU - Den, Robert B.
AU - Hurwitz, Mark D.
AU - Lallas, Costas D.
AU - Hegarty, Sarah E.
AU - Dicker, Adam P.
AU - Zeigler-Johnson, Charnita M.
AU - Giri, Veda N.
AU - Ayaz, Hasan
AU - Gomella, Leonard G.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - This study aimed to explore the effects of a decision support intervention (DSI) and shared decision making (SDM) on knowledge, perceptions about treatment, and treatment choice among men diagnosed with localized low-risk prostate cancer (PCa). At a multidisciplinary clinic visit, 30 consenting men with localized low-risk PCa completed a baseline survey, had a nurse-mediated online DS session to clarify preference for active surveillance (AS) or active treatment (AT), and met with clinicians for SDM. Participants also completed a follow-up survey at 30 days. We assessed change in treatment knowledge, decisional conflict, and perceptions and identified predictors of AS. At follow-up, participants exhibited increased knowledge (p < 0.001), decreased decisional conflict (p < 0.001), and more favorable perceptions of AS (p = 0.001). Furthermore, 25 of the 30 participants (83 %) initiated AS. Increased family and clinician support predicted this choice (p < 0.001). DSI/SDM prepared patients to make an informed decision. Perceived support of the decision facilitated patient choice of AS.
AB - This study aimed to explore the effects of a decision support intervention (DSI) and shared decision making (SDM) on knowledge, perceptions about treatment, and treatment choice among men diagnosed with localized low-risk prostate cancer (PCa). At a multidisciplinary clinic visit, 30 consenting men with localized low-risk PCa completed a baseline survey, had a nurse-mediated online DS session to clarify preference for active surveillance (AS) or active treatment (AT), and met with clinicians for SDM. Participants also completed a follow-up survey at 30 days. We assessed change in treatment knowledge, decisional conflict, and perceptions and identified predictors of AS. At follow-up, participants exhibited increased knowledge (p < 0.001), decreased decisional conflict (p < 0.001), and more favorable perceptions of AS (p = 0.001). Furthermore, 25 of the 30 participants (83 %) initiated AS. Increased family and clinician support predicted this choice (p < 0.001). DSI/SDM prepared patients to make an informed decision. Perceived support of the decision facilitated patient choice of AS.
KW - Active surveillance
KW - Decision support interventions
KW - Prostate cancer
KW - Shared decision making
UR - http://www.scopus.com/inward/record.url?scp=84978802775&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978802775&partnerID=8YFLogxK
U2 - 10.1007/s13187-016-1073-7
DO - 10.1007/s13187-016-1073-7
M3 - Article
C2 - 27418065
AN - SCOPUS:84978802775
VL - 33
SP - 180
EP - 185
JO - Journal of Cancer Education
JF - Journal of Cancer Education
SN - 0885-8195
IS - 1
ER -