Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer: a Pilot Study

Ronald E. Myers; Amy E. Leader; Jean Hoffman Censits; Edouard J. Trabulsi; Scott W. Keith; Anett M. Petrich; Anna M. Quinn; Robert B. Den; Mark D. Hurwitz; Costas D. Lallas; Sarah E. Hegarty; Adam P. Dicker; Charnita M. Zeigler-Johnson; Veda N. Giri; Hasan Ayaz; Leonard G. Gomella

doi:10.1007/s13187-016-1073-7

Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer: a Pilot Study

Ronald E. Myers, Amy E. Leader, Jean Hoffman Censits, Edouard J. Trabulsi, Scott W. Keith, Anett M. Petrich, Anna M. Quinn, Robert B. Den, Mark D. Hurwitz, Costas D. Lallas, Sarah E. Hegarty, Adam P. Dicker, Charnita M. Zeigler-Johnson, Veda N. Giri, Hasan Ayaz, Leonard G. Gomella

Research output: Contribution to journal › Article › peer-review

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	https://doi.org/10.1007/s13187-016-1073-7
State	Published - Feb 1 2018
Externally published	Yes

Keywords

Active surveillance
Decision support interventions
Prostate cancer
Shared decision making

ASJC Scopus subject areas

Oncology
Public Health, Environmental and Occupational Health

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10.1007/s13187-016-1073-7

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Myers, R. E., Leader, A. E., Censits, J. H., Trabulsi, E. J., Keith, S. W., Petrich, A. M., Quinn, A. M., Den, R. B., Hurwitz, M. D., Lallas, C. D., Hegarty, S. E., Dicker, A. P., Zeigler-Johnson, C. M., Giri, V. N., Ayaz, H., & Gomella, L. G. (2018). Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer: a Pilot Study. Journal of Cancer Education, 33(1), 180-185. https://doi.org/10.1007/s13187-016-1073-7

Myers, RE, Leader, AE, Censits, JH, Trabulsi, EJ, Keith, SW, Petrich, AM, Quinn, AM, Den, RB, Hurwitz, MD, Lallas, CD, Hegarty, SE, Dicker, AP, Zeigler-Johnson, CM, Giri, VN, Ayaz, H & Gomella, LG 2018, 'Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer: a Pilot Study', Journal of Cancer Education, vol. 33, no. 1, pp. 180-185. https://doi.org/10.1007/s13187-016-1073-7

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title = "Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer: a Pilot Study",

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.",

keywords = "Active surveillance, Decision support interventions, Prostate cancer, Shared decision making",

author = "Myers, {Ronald E.} and Leader, {Amy E.} and Censits, {Jean Hoffman} and Trabulsi, {Edouard J.} and Keith, {Scott W.} and Petrich, {Anett M.} and Quinn, {Anna M.} and Den, {Robert B.} and Hurwitz, {Mark D.} and Lallas, {Costas D.} and Hegarty, {Sarah E.} and Dicker, {Adam P.} and Zeigler-Johnson, {Charnita M.} and Giri, {Veda N.} and Hasan Ayaz and Gomella, {Leonard G.}",

note = "Funding Information: Acknowledgment This project was funded, in part, under a grant with the Pennsylvania Department of Health (SAP No. 41000062221). The Department specifically disclaims responsibility for any analyses, interpretations, or conclusions. Funding Information: This project was funded, in part, under a grant with the Pennsylvania Department of Health (SAP No. 41000062221). The Department specifically disclaims responsibility for any analyses, interpretations, or conclusions. This study was approved by the Thomas Jefferson University Institutional Review Board. Publisher Copyright: {\textcopyright} 2016, American Association for Cancer Education.",

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doi = "10.1007/s13187-016-1073-7",

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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 - Censits, Jean Hoffman

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.

N1 - Funding Information: Acknowledgment This project was funded, in part, under a grant with the Pennsylvania Department of Health (SAP No. 41000062221). The Department specifically disclaims responsibility for any analyses, interpretations, or conclusions. Funding Information: This project was funded, in part, under a grant with the Pennsylvania Department of Health (SAP No. 41000062221). The Department specifically disclaims responsibility for any analyses, interpretations, or conclusions. This study was approved by the Thomas Jefferson University Institutional Review Board. Publisher Copyright: © 2016, American Association for Cancer Education.

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.

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KW - Prostate cancer

KW - Shared decision making

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ER -

Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer: a Pilot Study

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Keywords

ASJC Scopus subject areas

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