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) |
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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 |
Keywords
- Active surveillance
- Decision support interventions
- Prostate cancer
- Shared decision making
ASJC Scopus subject areas
- Oncology
- Public Health, Environmental and Occupational Health