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

Access to Document

10.1007/s13187-016-1073-7

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Myers, R. E., Leader, A. E., Hoffman-Censits, J., 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

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 › peer-review

Myers, RE, Leader, AE, Hoffman-Censits, J, 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

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. / Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer : a Pilot Study. In: Journal of Cancer Education. 2018 ; Vol. 33, No. 1. pp. 180-185.

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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.",

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