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 journalArticle

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 languageEnglish (US)
Pages (from-to)180-185
Number of pages6
JournalJournal of Cancer Education
Volume33
Issue number1
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

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Prostatic Neoplasms
Decision Making
Therapeutics
Ambulatory Care
Nurses
Conflict (Psychology)
Surveys and Questionnaires

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 journalArticle

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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