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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.
- Authors
Myers, Ronald E.; Leader, Amy E.; Censits, Jean Hoffman; 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.
- 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.
- Subjects
PROSTATE tumors treatment; PUBLIC health surveillance; EVALUATION of medical care; PILOT projects; RESEARCH; PATIENT participation; RESEARCH methodology; EVALUATION research; MEDICAL cooperation; COMPARATIVE studies; DECISION making; RESEARCH funding; PROSTATE tumors
- Publication
Journal of Cancer Education, 2018, Vol 33, Issue 1, p180
- ISSN
0885-8195
- Publication type
journal article
- DOI
10.1007/s13187-016-1073-7