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

Authors

• 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

Publication/Presentation Date

2-1-2018

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.

Volume

33

Issue

1

First Page

180

Last Page

185

ISSN

1543-0154

Published In/Presented At

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 : the official journal of the American Association for Cancer Education, 33(1), 180–185. https://doi.org/10.1007/s13187-016-1073-7

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

27418065

Department(s)

Administration and Leadership

Document Type

Article