Linking Patient Perceptions of Shared Decision Making to Satisfaction in Lung Cancer Screening Decisions

Stephanie A. Robinson, Anna M. Barker, Gemmae M. Fix, Marla L. Clayman, Abigail N. Herbst, Julie C. White and Renda Soylemez Wiener
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Stephanie A. Robinson: Center for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA
Anna M. Barker: Center for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA
Gemmae M. Fix: Center for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA
Marla L. Clayman: Center for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA
Abigail N. Herbst: Center for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA
Julie C. White: VA Boston Healthcare System, West Roxbury, MA, USA
Renda Soylemez Wiener: The Pulmonary Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA

Medical Decision Making, 2025, vol. 45, issue 5, 522-532

Abstract: Introduction Lung cancer is especially prevalent among US veterans, and lung cancer mortality can be reduced through lung cancer screening (LCS). LCS guidelines recommend shared decision making (SDM) to help patients weigh the benefits and harms of LCS and make informed, values-based decisions about screening. Yet some question whether SDM affects patient outcomes. This study evaluated US veterans’ perceptions of LCS SDM quality and its relationship with satisfaction in LCS decisions. Methods We administered surveys via mail and phone to veterans in the VA New England Healthcare Network after recent LCS conversations. SDM quality was measured using CollaboRATE, with top scores indicating high quality. Decision satisfaction was assessed using the Satisfaction with Decision scale. Generalized linear models analyzed associations between perceived SDM quality and decision satisfaction, adjusting for demographics, health, and overall care satisfaction. Results Among 1,033 patients who received surveys, 320 responded (31.0%), with 220 recalling the LCS conversation. Among those who answered the CollaboRATE questions, 34.0% (73/215) perceived SDM to be high quality (“top scorers†). Perceived high-quality SDM was significantly associated with greater decision satisfaction compared with lower perceived SDM quality (adjusted mean satisfaction on a 30-point scale = 26.75 v. 24.23; P

Keywords: ung cancer screening; shared-decision making; patient satisfaction; veterans; patient education materials (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:45:y:2025:i:5:p:522-532

DOI: 10.1177/0272989X251333451

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