Preparing Patients with Early Stage Prostate Cancer to Participate in Clinical Appointments Using a Shared Decision Making Training Video
Karen Scherr,
Rebecca K. Delaney,
Peter Ubel,
Valerie C. Kahn,
Daniel Hamstra,
John T. Wei and
Angela Fagerlin
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Karen Scherr: Department of Family Medicine and Community Health, Duke University, Durham, NC, USA
Rebecca K. Delaney: Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA
Peter Ubel: Stanford School of Public Policy, Duke University, Durham, NC, USA
Valerie C. Kahn: Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, USA
Daniel Hamstra: Department of Radiation Oncology, Oakland University William Beaumont School of Medicine, Auburn Hills, MI, USA
John T. Wei: Department of Urology, University of Michigan, Ann Arbor, MI, USA
Angela Fagerlin: Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA
Medical Decision Making, 2022, vol. 42, issue 3, 364-374
Abstract:
Background Rates of shared decision making (SDM) are relatively low in early stage prostate cancer decisions, as patients’ values are not well integrated into a preference-sensitive treatment decision. The study objectives were to develop a SDM training video, measure usability and satisfaction, and determine the effect of the intervention on preparing patients to participate in clinical appointments. Methods A randomized controlled trial was conducted to compare a plain-language decision aid (DA) to the DA plus a patient SDM training video. Patients with early stage prostate cancer completed survey measures at baseline and after reviewing the intervention materials. Survey items assessed patients’ knowledge, beliefs related to SDM, and perceived readiness/intention to participate in their upcoming clinical appointment. Results Of those randomized to the DA + SDM video group, most participants (91%) watched the video and 93% would recommend the video to others. Participants in the DA + SDM video group, compared to the DA-only group, reported an increased desire to participate in the decision (mean = 3.65 v. 3.39, P
Keywords: communication skills; decision aid; patient engagement; prostate cancer; shared decision making (search for similar items in EconPapers)
Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:42:y:2022:i:3:p:364-374
DOI: 10.1177/0272989X211028563
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