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Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters: results from the Prostate Cancer Patient Centered Care trial.
Support Care Cancer. 2018 Nov; 26(11):3739-3748.SC

Abstract

PURPOSE

To compare patients' evaluation of the treatment decision-making process in localized prostate cancer between counseling that included an online decision aid (DA) and standard counseling.

METHODS

Eighteen Dutch hospitals were randomized to DA counseling (n = 235) or the control group with standard counseling (n = 101) in a pragmatic, cluster randomized controlled trial. The DA was provided to patients at, or soon after diagnosis. Decisional conflict, involvement, knowledge, and satisfaction with information were assessed with a questionnaire after treatment decision-making. Anxiety and depression served as covariates.

RESULTS

The levels of decision involvement and conflict were comparable between patients in both groups. Patients with a DA felt more knowledgeable but scored equally well on a knowledge test as patients without a DA. Small significant negative effects were found on satisfaction with information and preparation for decision-making. A preference for print over online and depression and anxiety symptoms was negatively associated with satisfaction and conflict scores in the DA group.

DISCUSSION

The DA aimed to support shared decision-making, while outcomes for a majority of DA users were comparable to patients who received standard counseling. Patients, who are less comfortable with the online DA format or experience anxiety or depression symptoms, could require more guidance toward shared decision-making. To evaluate long-term DA effects, follow-up evaluation on treatment satisfaction and decisional regret will be done.

Authors+Show Affiliations

Department of Social Psychology, Tilburg University, Warandelaan 2, 5037 AB, Tilburg, The Netherlands. M.Cuypers@uvt.nl.Department of Urology, Elisabeth-Tweesteden Hospital, Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands.Department of Urology, Elisabeth-Tweesteden Hospital, Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands.CoRPS - Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, Warandelaan 2, 5037 AB, Tilburg, The Netherlands. Comprehensive Cancer Organisation Netherlands, Zernikestraat 29, 5612 HZ, Eindhoven, The Netherlands. Department of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Plesmanlaan 121, 1066, CX, Amsterdam, The Netherlands.Institute for Computing and Information Sciences (iCIS) & Social and Cultural Psychology, Behavioural Science Institute, Radboud University, Mercator I, Toernooiveld 216, 6525 EC, Nijmegen, The Netherlands.

Pub Type(s)

Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial

Language

eng

PubMed ID

29752528

Citation

Cuypers, Maarten, et al. "Impact of a Web-based Prostate Cancer Treatment Decision Aid On Patient-reported Decision Process Parameters: Results From the Prostate Cancer Patient Centered Care Trial." Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, vol. 26, no. 11, 2018, pp. 3739-3748.
Cuypers M, Lamers RED, Kil PJM, et al. Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters: results from the Prostate Cancer Patient Centered Care trial. Support Care Cancer. 2018;26(11):3739-3748.
Cuypers, M., Lamers, R. E. D., Kil, P. J. M., van de Poll-Franse, L. V., & de Vries, M. (2018). Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters: results from the Prostate Cancer Patient Centered Care trial. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 26(11), 3739-3748. https://doi.org/10.1007/s00520-018-4236-8
Cuypers M, et al. Impact of a Web-based Prostate Cancer Treatment Decision Aid On Patient-reported Decision Process Parameters: Results From the Prostate Cancer Patient Centered Care Trial. Support Care Cancer. 2018;26(11):3739-3748. PubMed PMID: 29752528.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters: results from the Prostate Cancer Patient Centered Care trial. AU - Cuypers,Maarten, AU - Lamers,Romy E D, AU - Kil,Paul J M, AU - van de Poll-Franse,Lonneke V, AU - de Vries,Marieke, Y1 - 2018/05/12/ PY - 2017/08/17/received PY - 2018/04/26/accepted PY - 2018/5/13/pubmed PY - 2019/4/26/medline PY - 2018/5/13/entrez KW - Decision aids KW - Information provision KW - Oncology KW - Patient-reported outcomes KW - Prostate cancer KW - Shared decision-making SP - 3739 EP - 3748 JF - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JO - Support Care Cancer VL - 26 IS - 11 N2 - PURPOSE: To compare patients' evaluation of the treatment decision-making process in localized prostate cancer between counseling that included an online decision aid (DA) and standard counseling. METHODS: Eighteen Dutch hospitals were randomized to DA counseling (n = 235) or the control group with standard counseling (n = 101) in a pragmatic, cluster randomized controlled trial. The DA was provided to patients at, or soon after diagnosis. Decisional conflict, involvement, knowledge, and satisfaction with information were assessed with a questionnaire after treatment decision-making. Anxiety and depression served as covariates. RESULTS: The levels of decision involvement and conflict were comparable between patients in both groups. Patients with a DA felt more knowledgeable but scored equally well on a knowledge test as patients without a DA. Small significant negative effects were found on satisfaction with information and preparation for decision-making. A preference for print over online and depression and anxiety symptoms was negatively associated with satisfaction and conflict scores in the DA group. DISCUSSION: The DA aimed to support shared decision-making, while outcomes for a majority of DA users were comparable to patients who received standard counseling. Patients, who are less comfortable with the online DA format or experience anxiety or depression symptoms, could require more guidance toward shared decision-making. To evaluate long-term DA effects, follow-up evaluation on treatment satisfaction and decisional regret will be done. SN - 1433-7339 UR - https://www.unboundmedicine.com/medline/citation/29752528/Impact_of_a_web_based_prostate_cancer_treatment_decision_aid_on_patient_reported_decision_process_parameters:_results_from_the_Prostate_Cancer_Patient_Centered_Care_trial_ L2 - https://dx.doi.org/10.1007/s00520-018-4236-8 DB - PRIME DP - Unbound Medicine ER -