Shared decision-making with older adults with cancer: Adaptation of a model through literature review and expert opinion.

Autor: Gans EA; University Center of Geriatric Medicine, University Medical Center Groningen, Groningen, The Netherlands.; Knowledge Institute of the Dutch Association of Medical Specialists, Utrecht, The Netherlands., Pieterse AH; Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands., Klapwijk MS; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands., van Stiphout F; Department of Geriatric Internal Medicine, Meander Medical Center, Amersfoort, The Netherlands., van Steenbergen IJ; Department of Gerontology and Geriatrics, University Medical Center Utrecht, Utrecht, The Netherlands., Portielje JEA; Department of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands., de Groot JF; Knowledge Institute of the Dutch Association of Medical Specialists, Utrecht, The Netherlands., van Munster BC; University Center of Geriatric Medicine, University Medical Center Groningen, Groningen, The Netherlands., van den Bos F; Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2024 Jan; Vol. 33 (1), pp. e6291.
DOI: 10.1002/pon.6291
Abstrakt: Objective: To provide a literature overview of characteristics of Shared Decision Making (SDM) with specific importance to the older adult population with cancer and to tailor an existing model of SDM in patients with cancer to the needs of older adults.
Methods: A systematic search of several databases was conducted. Eligible studies described factors influencing SDM concerning cancer treatment with adults aged 65 years or above, with any type of cancer. We included qualitative or mixed-methods studies. Themes were identified and discussed in an expert panel, including a patient-representative, until consensus was reached on an adjusted model.
Results: Overall 29 studies were included and nine themes were identified from the literature. The themes related to the importance of goal setting, need for tailored information provision, the role of significant others, uncertainty of evidence, the importance of time during and outside of consultations, the possible ill-informed preconceptions that health care professionals (HCPs) might have about older adults and the specific competencies they need to engage in the SDM process with older adults. No new themes emerged from discussion with expert panel. This study presents a visual model of SDM with older patients with cancer based on the identified themes.
Conclusions: Our model shows key elements that are specific to SDM with older adults. Further research needs to focus on how to educate HCPs on the competencies needed to engage in SDM with older patients, and how to implement the model into everyday practice.
(© 2024 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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