Decision aid and cost compensation influence uptake of PSA-based early detection without affecting decisional conflict: a cluster randomised trial

Autor: Tiedje, Dorothee, Borowski, Matthias, Simbrich, Alexandra, Schlößler, Kathrin, Kruse, Klaus, Bothe, Christiane, Kuss, Katrin, Adarkwah-Yiadom, Charles Christian, Maisel, Peter, Jendyk, Ralf M., Kurosinski, Marc-André, Gerß, Joachim, Tschuschke, Christian, Becker, Ralf, Roobol, Monique J., Bangma, Chris H., Hense, Hans‑Werner, Donner-Banzhoff, Norbert, Semjonow, Axel
Přispěvatelé: Urology, Universitäts- und Landesbibliothek Münster
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Scientific Reports, 11(1):23503. Nature Publishing Group
Scientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
Scientific Reports
ISSN: 2045-2322
Popis: International guidelines recommend to inform men about the benefits and harms of prostate specific antigen (PSA) based early detection of prostate cancer. This study investigates the influence of a transactional decision aid (DA) or cost compensation (CC) for a PSA test on the decisional behaviour of men. Prospective, cluster-randomised trial to compare two interventions in a 2 × 2 factorial design: DA versus counselling as usual, and CC versus noCC for PSA-testing. 90 cluster-randomised physicians in the administrative district of Muenster, Germany recruited 962 participants aged 55–69 yrs. in 2018. Primary endpoint: the influence of the DA and CC on the decisional conflict. Secondary endpoints: factors which altered the involvement of the men regarding their decision to take a PSA-test. The primary endpoint was analysed by a multivariate regression model. The choice to take the PSA test was increased by CC and reduced by the DA, the latter also reduced PSA uptake in men who were offered CC. The DA led to an increase of the median knowledge about early detection, changed willingness to perform a PSA test without increasing the level of shared decision, giving participants a stronger feeling of having made the decision by themselves. The DA did not alter the decisional conflict, as it was very low in all study groups. DA reduced and CC increased the PSA uptake. The DA seemed to have a greater impact on the participants than CC, as it led to fewer PSA tests even if CC was granted.
Finanziert über die DEAL-Vereinbarung mit Wiley 2019-2022.
Databáze: OpenAIRE
Externí odkaz: