Aiding shared decision making in lung cancer screening: two decision tools
| Autor: | Zachary Boynton, Verdi J. DiSesa, Shelby Sferra, Cherie P. Erkmen, Larry R. Kaiser, Grace X. Ma, Joyce Cheng |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Decision support system medicine.medical_specialty Lung Neoplasms Decision Making Decision Support Techniques 03 medical and health sciences 0302 clinical medicine medicine Decision aids Humans Prospective Studies 030212 general & internal medicine Early Detection of Cancer African american business.industry Public Health Environmental and Occupational Health Regret General Medicine Test (assessment) Prospective trial 030220 oncology & carcinogenesis Family medicine Female Original Article Patient Participation business Decision Making Shared Lung cancer screening |
| Zdroj: | J Public Health (Oxf) |
| ISSN: | 1741-3850 1741-3842 |
| DOI: | 10.1093/pubmed/fdaa063 |
| Popis: | Background Shared decision making (SDM) preceding lung cancer screening is important for populations that are underrepresented in lung cancer screening trials. Current evidence-based guidelines; however, do not address personal risk and outcomes in underrepresented populations. This study compared two SDM decision aids (Option Grids and Shouldiscreen.com) for SDM efficacy, decision regret and knowledge. Methods We conducted a prospective trial of lung cancer screening patients (N = 237) randomized to SDM with Option Grids or Shouldiscreen.com. To evaluate the SDM process after lung cancer screening, patients answered two questionnaires: CollaboRATE and Decision Regret. Patients also completed a questionnaire to test their knowledge of lung cancer screening. Results Patients were predominantly African American (61.6%), though multiple races, varying education levels and equal genders were represented. Patients in both Option Grids and Shouldiscreen.com groups reported favorable SDM experiences (P = 0.60) and equivalent knowledge about lung cancer screening (P = 0.43). Patients using Shouldiscreen.com had less knowledge regarding the potential complications of subsequent testing (P = 0.02). Shouldiscreen.com patients had increased regret regarding their decision to pursue screening (P = 0.02). Conclusions Option Grids and Shouldiscreen.com both facilitated a meaningful SDM process. However, Option Grids patients experienced decreased decision regret and enhanced knowledge of the potential complications of screening. |
| Databáze: | OpenAIRE |
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