Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-making
Objective: Evidence-based decision support resources do not exist for persons with lung cancer. We sought to develop and refine a treatment decision support, or conversation tool, to improve shared decision-making (SDM). Methods: We conducted a multi-site study among patients with stage I-IV non-sma...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628222000796 |
| _version_ | 1828167728860495872 |
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| author | Sara E. Golden Natalie Disher Nathan F. Dieckmann Karen B. Eden Daniel Matlock Kelly C. Vranas Christopher G. Slatore Donald R. Sullivan |
| author_facet | Sara E. Golden Natalie Disher Nathan F. Dieckmann Karen B. Eden Daniel Matlock Kelly C. Vranas Christopher G. Slatore Donald R. Sullivan |
| author_sort | Sara E. Golden |
| collection | DOAJ |
| description | Objective: Evidence-based decision support resources do not exist for persons with lung cancer. We sought to develop and refine a treatment decision support, or conversation tool, to improve shared decision-making (SDM). Methods: We conducted a multi-site study among patients with stage I-IV non-small cell lung cancer (NSCLC) who completed or had ongoing lung cancer treatment using semi-structured, cognitive qualitative interviews to assess participant understanding of content. We used an integrated approach of deductive and inductive thematic analysis. Results: Twenty-seven patients with NSCLC participated. Participants with prior cancer experiences or those with family members with prior cancer experiences reported better preparedness for cancer treatment decision-making. All participants agreed the conversation tool would be helpful to clarify their thinking about values, comparisons, and goals of treatment, and to help patients communicate more effectively with their clinicians. Conclusion: Participants reported that the tool may empower them with confidence and agency to actively participate in cancer treatment SDM. The conversation tool was acceptable, comprehensible, and usable. Next steps will test effectiveness on patient-centered and decisional outcomes. Innovation: A personalized conversation tool using consequence tables and core SDM components is novel in that it can encourage a tailored, conversational dynamic and includes patient-centered values along with traditional decisional outcomes. |
| first_indexed | 2024-04-12T02:22:13Z |
| format | Article |
| id | doaj.art-598cdb16bb5747d392b3c46bd26625a9 |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-04-12T02:22:13Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-598cdb16bb5747d392b3c46bd26625a92022-12-22T03:52:06ZengElsevierPEC Innovation2772-62822022-12-011100094Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-makingSara E. Golden0Natalie Disher1Nathan F. Dieckmann2Karen B. Eden3Daniel Matlock4Kelly C. Vranas5Christopher G. Slatore6Donald R. Sullivan7Center to Improve Veteran Involvement in Care, VA Portland Health Care System (VAPORHCS), Portland, OR, USA; Corresponding author at: 3710 SW US Veterans Hospital Rd. R&D 66, Portland, OR 97239, USA.Center to Improve Veteran Involvement in Care, VA Portland Health Care System (VAPORHCS), Portland, OR, USASchool of Nursing, Oregon Health and Science University (OHSU), Portland, OR, USA; Division of Psychology, School of Medicine, OHSU, Portland, OR, USADepartment of Medical Informatics and Clinic Epidemiology, OHSU, Portland, OR, USADivision of Geriatric Medicine, University of Colorado School of Medicine, Aurora, CO, USA; Eastern Colorado Geriatric Research Education and Clinical Center, Denver, CO, USACenter to Improve Veteran Involvement in Care, VA Portland Health Care System (VAPORHCS), Portland, OR, USA; Section of Pulmonary and Critical Care Medicine, VAPORHCS, Portland, OR, USA; Division of Pulmonary, Allergy, and Critical Care Medicine, OHSU, Portland, OR, USACenter to Improve Veteran Involvement in Care, VA Portland Health Care System (VAPORHCS), Portland, OR, USA; Section of Pulmonary and Critical Care Medicine, VAPORHCS, Portland, OR, USA; Division of Pulmonary, Allergy, and Critical Care Medicine, OHSU, Portland, OR, USACenter to Improve Veteran Involvement in Care, VA Portland Health Care System (VAPORHCS), Portland, OR, USA; Division of Pulmonary, Allergy, and Critical Care Medicine, OHSU, Portland, OR, USA; Cancer Prevention and Control Program, Knight Cancer Institute, OHSU, Portland, OR, USAObjective: Evidence-based decision support resources do not exist for persons with lung cancer. We sought to develop and refine a treatment decision support, or conversation tool, to improve shared decision-making (SDM). Methods: We conducted a multi-site study among patients with stage I-IV non-small cell lung cancer (NSCLC) who completed or had ongoing lung cancer treatment using semi-structured, cognitive qualitative interviews to assess participant understanding of content. We used an integrated approach of deductive and inductive thematic analysis. Results: Twenty-seven patients with NSCLC participated. Participants with prior cancer experiences or those with family members with prior cancer experiences reported better preparedness for cancer treatment decision-making. All participants agreed the conversation tool would be helpful to clarify their thinking about values, comparisons, and goals of treatment, and to help patients communicate more effectively with their clinicians. Conclusion: Participants reported that the tool may empower them with confidence and agency to actively participate in cancer treatment SDM. The conversation tool was acceptable, comprehensible, and usable. Next steps will test effectiveness on patient-centered and decisional outcomes. Innovation: A personalized conversation tool using consequence tables and core SDM components is novel in that it can encourage a tailored, conversational dynamic and includes patient-centered values along with traditional decisional outcomes.http://www.sciencedirect.com/science/article/pii/S2772628222000796Lung neoplasmDecision support techniquesQualitative research |
| spellingShingle | Sara E. Golden Natalie Disher Nathan F. Dieckmann Karen B. Eden Daniel Matlock Kelly C. Vranas Christopher G. Slatore Donald R. Sullivan Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-making PEC Innovation Lung neoplasm Decision support techniques Qualitative research |
| title | Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-making |
| title_full | Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-making |
| title_fullStr | Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-making |
| title_full_unstemmed | Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-making |
| title_short | Show me the roads and give me a road map: Development of a patient conversation tool to improve lung cancer treatment decision-making |
| title_sort | show me the roads and give me a road map development of a patient conversation tool to improve lung cancer treatment decision making |
| topic | Lung neoplasm Decision support techniques Qualitative research |
| url | http://www.sciencedirect.com/science/article/pii/S2772628222000796 |
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