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Preparing Patients with Early Stage Prostate Cancer to Participate in Clinical Appointments Using a Shared Decision Making Training Video

Author

Listed:
  • Karen Scherr

    (Department of Family Medicine and Community Health, Duke University, Durham, NC, USA)

  • Rebecca K. Delaney

    (Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA)

  • Peter Ubel

    (Stanford School of Public Policy, Duke University, Durham, NC, USA)

  • Valerie C. Kahn

    (Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, USA)

  • Daniel Hamstra

    (Department of Radiation Oncology, Oakland University William Beaumont School of Medicine, Auburn Hills, MI, USA)

  • John T. Wei

    (Department of Urology, University of Michigan, Ann Arbor, MI, USA)

  • Angela Fagerlin

    (Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA
    Salt Lake City VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), Salt Lake City, UT, USA)

Abstract

Background Rates of shared decision making (SDM) are relatively low in early stage prostate cancer decisions, as patients’ values are not well integrated into a preference-sensitive treatment decision. The study objectives were to develop a SDM training video, measure usability and satisfaction, and determine the effect of the intervention on preparing patients to participate in clinical appointments. Methods A randomized controlled trial was conducted to compare a plain-language decision aid (DA) to the DA plus a patient SDM training video. Patients with early stage prostate cancer completed survey measures at baseline and after reviewing the intervention materials. Survey items assessed patients’ knowledge, beliefs related to SDM, and perceived readiness/intention to participate in their upcoming clinical appointment. Results Of those randomized to the DA + SDM video group, most participants (91%) watched the video and 93% would recommend the video to others. Participants in the DA + SDM video group, compared to the DA-only group, reported an increased desire to participate in the decision (mean = 3.65 v. 3.39, P

Suggested Citation

  • Karen Scherr & Rebecca K. Delaney & Peter Ubel & Valerie C. Kahn & Daniel Hamstra & John T. Wei & Angela Fagerlin, 2022. "Preparing Patients with Early Stage Prostate Cancer to Participate in Clinical Appointments Using a Shared Decision Making Training Video," Medical Decision Making, , vol. 42(3), pages 364-374, April.
    • Handle: RePEc:sae:medema:v:42:y:2022:i:3:p:364-374
    DOI: 10.1177/0272989X211028563
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    References listed on IDEAS

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    1. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1997. "Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)," Social Science & Medicine, Elsevier, vol. 44(5), pages 681-692, March.
    2. Karen A. Scherr & Angela Fagerlin & Timothy Hofer & Laura D. Scherer & Margaret Holmes-Rovner & Lillie D. Williamson & Valerie C. Kahn & Jeffrey S. Montgomery & Kirsten L. Greene & Biqi Zhang & Peter , 2017. "Physician Recommendations Trump Patient Preferences in Prostate Cancer Treatment Decisions," Medical Decision Making, , vol. 37(1), pages 56-69, January.
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