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Unexpected Outcomes of Measuring Decision Regret: Using a Breast Cancer Decision-Making Case Example

Author

Listed:
  • Kelly Oman

    (Washington University in St. Louis)

  • Marie-Anne Durand

    (Dartmouth College, The Dartmouth Institute for Health Policy and Clinical Practice
    Université Toulouse III Paul Sabatier
    Unisanté, Centre Universitaire de Médecine Générale et Santé Publique)

  • Glyn Elwyn

    (Dartmouth College, The Dartmouth Institute for Health Policy and Clinical Practice)

  • Renata West Yen

    (Dartmouth College, The Dartmouth Institute for Health Policy and Clinical Practice)

  • Christine Marx

    (Washington University in St. Louis)

  • Mary C. Politi

    (Washington University in St. Louis)

Abstract

Shared decision making can help patients feel supported and empowered when deciding between healthcare options. Decision regret can be a meaningful measure of the quality of that encounter. However, in a patient-engaged research study examining shared decision making for breast cancer surgery, decision regret was a difficult construct to assess, and asking questions about decision regret caused the patient to experience that emotion upon reflection. In this article, we consider the complexity of decision regret, and discuss the difficulty of measuring that emotion through existing instruments. We call for clarity in definitions of decision regret and offer suggestions for developing a set of questions that can capture regret in a more meaningful way.

Suggested Citation

  • Kelly Oman & Marie-Anne Durand & Glyn Elwyn & Renata West Yen & Christine Marx & Mary C. Politi, 2022. "Unexpected Outcomes of Measuring Decision Regret: Using a Breast Cancer Decision-Making Case Example," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 15(2), pages 151-155, March.
    • Handle: RePEc:spr:patien:v:15:y:2022:i:2:d:10.1007_s40271-021-00543-x
    DOI: 10.1007/s40271-021-00543-x
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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. Zeelenberg, Marcel & Beattie, Jane & van der Pligt, Joop & de Vries, Nanne K., 1996. "Consequences of Regret Aversion: Effects of Expected Feedback on Risky Decision Making," Organizational Behavior and Human Decision Processes, Elsevier, vol. 65(2), pages 148-158, February.
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