Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters

results from the Prostate Cancer Patient Centered Care trial

Maarten Cuypers*, Romy E. D. Lamers, Paul J. M. Kil, Lonneke V. van de Poll-Franse, Marieke de Vries

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Purpose 

To compare patients' evaluation of the treatment decision-making process in localized prostate cancer between counseling that included an online decision aid (DA) and standard counseling.

Methods 

Eighteen Dutch hospitals were randomized to DA counseling (n = 235) or the control group with standard counseling (n = 101) in a pragmatic, cluster randomized controlled trial. The DA was provided to patients at, or soon after diagnosis. Decisional conflict, involvement, knowledge, and satisfaction with information were assessed with a questionnaire after treatment decision-making. Anxiety and depression served as covariates.

Results 

The levels of decision involvement and conflict were comparable between patients in both groups. Patients with a DA felt more knowledgeable but scored equally well on a knowledge test as patients without a DA. Small significant negative effects were found on satisfaction with information and preparation for decision-making. A preference for print over online and depression and anxiety symptoms was negatively associated with satisfaction and conflict scores in the DA group.

Discussion 

The DA aimed to support shared decision-making, while outcomes for a majority of DA users were comparable to patients who received standard counseling. Patients, who are less comfortable with the online DA format or experience anxiety or depression symptoms, could require more guidance toward shared decision-making. To evaluate long-term DA effects, follow-up evaluation on treatment satisfaction and decisional regret will be done.

Original languageEnglish
Pages (from-to)3739-3748
JournalSupportive Care in Cancer
Volume26
Issue number11
DOIs
Publication statusPublished - 2018

Keywords

  • Shared decision-making
  • Decision aids
  • Prostate cancer
  • Oncology
  • Information provision
  • Patient-reported outcomes
  • QUALITY-OF-LIFE
  • ACTIVE SURVEILLANCE
  • INFORMATION PROVISION
  • CONFLICT SCALE
  • INTERNET USE
  • SATISFACTION
  • ANXIETY
  • VALIDATION
  • DEPRESSION
  • DIAGNOSIS

Cite this

@article{bad716400b4f482d96e30b3479d5e3e7,
title = "Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters: results from the Prostate Cancer Patient Centered Care trial",
abstract = "Purpose To compare patients' evaluation of the treatment decision-making process in localized prostate cancer between counseling that included an online decision aid (DA) and standard counseling.Methods Eighteen Dutch hospitals were randomized to DA counseling (n = 235) or the control group with standard counseling (n = 101) in a pragmatic, cluster randomized controlled trial. The DA was provided to patients at, or soon after diagnosis. Decisional conflict, involvement, knowledge, and satisfaction with information were assessed with a questionnaire after treatment decision-making. Anxiety and depression served as covariates.Results The levels of decision involvement and conflict were comparable between patients in both groups. Patients with a DA felt more knowledgeable but scored equally well on a knowledge test as patients without a DA. Small significant negative effects were found on satisfaction with information and preparation for decision-making. A preference for print over online and depression and anxiety symptoms was negatively associated with satisfaction and conflict scores in the DA group.Discussion The DA aimed to support shared decision-making, while outcomes for a majority of DA users were comparable to patients who received standard counseling. Patients, who are less comfortable with the online DA format or experience anxiety or depression symptoms, could require more guidance toward shared decision-making. To evaluate long-term DA effects, follow-up evaluation on treatment satisfaction and decisional regret will be done.",
keywords = "Shared decision-making, Decision aids, Prostate cancer, Oncology, Information provision, Patient-reported outcomes, QUALITY-OF-LIFE, ACTIVE SURVEILLANCE, INFORMATION PROVISION, CONFLICT SCALE, INTERNET USE, SATISFACTION, ANXIETY, VALIDATION, DEPRESSION, DIAGNOSIS",
author = "Maarten Cuypers and Lamers, {Romy E. D.} and Kil, {Paul J. M.} and {van de Poll-Franse}, {Lonneke V.} and {de Vries}, Marieke",
year = "2018",
doi = "10.1007/s00520-018-4236-8",
language = "English",
volume = "26",
pages = "3739--3748",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer",
number = "11",

}

Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters : results from the Prostate Cancer Patient Centered Care trial. / Cuypers, Maarten; Lamers, Romy E. D.; Kil, Paul J. M.; van de Poll-Franse, Lonneke V.; de Vries, Marieke.

In: Supportive Care in Cancer, Vol. 26, No. 11, 2018, p. 3739-3748.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Impact of a web-based prostate cancer treatment decision aid on patient-reported decision process parameters

T2 - results from the Prostate Cancer Patient Centered Care trial

AU - Cuypers, Maarten

AU - Lamers, Romy E. D.

AU - Kil, Paul J. M.

AU - van de Poll-Franse, Lonneke V.

AU - de Vries, Marieke

PY - 2018

Y1 - 2018

N2 - Purpose To compare patients' evaluation of the treatment decision-making process in localized prostate cancer between counseling that included an online decision aid (DA) and standard counseling.Methods Eighteen Dutch hospitals were randomized to DA counseling (n = 235) or the control group with standard counseling (n = 101) in a pragmatic, cluster randomized controlled trial. The DA was provided to patients at, or soon after diagnosis. Decisional conflict, involvement, knowledge, and satisfaction with information were assessed with a questionnaire after treatment decision-making. Anxiety and depression served as covariates.Results The levels of decision involvement and conflict were comparable between patients in both groups. Patients with a DA felt more knowledgeable but scored equally well on a knowledge test as patients without a DA. Small significant negative effects were found on satisfaction with information and preparation for decision-making. A preference for print over online and depression and anxiety symptoms was negatively associated with satisfaction and conflict scores in the DA group.Discussion The DA aimed to support shared decision-making, while outcomes for a majority of DA users were comparable to patients who received standard counseling. Patients, who are less comfortable with the online DA format or experience anxiety or depression symptoms, could require more guidance toward shared decision-making. To evaluate long-term DA effects, follow-up evaluation on treatment satisfaction and decisional regret will be done.

AB - Purpose To compare patients' evaluation of the treatment decision-making process in localized prostate cancer between counseling that included an online decision aid (DA) and standard counseling.Methods Eighteen Dutch hospitals were randomized to DA counseling (n = 235) or the control group with standard counseling (n = 101) in a pragmatic, cluster randomized controlled trial. The DA was provided to patients at, or soon after diagnosis. Decisional conflict, involvement, knowledge, and satisfaction with information were assessed with a questionnaire after treatment decision-making. Anxiety and depression served as covariates.Results The levels of decision involvement and conflict were comparable between patients in both groups. Patients with a DA felt more knowledgeable but scored equally well on a knowledge test as patients without a DA. Small significant negative effects were found on satisfaction with information and preparation for decision-making. A preference for print over online and depression and anxiety symptoms was negatively associated with satisfaction and conflict scores in the DA group.Discussion The DA aimed to support shared decision-making, while outcomes for a majority of DA users were comparable to patients who received standard counseling. Patients, who are less comfortable with the online DA format or experience anxiety or depression symptoms, could require more guidance toward shared decision-making. To evaluate long-term DA effects, follow-up evaluation on treatment satisfaction and decisional regret will be done.

KW - Shared decision-making

KW - Decision aids

KW - Prostate cancer

KW - Oncology

KW - Information provision

KW - Patient-reported outcomes

KW - QUALITY-OF-LIFE

KW - ACTIVE SURVEILLANCE

KW - INFORMATION PROVISION

KW - CONFLICT SCALE

KW - INTERNET USE

KW - SATISFACTION

KW - ANXIETY

KW - VALIDATION

KW - DEPRESSION

KW - DIAGNOSIS

U2 - 10.1007/s00520-018-4236-8

DO - 10.1007/s00520-018-4236-8

M3 - Article

VL - 26

SP - 3739

EP - 3748

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 11

ER -