Decision Support with the Personal Patient Profile-Prostate: A Multicenter Randomized Trial
| العنوان: | Decision Support with the Personal Patient Profile-Prostate: A Multicenter Randomized Trial |
|---|---|
| المؤلفون: | Leslie Wilson, Seth Wolpin, Mitchell H. Sokoloff, Tracey L. Krupski, Peter Chang, Quoc-Dien Trinh, Christopher P. Filson, Randy A. Jones, Julia H. Hayes, Traci M. Blonquist, Viraj A. Master, Donna L. Berry, Fangxin Hong, Gary W. Chien, Prabhakara Somayaji, Martin G. Sanda, Barbara Halpenny |
| المصدر: | The Journal of urology, vol 199, iss 1 |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Urologic Diseases, Adult, Male, medicine.medical_specialty, Decision support system, Randomization, Urology, Biopsy, Clinical Trials and Supportive Activities, Clinical Sciences, Decisional conflict, Coaching, Health informatics, prostatic neoplasms, Article, law.invention, Decision Support Techniques, 03 medical and health sciences, Prostate cancer, 0302 clinical medicine, Randomized controlled trial, law, Clinical Research, Intervention (counseling), Surveys and Questionnaires, Behavioral and Social Science, medicine, medical informatics, Humans, 030212 general & internal medicine, Cancer, Aged, Demography, Internet, business.industry, Prevention, Prostate Cancer, Prostate, Prostatic Neoplasms, Urology & Nephrology, Middle Aged, medicine.disease, planning techniques, United States, 030220 oncology & carcinogenesis, Family medicine, Patient Safety, business, Algorithms |
| الوصف: | PurposeWe evaluated the efficacy of the web based P3P (Personal Patient Profile-Prostate) decision aid vs usual care with regard to decisional conflict in men with localized prostate cancer.Materials and methodsA randomized (1:1), controlled, parallel group, nonblinded trial was performed in 4 regions of the United States. Eligible men had clinically localized prostate cancer and an upcoming consultation, and they spoke and read English or Spanish. Participants answered questionnaires to report decision making stage, personal characteristics, concerns and preferences plus baseline symptoms and decisional conflict. A randomization algorithm allocated participants to receive tailored education and communication coaching, generic teaching sheets and external websites plus a 1-page summary to clinicians (intervention) or the links plus materials provided in clinic (usual care). Conflict outcomes and the number of consultations were measured at 1 month. Univariate and multivariable models were used to analyze outcomes.ResultsA total of 392 men were randomized, including 198 to intervention and 194 to usual care, of whom 152 and 153, respectively, returned 1-month outcomes. The mean ± SD 1-month decisional conflict scale (score range 0 to 100) was 10.9 ± 16.7 for intervention and 9.9 ± 18.0 for usual care. The multivariable model revealed significantly reduced conflict in the intervention group (-5.00, 95% CI -9.40--0.59). Other predictors of conflict included income, marital or partner status, decision status, number of consultations, clinical site and D'Amico risk classification.ConclusionsIn this multicenter trial the decision aid significantly reduced decisional conflict. Other variables impacted conflict and modified the effect of the decision aid, notably risk classification, consultations and resources. P3P is an effective adjunct for shared decision making in men with localized prostate cancer. |
| وصف الملف: | application/pdf |
| تدمد: | 1527-3792 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c39e38b46b73c7d2339455dbda3972fe https://pubmed.ncbi.nlm.nih.gov/29555541 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c39e38b46b73c7d2339455dbda3972fe |
| قاعدة البيانات: | OpenAIRE |
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