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Engaging Patients with Late-Stage Non-Small Cell Lung Cancer in Shared Decision Making about Treatment
| Content Provider | MDPI |
|---|---|
| Author | Myers, Ronald E. Advani, Shailesh M. Myers, Pamela Selvan, Preethi Garber, Gregory Worster, Brooke Flomenberg, Neal Chapman, Andrew Zinner, Ralph |
| Copyright Year | 2021 |
| Description | Few treatment decision support interventions (DSIs) are available to engage patients diagnosed with late-stage non-small cell lung cancer (NSCLC) in treatment shared decision making (SDM). We designed a novel DSI that includes care plan cards and a companion patient preference clarification tool to assist in shared decision making. The cards answer common patient questions about treatment options (chemotherapy, chemotherapy plus immunotherapy, targeted therapy, immunotherapy, clinical trial participation, and supportive care). The form elicits patient treatment preference. We then conducted interviews with clinicians and patients to obtain feedback on the DSI. We also trained oncology nurse educators to implement the prototype. Finally, we pilot tested the DSI among five patients with NSCLC at the beginning of an office visit scheduled to discuss treatment with an oncologist. Analyses of pilot study baseline and exit survey data showed that DSI use was associated with increased patient awareness of the alternatives’ treatment options and benefits/risks. In contrast, patient concern about treatment costs and uncertainty in treatment decision making decreased. All patients expressed a treatment preference. Future randomized controlled trials are needed to assess DSI implementation feasibility and efficacy in clinical care. |
| Starting Page | 998 |
| e-ISSN | 20754426 |
| DOI | 10.3390/jpm11100998 |
| Journal | Journal of Personalized Medicine |
| Issue Number | 10 |
| Volume Number | 11 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-10-01 |
| Access Restriction | Open |
| Subject Keyword | Journal of Personalized Medicine Medical Informatics Lung Cancer Shared-decision Making Treatment Decision Non-small Cell Lung Cancer Nsclc |
| Content Type | Text |
| Resource Type | Article |
