How does a Shared Decision-Making (SDM) intervention for oncologists affect participation style and preference matching in patients with breast and colon cancer?


Bieber, Christiane ; Nicolai, Jennifer ; Gschwendtner, Kathrin ; Müller, Nicole ; Reuter, Katrin ; Buchholz, Angela ; Kallinowski, Birgit ; Härter, Martin ; Eich, Wolfgang



DOI: https://doi.org/10.1007/s13187-016-1146-7
URL: https://link.springer.com/article/10.1007/s13187-0...
Weitere URL: https://www.researchgate.net/publication/311626484...
Dokumenttyp: Zeitschriftenartikel
Erscheinungsjahr: 2018
Titel einer Zeitschrift oder einer Reihe: Journal of Cancer Education
Band/Volume: 33
Heft/Issue: 3
Seitenbereich: 708-715
Ort der Veröffentlichung: New York, NY
Verlag: Springer
ISSN: 0885-8195 , 1543-0154
Sprache der Veröffentlichung: Englisch
Einrichtung: Fakultät für Sozialwissenschaften > Kognitive Psychologie u. Differentielle Psychologie (Erdfelder 2002-2019)
Fachgebiet: 150 Psychologie
Abstract: The aims of this study are to assess patients’ preferred and perceived decision-making roles and preference matching in a sample of German breast and colon cancer patients and to investigate how a shared decision-making (SDM) intervention for oncologists influences patients’ preferred and perceived decision-making roles and the attainment of preference matches. This study is a post hoc analysis of a randomised controlled trial (RCT) on the effects of an SDM intervention. The SDM intervention was a 12-h SDM training program for physicians in combination with decision board use. For this study, we analysed a subgroup of 107 breast and colon cancer patients faced with serious treatment decisions who provided data on specific questionnaires with regard to their preferred and perceived decision-making roles (passive, SDM or active). Patients filled in questionnaires immediately following a decision-relevant consultation (t1) with their oncologist. Eleven of these patients’ 27 treating oncologists had received the SDM intervention within the RCT. A majority of cancer patients (60%) preferred SDM. A match between preferred and perceived decision-making roles was reached for 72% of patients. The patients treated by SDM-trained physicians perceived greater autonomy in their decision making (p < 0.05) with more patients perceiving SDM or an active role, but their preference matching was not influenced. A SDM intervention for oncologists boosted patient autonomy but did not improve preference matching. This highlights the already well-known reluctance of physicians to engage in explicit role clarification.




Dieser Eintrag ist Teil der Universitätsbibliographie.




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