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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
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Nicolai, Jennifer
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Gschwendtner, Kathrin
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Müller, Nicole
;
Reuter, Katrin
;
Buchholz, Angela
;
Kallinowski, Birgit
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Härter, Martin
;
Eich, Wolfgang
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DOI:
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https://doi.org/10.1007/s13187-016-1146-7
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URL:
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https://link.springer.com/article/10.1007/s13187-0...
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Additional URL:
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https://www.researchgate.net/publication/311626484...
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Document Type:
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Article
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Year of publication:
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2018
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The title of a journal, publication series:
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Journal of Cancer Education
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Volume:
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33
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Issue number:
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3
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Page range:
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708-715
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Place of publication:
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New York, NY
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Publishing house:
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Springer
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ISSN:
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0885-8195 , 1543-0154
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Publication language:
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English
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Institution:
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School of Social Sciences > Kognitive Psychologie u. Differentielle Psychologie (Erdfelder 2002-2019)
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Subject:
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150 Psychology
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Abstract:
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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.
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 | Dieser Eintrag ist Teil der Universitätsbibliographie. |
 Search Authors in
BASE:
Bieber, Christiane
;
Nicolai, Jennifer
;
Gschwendtner, Kathrin
;
Müller, Nicole
;
Reuter, Katrin
;
Buchholz, Angela
;
Kallinowski, Birgit
;
Härter, Martin
;
Eich, Wolfgang
Google Scholar:
Bieber, Christiane
;
Nicolai, Jennifer
;
Gschwendtner, Kathrin
;
Müller, Nicole
;
Reuter, Katrin
;
Buchholz, Angela
;
Kallinowski, Birgit
;
Härter, Martin
;
Eich, Wolfgang
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