Aiding shared decision making in lung cancer screening: two decision tools

Abstract

Background Shared decision making (SDM) preceding lung cancer screening is important for populations that are underrepresented in lung cancer screening trials. Current evidence-based guidelines; however, do not address personal risk and outcomes in underrepresented populations. This study compared two SDM decision aids (Option Grids and Shouldiscreen.com) for SDM efficacy, decision regret and knowledge. Methods We conducted a prospective trial of lung cancer screening patients (N = 237) randomized to SDM with Option Grids or Shouldiscreen.com. To evaluate the SDM process after lung cancer screening, patients answered two questionnaires: CollaboRATE and Decision Regret. Patients also completed a questionnaire to test their knowledge of lung cancer screening. Results Patients were predominantly African American (61.6%), though multiple races, varying education levels and equal genders were represented. Patients in both Option Grids and Shouldiscreen.com groups reported favorable SDM experiences (P = 0.60) and equivalent knowledge about lung cancer screening (P = 0.43). Patients using Shouldiscreen.com had less knowledge regarding the potential complications of subsequent testing (P = 0.02). Shouldiscreen.com patients had increased regret regarding their decision to pursue screening (P = 0.02). Conclusions Option Grids and Shouldiscreen.com both facilitated a meaningful SDM process. However, Option Grids patients experienced decreased decision regret and enhanced knowledge of the potential complications of screening.

Communication tools and patient satisfaction: A scoping review

“…Core specialization fields are esthetic and reconstructive surgery, as well as cancer therapy. In cancer therapy, patient involvement by SDM is very well established, and rapidly increasing with the use of new patient‐doctor communication technologies 47,48 …”

“…In cancer therapy, patient involvement by SDM is very well established, and rapidly increasing with the use of new patient-doctor communication technologies. 47,48 Whereas, in dental medicine, the implementation of communication tools in esthetics remains limited chiefly to conventional verbal communication. However, two studies used additional tools for…”

“…In cancer therapy, patient involvement by SDM is very well established, and rapidly increasing with the use of new patient‐doctor communication technologies. 47 , 48 …”

Influencing factors of lung cancer patients' participation in shared decision-making: a cross-sectional study

“…Currently, treatment option grids are used in a wide range of diseases, such as breast cancer, knee joint arthritis, prostate cancer [36][37][38]. Study con rmed that the application of option grids in lung cancer screening could lead to better SDM experience and advanced knowledge of lung cancer screening [39]. With advances in medicine and the popularity of SDM, it is imperative to encourage lung cancer patients to participate in SDM.…”

A prospective study of shared decision-making in brain tumor surgery

“…Decision grids facilitate the SDM process [14,15,23,31,38,[42][43][44]. They can help in simplification and stratification of the amount of information given to patients in difficult situations.…”