Doing Versus Documenting Shared Decision-Making for Lung Cancer Screening—Are They the Same?

Lewis, Jennifer A.; Wiener, Renda Soylemez; Slatore, Christopher G.; Spalluto, Lucy B.

doi:10.1016/j.jacr.2022.03.019

Cited by 1 publication

(2 citation statements)

References 6 publications

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“…10,48 SDM interactions, as mandated in the USA for LCS, 49 should provide the opportunity for this high-value discussion-but data indicates this clinician-led conversation often does not take place. 50 Providers cite lack of time as a key barrier to effective SDM in practice for LCS, 51 therefore methods of SDM which can minimise hands-on clinician time may be important to consider. The review findings suggested that such interventions which reduce clinician time burden (e.g., group patient education classes or pre-perusal of decision aids before SDM conversations) can be effective in reducing decisional conflict, 28,38 though noting that other outcomes may be equally or more important in psychosocial burden reduction and evidence in this area is lacking.…”

Section: Opportunity For High-value Discussion and The Role Of Patien...mentioning

confidence: 99%

“…This aligns with evidence from breast and cervical screening programs highlighting patient preference for two‐way, verbal communication methods 10,48 . SDM interactions, as mandated in the USA for LCS, 49 should provide the opportunity for this high‐value discussion—but data indicates this clinician‐led conversation often does not take place 50 . Providers cite lack of time as a key barrier to effective SDM in practice for LCS, 51 therefore methods of SDM which can minimise hands‐on clinician time may be important to consider.…”

Section: Discussionmentioning

confidence: 99%

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Lung cancer screening program factors that influence psychosocial outcomes: A systematic review

McFadden,

Rankin,

Nickel

et al. 2023

Psycho-Oncology

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ObjectivesLung cancer screening (LCS) programs are being designed and implemented globally. Early data suggests that the psychosocial impacts of LCS are influenced by program factors, but evidence synthesis is needed. This systematic review aimed to elucidate the impact of service‐level factors on psychosocial outcomes to inform optimal LCS program design and future implementation.MethodsFour databases were searched from inception to July 2023. Inclusion criteria were full‐text articles published in English that reported an association between any program factors and psychosocial outcomes experienced during LCS. Study quality was appraised, and findings were synthesised narratively.ResultsThirty‐two articles were included; 29 studies were assessed at high or moderate risk of bias. Study designs were RCT (n = 3), pre‐post (n = 6), cross‐sectional (n = 12), mixed‐methods (n = 1), and qualitative (n = 10) studies, and conducted primarily in the USA (n = 25). Findings suggested that targeted interventions can improve smoking‐related or decisional psychosocial outcomes (e.g., smoking cessation interventions increase readiness/motivation to quit) but impacts of interventions on other psychological outcomes were varied. There was limited evidence reporting association between service delivery components and psychological outcomes, and results suggested moderation by individual aspects (e.g., expectation of results, baseline anxiety). Opportunities for discussion were key in reducing psychological harm.ConclusionsCertain program factors are reportedly associated with psychosocial impacts of LCS, but study heterogeneity and quality necessitate more real‐world studies. Future work should examine (a) implementation of targeted interventions and high‐value discussion during LCS, and (b) optimal methods and timing of risk and result communication, to improve psychosocial outcomes while reducing time burden for clinicians.

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Section: Opportunity For High-value Discussion and The Role Of Patien...mentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lung cancer screening program factors that influence psychosocial outcomes: A systematic review

McFadden,

Rankin,

Nickel

et al. 2023

Psycho-Oncology

View full text Add to dashboard Cite

show abstract

Doing Versus Documenting Shared Decision-Making for Lung Cancer Screening—Are They the Same?

Cited by 1 publication

References 6 publications

Lung cancer screening program factors that influence psychosocial outcomes: A systematic review

Lung cancer screening program factors that influence psychosocial outcomes: A systematic review

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