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Title: Education and role modelling for clinical decisions with female cancer patients
Contributor(s): Brown, Rhonda  (author); Botow, Phyllis N (author); Sharrock, Merin Anne (author); Henman, Michael (author); Boyle, Fran (author); Goldstein, David (author); Martin, HN (author); Tattersall, MD (author)
Publication Date: 2004
DOI: 10.1111/j.1369-7625.2004.00294.x
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Abstract: Background: Patients vary widely in their preferences and capacity for participating in treatment decision-making. There are few interventions targeting patient understanding of how doctors make decisions and shared decision-making. This randomized trial investigates the effects of providing cancer patients with a package designed to facilitate shared decision-making prior to seeing their oncologist. Patients and methods: Sixty-five female cancer patients were randomized to receive either the package (booklet and 15-min video) or a booklet on living with cancer, before their initial consultation. Participants completed questionnaires prior to the intervention, immediately after the oncology consultation, and 2 weeks and 6 months later. The first consultation with the oncologist was audio-taped and transcribed. Results: Patients receiving the package were more likely than controls to declare their information and treatment preferences in the consultation, and their perspectives on the costs, side-effects and benefits of treatment. Doctors introduced considerably more new themes in the consultations with intervention subjects than they did with controls; no other differences in doctor behaviour were noted. Conclusions: This short intervention successfully shifted patient and doctor behaviour closer to the shared decision-making model, although it did not alter patients' preferences for information or involvement.
Publication Type: Journal Article
Source of Publication: Health Expectations, 7(4), p. 303-316
Publisher: Wiley-Blackwell Publishing Ltd
Place of Publication: London, United Kingdom
ISSN: 1369-6513
Field of Research (FOR): 170106 Health, Clinical and Counselling Psychology
Socio-Economic Outcome Codes: 920102 Cancer and Related Disorders
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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Appears in Collections:Journal Article
School of Psychology

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