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Impact of a shared decision-making program on patients with benign prostatic hyperplasia
G B Piercy1, R Deber, J Trachtenberg
1Greater Victoria Hospital Society, British Columbia, Canada.
Urology
|May 1, 1999
Summary
Patients found the Shared Decision-Making Program (SDP) effective for learning about benign prostatic hyperplasia (BPH) and treatments, increasing knowledge and satisfaction. The program aided undecided patients in forming preferences but did not change established ones.
Area of Science:
- Urology
- Health Informatics
- Patient Education
Background:
- Benign prostatic hyperplasia (BPH) affects many men, necessitating informed treatment decisions.
- Shared Decision-Making Programs (SDPs) aim to improve patient understanding of medical conditions and options.
- Patient engagement in decision-making is crucial for treatment satisfaction and adherence.
Purpose of the Study:
- To evaluate patient perceptions of the Shared Decision-Making Program (SDP) for benign prostatic hyperplasia (BPH).
- To assess the SDP's impact on patient knowledge, treatment preferences, and satisfaction.
- To explore the influence of the SDP on the physician-patient relationship.
Main Methods:
- A cohort of 678 patients with symptomatic BPH from eight Canadian centers participated.
- Patients completed questionnaires before and after viewing the SDP, assessing knowledge, preferences, and satisfaction.
- A 1-year follow-up survey was conducted to assess long-term effects.
Main Results:
- High patient satisfaction with the SDP was reported, persisting at 1 year.
- Significant increases in self-reported patient knowledge regarding BPH and its treatments were observed (P <0.0001).
- The SDP helped undecided patients form treatment preferences but did not alter preferences in patients who had already decided.
Conclusions:
- Patients viewed the SDP as an effective educational tool for BPH, enhancing understanding of risks and benefits.
- The program fostered patient enthusiasm and active participation, potentially improving the physician-patient relationship.
- While effective for education and aiding preference formation, the SDP did not alter established treatment preferences; cost and updates require consideration.