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Exploring cancer treatment decision-making by patients: a descriptive study.
1School of Nursing, University of Ottawa, Ottawa, ON. dstacey@uottawa.ca
Current Oncology (Toronto, Ont.)
|August 11, 2010
Summary
Only half of cancer patients feel involved in treatment decisions. When offered choices, patients are more active and satisfied, highlighting the need for better support in shared decision-making.
Area of Science:
- Oncology
- Health Psychology
- Patient-Centered Care
Background:
- Patient involvement in cancer treatment decisions is crucial for satisfaction and adherence.
- Understanding factors influencing patient participation is essential for improving care.
Purpose of the Study:
- To assess the extent of perceived patient involvement in cancer treatment decision-making.
- To identify factors influencing patient involvement in treatment choices.
Main Methods:
- Descriptive study using an interview-guided survey.
- Enrolled 192 patients from a Canadian ambulatory oncology program undergoing chemotherapy or radiation therapy.
- Utilized adapted Control Preferences Scale, Decisional Conflict Scale, and Preparation for Decision-Making Scale.
Main Results:
- 51% of patients perceived they were offered treatment choices; 48% felt options were presented equally.
- Patients offered choices were less passive (4% vs. 29%) and more satisfied (100% vs. 95%) in decision-making.
- Patients desired more information, choices, discussion, and provider attentiveness to improve involvement.
Conclusions:
- Only half of cancer patients perceive being offered treatment choices.
- Offering choices significantly enhances patient activity and satisfaction in decision-making.
- Further initiatives are needed to support greater patient involvement in cancer treatment decisions.
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