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Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during
Lixin Song1,2, Mark P Toles1, Jinbing Bai1
1School of Nursing, University of North Carolina (UNC), Chapel Hill, USA.
Health
|July 23, 2021
Summary
Physicians dominate communication during localized prostate cancer (LPCa) consultations, with patients often passively listening. Enhancing patient involvement in treatment discussions is crucial for shared decision-making.
Area of Science:
- Oncology
- Communication Studies
- Health Services Research
Background:
- Localized prostate cancer (LPCa) diagnosis requires complex treatment decisions.
- Effective patient-physician communication is vital for shared decision-making in cancer care.
Purpose of the Study:
- To characterize communication behaviors between patients and physicians during LPCa consultations.
- To assess patient participation levels in treatment decision-making discussions.
Main Methods:
- Secondary analysis of transcribed audio-recordings from 52 men with newly diagnosed LPCa.
- Utilized a coding tool to analyze communication behaviors and clinical content.
- Categorized patient participation as none, low, moderate, or high.
Main Results:
- Physicians primarily provided information; patients were often not active participants.
- Patient participation varied by clinical content: high in health histories, low in survival/mortality and treatment impacts.
- Low to moderate participation was observed in discussions of treatment options and preferences.
Conclusions:
- Significant opportunities exist to enhance patient engagement in treatment decision-making for LPCa.
- Interventions aimed at increasing patient participation could improve care quality and outcomes.
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