Abstract:
OBJECTIVE:Improving shared decision-making (SDM) enables more tailored cancer treatment decisions. We evaluated a Time Out consultation (TOC) with the general practitioner (GP), between cancer diagnosis and treatment decision, which aims at supporting SDM and improving continuity of primary care. This study aims to evaluate the effects of a TOC on perceived SDM, information provision and self-efficacy. METHODS:This randomised controlled trial included newly diagnosed patients with curable cancer (breast, lung, colorectal, gynaecologic and melanoma) from four Dutch hospitals. Primary outcome is perceived SDM and secondary outcomes are information provision and self-efficacy. RESULTS:One hundred fifty-four patients (control n = 77, intervention n = 77) - female: 75%, mean age: 61 (SD ± 11.9). In the intervention group, 80.5% (n = 62) had a TOC, of which 82.3% (n = 51) took place after treatment decision. Perceived SDM was lower in the intervention group (-8.9 [95% CI: 0.6-17.1]). Among those with a TOC before treatment decision (n = 11), perceived SDM was comparable to the control group (66.5 ± 27.2 vs. 67.9 ± 26.1). CONCLUSION:Even though patients are motivated to have a TOC, implementing a TOC between diagnosis and treatment decision is challenging. Effects of a timely TOC could not be established. Non-timely TOC decreased perceived SDM. Planning of the TOC should be optimised, and future research should establish if adequately timed TOC results in improved SDM in cancer patients.
journal_name
Psychooncologyjournal_title
Psycho-oncologyauthors
Perfors IAA,Noteboom EA,de Wit NJ,van der Wall E,Visserman EA,van Dalen T,Verhagen MAMT,Witkamp AJ,Koelemij R,Flinterman AE,van Dorst EBL,Pruissen-Peeters KABM,Moons LMG,Schramel FMNH,van Rens MTM,Ernst MF,May AM,Helspedoi
10.1002/pon.5604subject
Has Abstractpub_date
2020-11-27 00:00:00eissn
1057-9249issn
1099-1611pub_type
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