Longitudinal regret and information satisfaction after deciding on treatment for localized prostate cancer with or without a decision aid. Results at one-year follow-up in the PCPCC trial.

Abstract:

OBJECTIVE:To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and information satisfaction in a one-year follow-up. METHODS:Within a cluster RCT, 18 Dutch hospitals were randomized to DA counseling or care-as-usual, patients (n = 382) initially completed questionnaires directly after treatment decision making. Six and twelve months later regret (Decisional Regret Scale) and information satisfaction (SCIP-B) were assessed. Anxious and depressive symptoms (HADS) was included as possible covariate. RESULTS:After 12 months, 43 participants (15%) regretted their treatment choice and 105 participants (36%) were dissatisfied with the information that was received at the time of decision-making, regardless of being exposed to the DA. Anxious and depressive symptoms at follow-up were associated with regret and information dissatisfaction. CONCLUSION:No long-term benefical effects emerged from DA usage compared to patients who underwent standard counseling. PRACTICE IMPLICATIONS:During PCa treatment counseling, healthcare providers should be aware of anxious and depressive symptoms.

journal_name

Patient Educ Couns

authors

Cuypers M,Lamers RED,Kil PJM,van de Poll-Franse LV,de Vries M

doi

10.1016/j.pec.2018.10.006

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

424-428

issue

3

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(18)30843-7

journal_volume

102

pub_type

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