"It's not like I can change my mind later": reversibility and decision timing in prostate cancer treatment decision-making.

Abstract:

OBJECTIVE:To explore whether reversibility, decision timing, and uncertainty are relevant to men deciding on treatment for localized prostate cancer (LPC). DESIGN:Secondary qualitative data analysis of unstructured interviews. METHODS:Content analysis of previously collected qualitative data (31 individual interviews, 5 focus groups). We identified the frequency of references to reversibility, decision timing, and uncertainty and related sub-themes. RESULTS:We identified eight themes: reversibility, timing of decision, number of options, "getting it over with," "the way I make decisions," uncertainty among experts, desire for certainty, and probability. Fifteen men mentioned reversibility in individual interviews; 13 mentioned the importance of the timing of their decision. Eleven mentioned the importance of the number of options; twelve "the way I make decisions." Eleven men mentioned the uncertainty of experts, fourteen the desire to "get it over with," and six a desire for certainty. CONCLUSION:This study provides compelling preliminary data suggesting that men consider the reversibility, decision timing, and uncertainty in the prostate cancer treatment decision. PRACTICE IMPLICATION:These findings may be helpful in enhancing support for men facing the treatment decision.

journal_name

Patient Educ Couns

authors

Henrikson NB,Ellis WJ,Berry DL

doi

10.1016/j.pec.2009.03.017

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

302-7

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(09)00137-2

journal_volume

77

pub_type

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