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Aiding shared decision making in lung cancer screening: two decision tools
Journal article   Open access   Peer reviewed

Aiding shared decision making in lung cancer screening: two decision tools

Shelby R Sferra, Joyce S Cheng, Zachary Boynton, Verdi DiSesa, Larry R Kaiser, Grace X Ma and Cherie P Erkmen
Journal of public health (Oxford, England), v 43(3), pp 673-680
22 Sep 2021
DOI: https://doi.org/10.1093/pubmed/fdaa063
PMID: 32672329
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/pubmed/fdaa063View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

shared decision making patient knowledge lung cancer screening
Abstract Background Shared decision making (SDM) preceding lung cancer screening is important for populations that are underrepresented in lung cancer screening trials. Current evidence-based guidelines; however, do not address personal risk and outcomes in underrepresented populations. This study compared two SDM decision aids (Option Grids and Shouldiscreen.com) for SDM efficacy, decision regret and knowledge. Methods We conducted a prospective trial of lung cancer screening patients (N = 237) randomized to SDM with Option Grids or Shouldiscreen.com. To evaluate the SDM process after lung cancer screening, patients answered two questionnaires: CollaboRATE and Decision Regret. Patients also completed a questionnaire to test their knowledge of lung cancer screening. Results Patients were predominantly African American (61.6%), though multiple races, varying education levels and equal genders were represented. Patients in both Option Grids and Shouldiscreen.com groups reported favorable SDM experiences (P = 0.60) and equivalent knowledge about lung cancer screening (P = 0.43). Patients using Shouldiscreen.com had less knowledge regarding the potential complications of subsequent testing (P = 0.02). Shouldiscreen.com patients had increased regret regarding their decision to pursue screening (P = 0.02). Conclusions Option Grids and Shouldiscreen.com both facilitated a meaningful SDM process. However, Option Grids patients experienced decreased decision regret and enhanced knowledge of the potential complications of screening.

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19 citations in Web of Science
20 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Web of Science research areas
Public, Environmental & Occupational Health
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