In:
Health Expectations, Wiley, Vol. 21, No. 4 ( 2018-08), p. 796-804
Kurzfassung:
Cancer screening‐related decisions require patients to evaluate complex medical information in short time frames, often with primary care providers ( PCP s) they do not know. PCP s play an essential role in facilitating comprehensive shared decision making ( SDM ). Objective To develop and test a decision aid ( DA ) and SDM strategy for PCP s and high‐risk patients. Design The DA was tested with 20 dyads. Each dyad consisted of one PCP and one patient eligible for screening. A prospective, one‐group, mixed‐method study design measured fidelity, patient values, screening intention, acceptability and satisfaction. Results Four PCP s and 20 patients were recruited from an urban academic medical centre. Most patients were female (n = 14, 70%), most had completed high school (n = 15, 75%), and their average age was 65 years old. Half were African American. Patients and PCP s rated the DA as helpful, easy to read and use and acceptable in terms of time frame (observed t = 11.6 minutes, SD 2.7). Most patients (n = 16, 80%) indicated their intent to be screened. PCP s recommended screening for most patients (n = 17, 85%). Conclusions Evidence supports the value of lung cancer screening with LDCT for select high‐risk patients. Guidelines endorse engaging patients and their PCP s in SDM discussions. Our findings suggest that using a brief, interactive, plain‐language, culturally sensitive, theory‐based DA and SDM strategy is feasible, acceptable and may be essential to effectively translate and sustain the adoption of LDCT screening recommendations into the clinic setting.
Materialart:
Online-Ressource
ISSN:
1369-6513
,
1369-7625
DOI:
10.1111/hex.2018.21.issue-4
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2018
ZDB Id:
2006357-X
