Review
Health Care Sciences & Services
Elizabeth Palmer Kelly, Brian Myers, Brent Henderson, Petra Sprik, Kelsey B. White, Timothy M. Pawlik
Summary: The study found that patient religious and spiritual beliefs have a significant influence on treatment decision making in cancer care, but providers often underestimate this impact. Most research focused on the impact of R&S on treatment decisions at the end of life, despite its importance throughout the entire continuum of care.
MEDICAL DECISION MAKING
(2022)
Article
Oncology
Shucheng Pan, Jinjiao Mao, Lijuan Wang, Yun Dai, Wei Wang
Summary: This study aimed to explore patients' experiences and perceptions towards treatment decision-making. The findings revealed that patients with prostate cancer had varying degrees of involvement in the decision-making process, emphasizing their right to be informed about the disease condition and treatment options, as well as the importance of future considerations and advance care planning.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Public, Environmental & Occupational Health
Sandra A. Hartasanchez, Stuart W. Grande, Victor M. Montori, Marleen Kunneman, Juan P. Brito, Sarah McCarthy, Ian G. Hargraves
Summary: This study aims to identify how current observer-based shared decision-making measures apply to each mode of purposeful shared decision-making. The results show that the existing measures can describe behaviors applicable to all modes, but lack items sensitive to behaviors particular to some specific modes.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Public, Environmental & Occupational Health
Diana N. Carvajal, Elena Klyushnenkova, Beth Barnet
Summary: This study demonstrates the importance of patient-provider communication and shared decision-making (SDM) among Latinas in contraceptive decision-making. Women who consistently used contraception were more likely to value specific SDM tenets, such as discussing contraceptive preferences and avoiding race/ethnic-based judgement.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Engineering, Electrical & Electronic
Daewon Seo, Ravi Kiran Raman, Lav R. Varshney
Summary: This study focuses on a Bayesian binary decision-making problem in star networks, revealing the surprising result that incorrect beliefs could lead to a smaller risk for the fusion agent. Additionally, it is found that the optimal risk of the fusion agent converges to zero exponentially fast as the number of local agents grows.
IEEE TRANSACTIONS ON SIGNAL PROCESSING
(2021)
Article
Public, Environmental & Occupational Health
Veerle Y. Siebinga, Ellen M. Driever, Anne M. Stiggelbout, Paul L. P. Brand
Summary: This study found that shared decision making and patient-centered communication are not synonymous and have a weak correlation. In consultations, combinations of high SDM and low PCC or vice versa were common. The combination of high SDM and high PCC was associated with higher patient satisfaction scores.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Medicine, General & Internal
Cheng-Hsu Chen, Chia-Tien Hsu, Ming-Ju Wu, Shang-Feng Tsai
Summary: This 5-year project on shared decision making for renal biopsy collected cases of biopsy and bleeding, and launched a quality improvement process for shared decision making, including the use of videos and an information platform. Results showed that shared decision making helped patients better understand renal biopsy, leading to increased satisfaction.
Article
Public, Environmental & Occupational Health
Glyn Elwyn
Summary: Cooperation is a fundamental characteristic of human society, and respecting individual agency, providing information, and collaborating are ethical imperatives, particularly in healthcare decision-making. Shared decision making involves cognitive, emotional, and relational work with the goal of restoring patient autonomy.
PATIENT EDUCATION AND COUNSELING
(2021)
Review
Oncology
Deborah Jael Herrera, Wessel van de Veerdonk, Neamin M. Berhe, Sarah Talboom, Marlon van Loo, Andrea Ruiz Alejos, Allegra Ferrari, Guido Van Hal
Summary: This research aimed to understand the effectiveness of shared decision-making tools for cancer screening and explored the preferences of vulnerable people and clinicians regarding the specific characteristics of these tools. The findings showed that these tools were more effective for vulnerable populations and that preferences varied between patients and clinicians. Collaboration and effective communication between patients and clinicians are important for improving the development and use of these tools.
Review
Public, Environmental & Occupational Health
Elizabeth C. Thomas, Sarah Bauerle Bass, Laura A. Siminoff
Summary: The contemporary healthcare field operates on an autonomy model of medical decision-making, yet shared decision-making lacks attention to descriptive influences which limits its development. A multi-level approach is proposed to tailor the decision encounter, strategically use relational elements, and modify incentive models to promote the practice of shared decision-making. These modifications are expected to make shared decision-making more inclusive, effective, and acceptable to diverse patients.
SOCIAL SCIENCE & MEDICINE
(2021)
Article
Psychology, Multidisciplinary
Elizabeth Lerner Papautsky
Summary: The decision-making process in surgery recovery work is complex, and patients strive to minimize risk and ensure safety. Unlike professionals, patients lack training, education, or decision support. However, by applying the Naturalistic Decision Making (NDM) theoretical lens, we can better understand the burden of judgment and decision making in surgery recovery work. This lens and associated methods are suitable for studying this problem space.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Health Care Sciences & Services
Andrew A. Dwyer, Melissa K. Uveges, Samantha Dockray, Neil Smith
Summary: Patients with rare diseases are motivated by altruism when pursuing genetic testing, but lack decisional support and counseling. Patient values, beliefs, and experiences can inform more person-centered approaches to genetic testing for rare diseases.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Simon John Stewart, Lisa Roberts, Lucy Brindle
Summary: This study examines how treatment-related preferences expressed by patients with prostate cancer and their partners are organized during clinical consultations. It found that when clinicians did not align with patients' preferences, it caused discordance in the interaction and led to couples silencing themselves. However, two deviant cases were identified where collaboration was maintained. Therefore, clinicians should acknowledge and create opportunities for discussing treatment preferences by recognizing the contributions of patients and their partners.
SOCIAL SCIENCE & MEDICINE
(2023)
Article
Oncology
Melina J. Windon, Daisy Le, Gypsyamber D'Souza, Elaine Bigelow, Karen Pitman, Emily Boss, David W. Eisele, Carole Fakhry
Summary: Patients with OPSCC experience alarm and decisional conflict when facing their diagnosis, taking on various roles in decision-making. Treatment decisions are influenced by the treatment team's recommendation, a desire for surgical tumor removal, fear of treatment adverse effects, and patient-specific values.
Article
Critical Care Medicine
Shawn P. E. Nishi, Lisa M. Lowenstein, Tito R. Mendoza, Maria A. Lopez, Laura C. Crocker, Karen Sepucha, Jiangong Niu, Robert J. Volk
Summary: Among patients recently assessed for LCS, the quality of decision-making is highly variable, with patients valuing early cancer detection over concerns about harms. Patients were more likely to receive information on the benefits of LCS than on the risks, and one-third experienced some degree of decisional conflict. However, most patients felt they were adequately involved in the screening decision-making process.
