دورية أكاديمية
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Unpacking the relationship between shared decision-making and decisional quality, decision to screen, and screening completion in lung cancer screening.

التفاصيل البيبلوغرافية
العنوان: Unpacking the relationship between shared decision-making and decisional quality, decision to screen, and screening completion in lung cancer screening.
المؤلفون: Carter-Bawa L; Center for Discovery & Innovation at Hackensack Meridian Health, Nutley, NJ, USA; Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA. Electronic address: lisa.carterbawa@hmh-cdi.org., Slaven JE Jr; Indiana University School of Medicine, Department of Biostatistics and Health Data Science, Indianapolis, IN, USA., Monahan PO; Indiana University School of Medicine, Department of Biostatistics and Health Data Science, Indianapolis, IN, USA., Brandzel S; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Gao H; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Wernli KJ; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Lafata JE; UNC Eshelman School of Pharmacy and Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, NC, USA., Rawl SM; Indiana University School of Nursing, Indianapolis, IN, USA; Indiana University Melvin & Bren Simon Comprehensive Cancer Center, Indianapolis, IN, USA.
المصدر: Patient education and counseling [Patient Educ Couns] 2024 May; Vol. 122, pp. 108143. Date of Electronic Publication: 2024 Jan 11.
نوع المنشور: Observational Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5134 (Electronic) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns
أسماء مطبوعة: Publication: Limerick : Elsevier
Original Publication: Princeton, N.J. : Excerpta Medica, c1983-
مواضيع طبية MeSH: Decision Making* , Lung Neoplasms*/diagnosis, Humans ; Early Detection of Cancer ; Decision Making, Shared ; Patient Participation
مستخلص: Objectives: Lung cancer screening is a complex and individualized decision. To understand how best to support patients in this decision, we must understand how shared decision-making is associated with both decisional and behavioral outcomes.
Methods: Observational cohort study combining patient survey data with electronic health record data of lung screening-eligible patients who recently engaged in a shared decision-making discussion about screening with a primary care clinician.
Results: Using multivariable analysis (n = 529), factors associated with higher lung cancer screening decisional quality include higher knowledge (OR = 1.33, p < .0001), lower perceived benefits (OR = 0.90, p = .0004), higher perceived barriers (OR = 1.07, p < .0001), higher self-efficacy (OR = 1.13, p < .0001), and higher levels of perceiving the discussion was shared (OR = 1.04, p < .0001). Factors associated with the patient's decision to screen include older age (OR = 1.12, p = .0050) and higher self-efficacy (OR = 1.11, p = .0407). Factors associated with screening completion included older age (OR = 1.05, p = .0050), higher knowledge (OR = 1.24, p = .0045), and higher self-efficacy (OR = 1.12, p = .0003).
Conclusions: Shared decision-making in lung cancer screening is a dyadic process between patient and clinician. As we continue to strive for high-quality patient-centered care, patient decision quality may be enhanced by targeting key factors such as high-quality knowledge, self-efficacy, and fostering a shared discussion to support patient engagement in lung cancer screening decisions.
Competing Interests: Declaration of Competing Interest There are no financial or non-financial competing interests for any of the authors.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
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معلومات مُعتمدة: R01 CA222090 United States CA NCI NIH HHS
فهرسة مساهمة: Keywords: Decision quality; Lung cancer screening; Shared decision-making
تواريخ الأحداث: Date Created: 20240118 Date Completed: 20240226 Latest Revision: 20240309
رمز التحديث: 20240309
مُعرف محوري في PubMed: PMC10922311
DOI: 10.1016/j.pec.2024.108143
PMID: 38237528
قاعدة البيانات: MEDLINE
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