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Aiding shared decision making in lung cancer screening: two decision tools
J Public Health (Oxf). 2021 Sep 22;43(3) :673-680
PMID: 32672329 PMCID: PMC8458019 URL: https://www.ncbi.nlm.nih.gov/pubmed/32672329
AbstractBACKGROUND: 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.
Notes1741-3850 Sferra, Shelby R Cheng, Joyce S Boynton, Zachary DiSesa, Verdi Kaiser, Larry R Ma, Grace X Erkmen, Cherie P U54 CA221705/CA/NCI NIH HHS/United States Journal Article England J Public Health (Oxf). 2020 Jul 16:fdaa063. doi: 10.1093/pubmed/fdaa063.