A Video Decision Aid Improves Informed Decision Making in Patients With Advanced Cancer Considering Palliative Radiation Therapy

Dharmarajan, Kavita V.; Walters, Chasity Burrows; Levin, Tomer T.; Milazzo, Carol Ann; Monether, Christopher; Rawlins-Duell, Robin; Tickoo, Roma; Spratt, Daniel E.; Lovie, Shona; Giannantoni-Ibelli, Gina; McCormick, Beryl

doi:10.1016/j.jpainsymman.2019.08.014

Cited by 16 publications

(17 citation statements)

References 20 publications

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“…The impact analysis of section 5 shows that the processes with high patient interaction are most affected by COVID-19. The appointment planning process could be realised fully digital and the patient decision making process could be supported for instance by video-based services [34]. Visits, examinations and aftercare however require higher patient interaction.…”

Section: Plos Onementioning

confidence: 99%

Influence of the pandemic dissemination of COVID-19 on radiotherapy practice: A flash survey in Germany, Austria and Switzerland

et al. 2020

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Background The COVID-19 pandemic has already changed our globalised world and its long-term impact is not yet known. It is apparent that businesses and institutions are increasingly affected. COVID-19 discussions often focus on intensive care units in hospitals. However, COVID-19 also effects life-saving and-prolonging radiotherapy for patients suffering from cancer. Method We have conducted a structured online survey among medical physicists in Germany, Austria and Switzerland from March 23rd to 26th 2020. In total 154 responses (82 completed, 72 partially completed) were analysed in the context of the COVID-19 dissemination. Results 72.4% of the respondent's state that their processes are affected due to COVID-19, while the top three answers are longer processing times (54.2%), patient no-shows (42.5%) and staff reduction (36.7%). 75.8% expect further unavailability of their personnel in the upcoming weeks. All participants have already taken several measures, especially providing information for patients at the entrance (89.6%) or over the phone (73.6%), restricting access for accompanying persons (77.4%) and providing disinfectant at the entrance (72.6%). Discussion The results presented in this article aim to support business continuity and risk management for radiotherapy centres to prepare for future challenges. The results show that most radiotherapy centres has implemented initial contingency measures, applying them pragmatically. The main problem however remains, that is the high risk of infection both for patients and medical personnel along with the associated risk of temporarily loss of personnel and ordered closure of business.

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Section: Plos Onementioning

confidence: 99%

Influence of the pandemic dissemination of COVID-19 on radiotherapy practice: A flash survey in Germany, Austria and Switzerland

et al. 2020

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“…Even though audiovisual information is regularly used in decision aids (Brenner et al, 20162018;Dharmarajan et al, 2019;Manne et al, 2016), a review study shows inconclusive results regarding the effects of audiovisual information on healthcare decision-making outcomes such as treatment decisions (Winston, Grendarova, & Rabi, 2018). Therefore, it remains difficult to conclude whether audiovisual information is more effective than textual information in decision aids.…”

mentioning

confidence: 99%

Adapting Online Patient Decision Aids: Effects of Modality and Narration Style on Patients’ Satisfaction, Information Recall and Informed Decision Making

Looper

Damman

Smets

et al. 2020

Journal of Health Communication

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Audiovisual and narrative information are often used in online decision aids. However, few studies have tested whether these strategies are more effective compared to other types of information. We tested the effect of these strategies on satisfaction with the information, recall and informed decision-making in a 2 (Modality: audiovisual vs. textual) x 2 (Narration style: narrative vs. factual) experimental design. Data was collected in an online experiment among 262 analogue cancer patients. Since most cancer patients are older people, we also assessed if the effectiveness of these strategies differs depending on the patient's age. Data was analyzed using Structural Equation Modeling. Findings showed audiovisual modality had a positive effect on satisfaction. Moreover, audiovisual modality improved recall, both directly and indirectly via satisfaction, which subsequently resulted in better-informed decision-making. Narratives resulted in more satisfaction, but not better recall or informed decision-making. These effects were found in patients of all ages.

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“…Five studies reported more reduction in uncertainty in the intervention group over time [27,28,35,39,49]. Among eight quasi-experimental studies, three studies with a control group found that participants in the intervention groups reported significantly less uncertainty compared to those in the control group [36,40,45]. Among five quasi-experimental studies without a control group, three studies showed that intervention participants reported a significant decrease in uncertainty over time [34,37,46].…”

Section: Intervention Outcomementioning

confidence: 97%

“…[2] The study also included a group of women without breast cancer. [27], DVDs [45,46], telephone calls [38], informational booklets [42], internet [29], phone apps [36], or a combination of in-person delivery with DVD and CD content [43]. Most interventions were delivered to participants individually (n = 14), in a group format (n = 3) [36,37,44], or in family format (n = 4) [30,[32][33][34].…”

Section: Intervention Characteristicsmentioning

confidence: 99%

Systematic review of illness uncertainty management interventions for cancer patients and their family caregivers

Guan

Qan’ir

Song

2021

Support Care Cancer

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Purpose Illness uncertainty pervades individuals’ experiences of cancer across the illness trajectory and is associated with poor psychological adjustment. This review systematically examined the characteristics and outcomes of interventions promoting illness uncertainty management among cancer patients and/or their family caregivers. Methods PubMed, Scopus, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and Cochrane Database of Systematic Reviews were systematically searched for relevant literature. We included randomized controlled trials (RCTs) and quasi-experimental studies focusing on interventions for uncertainty management in cancer patients and/or their family caregivers. Results Our database searches yielded 26 studies. Twenty interventions were only offered to cancer patients, who were mostly elder, female, and White. All interventions included informational support. Other intervention components included emotional support, appraisal support, and instrumental support. Most interventions were delivered in person and via telephone (n = 8) or exclusively in person (n = 7). Overall, 18 studies identified positive intervention effects on illness uncertainty outcomes. Conclusion This systematic review foregrounds the promising potential of several interventions—and especially multi-component interventions—to promote uncertainty management among cancer patients and their family caregivers. To further improve these interventions’ effectiveness and expand their potential impact, future uncertainty management interventions should be tested among more diverse populations using rigorous methodologies.

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A Video Decision Aid Improves Informed Decision Making in Patients With Advanced Cancer Considering Palliative Radiation Therapy

Cited by 16 publications

References 20 publications

Influence of the pandemic dissemination of COVID-19 on radiotherapy practice: A flash survey in Germany, Austria and Switzerland

Influence of the pandemic dissemination of COVID-19 on radiotherapy practice: A flash survey in Germany, Austria and Switzerland

Adapting Online Patient Decision Aids: Effects of Modality and Narration Style on Patients’ Satisfaction, Information Recall and Informed Decision Making

Systematic review of illness uncertainty management interventions for cancer patients and their family caregivers

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