Women’s decision-making needs related to treatment for recurrent ovarian cancer: A pilot study

Abstract

The purpose of this pilot study was to describe the decision-making needs of women with ovarian cancer related to treatment of recurrent disease.Design: A retrospective, cross-sectional needs assessment was conducted. Data were collected using face-to-face interviews and analyzed using content analysis. Group, 2006). Given the lack of one superior treatment, decisions should be based on patient preferences (O'Connor et al., 2004). ResultsThere is evidence that women want more information related to ovarian cancer (Stewart et al., 2000). In one qualitative study, women reported not feeling knowledgeable enough to participate in decisions about primary treatment . However, they felt better prepared to participate at the time of recurrence . A decision aid may be able to address women's informational needs related to treatment options. However, it is not clear what information women with ovarian cancer value (find important to consider) in making treatment-related decisions (Fitch, Gray, DePetrillo, Franssen & Howell, 1999;Stewart et al., 2000). Only one study has reported on the types of resources and decision support interventions women with ovarian cancer prefer (Stewart et al., 2000). However, research findings show that more than half of women with ovarian cancer want to play an active role in decision-making Stewart et al., 2000). Thus far, it is not clear what role women with ovarian cancer have actually had in decision-making (Elit et al., 2003;Fitch et al., 2003;Howell et al., 2003). PurposeThe purpose of this pilot study was to describe the decision-making needs of women with ovarian cancer related to treatment of recurrent disease. The Ottawa Decision Support Framework (ODSF) (O'Connor & Jacobsen, 2007) was the conceptual framework guiding the study. The ODSF is divided into three components or processes: (1) assessing needs, which are the determinants of decisions that may be suboptimal and lead to poor decision-making; (2) providing decision support that is tailored to the needs, and (3) evaluating the decision-making process and the outcomes of the decision ( Figure One). MethodologyA pilot study was conducted in order to test the recruitment process and the interview tool. We used a retrospective cross-sectional design to describe the needs of women who had made a treatment decision and it was based on needs assessment principles (Witkin & Altschuld, 1995 Women's decision-making needs related to treatment for recurrent ovarian cancer: A pilot study Lynne J.A. Jolicoeur, RN, MScN, CON(C)

Patient, physician, and caregiver perspectives on ovarian cancer treatment decision making: lessons from a qualitative pilot study

“…Only two of six patients described selecting a specific treatment option. This finding is congruent with previous findings in the literature that suggest the extent to which women with ovarian cancer participate in treatment decision making varies [ 23 , 24 ]. Patients in the current study reported that the urgency with which they started treatment limited the extent to which they participated in shared decision making.…”

20th Anniversary Update of the Ottawa Decision Support Framework Part 1: A Systematic Review of the Decisional Needs of People Making Health or Social Decisions

“…Physical limitations included active or unresolved medical problems impairing decision making (e.g., sedating medications, unresolved pain or weakness, or disrupted sleep/wake cycle) ( n = 6; 13%). 30,35,43,51,55,58 Cognitive limitations included cognitive impairment or memory problems ( n = 2; 4%). 30,58 Emotional limitations were distress, fear, anxiety, worry, uncertainty, frustration, and feeling out of control ( n = 4; 9%).…”

“…50 This relationship need was further elaborated in other studies as needing clear communication, 39,41,45 mutual respect, 39,45 empathy and compassionate care, 36,39 and honesty. 36,38,39,51 Two new manifestations of difficult decisional roles emerged regarding families ( Table 7). The first one was coded as difficulty involving family members in decision making, and contributing factors were not wanting to worry their family and inadequate family knowledge of the condition and treatment options.…”

Shared decision-making in gout treatment: a national study of rheumatology provider opinion and practice

“…Our needs assessment questionnaire was based on the needs assessment workbook provided at the University of Ottawa Patient Decision Aids website (13), and used the Ottawa Decision Support Framework, which have face and content validity (14,15). Many studies previously have used this needs assessment survey (16)(17)(18)(19)(20).…”