Longitudinal regret and information satisfaction after deciding on treatment for localized prostate cancer with or without a decision aid. Results at one-year follow-up in the PCPCC trial

Maarten Cuypers; Romy E D Lamers; Paul J M Kil; Lonneke V van de Poll-Franse; Marieke de Vries

doi:10.1016/j.pec.2018.10.006

Longitudinal regret and information satisfaction after deciding on treatment for localized prostate cancer with or without a decision aid. Results at one-year follow-up in the PCPCC trial

Patient Educ Couns. 2019 Mar;102(3):424-428. doi: 10.1016/j.pec.2018.10.006. Epub 2018 Oct 4.

Authors

Maarten Cuypers¹, Romy E D Lamers², Paul J M Kil³, Lonneke V van de Poll-Franse⁴, Marieke de Vries⁵

Affiliations

¹ Department of Social Psychology, Tilburg University, Tilburg, The Netherlands; Radboud Institute for Health Sciences, Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: [email protected].
² Department of Urology, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands. Electronic address: [email protected].
³ Department of Urology, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands. Electronic address: [email protected].
⁴ CoRPS - Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands; Department of Research, Comprehensive Cancer Organisation Netherlands, Eindhoven, The Netherlands; Department of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands. Electronic address: [email protected].
⁵ Institute for Computing and Information Sciences (iCIS) & Social and Cultural Psychology, Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands. Electronic address: [email protected].

PMID: 30314830
DOI: 10.1016/j.pec.2018.10.006

Abstract

Objective: To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and information satisfaction in a one-year follow-up.

Methods: Within a cluster RCT, 18 Dutch hospitals were randomized to DA counseling or care-as-usual, patients (n = 382) initially completed questionnaires directly after treatment decision making. Six and twelve months later regret (Decisional Regret Scale) and information satisfaction (SCIP-B) were assessed. Anxious and depressive symptoms (HADS) was included as possible covariate.

Results: After 12 months, 43 participants (15%) regretted their treatment choice and 105 participants (36%) were dissatisfied with the information that was received at the time of decision-making, regardless of being exposed to the DA. Anxious and depressive symptoms at follow-up were associated with regret and information dissatisfaction.

Conclusion: No long-term benefical effects emerged from DA usage compared to patients who underwent standard counseling.

Practice implications: During PCa treatment counseling, healthcare providers should be aware of anxious and depressive symptoms.

Keywords: Decision aid; Patient-reported outcomes; Prostate cancer; Regret; Satisfaction; Shared decision making; Treatment.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Anxiety / psychology
Decision Making*
Decision Support Techniques*
Depression / psychology
Emotions*
Follow-Up Studies
Humans
Male
Middle Aged
Netherlands
Patient Outcome Assessment
Patient Participation / psychology*
Patient Reported Outcome Measures
Patient Satisfaction*
Personal Satisfaction*
Prostatic Neoplasms / psychology
Prostatic Neoplasms / therapy*
Surveys and Questionnaires