Effectiveness of question prompt lists in patients with breast cancer: A randomized controlled trial |
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| Affiliation: | 1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;2. Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;3. Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;4. Graduate Institute of Information Management, National Taipei University, New Taipei City, Taiwan;5. School of Gerontology and Long-term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan;6. Department of Education, Taipei Medical University Hospital, Taipei, Taiwan;7. Department of Urology, Taipei Medical University Hospital, Taipei, Taiwan;8. Department of Urology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;9. Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan;10. Department of Physical Medicine & Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan;11. Department of Geriatric Medicine, Taipei Medical University Hospital, Taipei, Taiwan;12. Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan;1. Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l′Éducation, Brussels, Belgium;2. Institut Jules Bordet, Clinique de Psycho-Oncologie, Université Libre de Bruxelles, Brussels, Belgium;3. Université de Liège, Faculté des Sciences Psychologiques et de l′Éducation, Liège, Belgium;4. Centre de Psycho-Oncologie, Brussels, Belgium;5. Université Catholique de Louvain, Faculté de Médecine, Brussels, Belgium;1. Department of Health Outcomes and Behavior, Division of Population Science, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA;2. Department of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA;3. Department of Oncologic Sciences, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA;4. Division of Surgical Oncology, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, Florida, USA;1. University Hospital of North Norway, Oncology Department, Tromsø, Norway;2. Department of Psychology, UiT – The Arctic University of Norway, Tromsø, Norway;3. Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), School of Psychology, University of Sydney, Sydney, NSW, Australia;4. Centre for Medical Psychology and Evidence-based Decision-Making (CeMPED), Sydney Medical School, University of Sydney, Sydney, NSW, Australia;5. Department of Clinical Medicine, UiT – The Arctic University of Norway, Tromsø, Norway;6. Department of Mental Health and Addictions, University Hospital of North Norway, Tromsø, Norway;1. Health Services Research Unit, Lillebaelt Hospital, Vejle, Denmark;2. Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark;3. Department of Paediatrics, Lillebaelt Hospital, Kolding, Denmark;1. Section of Population Science, Department of Medicine, Robert Wood Johnson Medical School, Rutgers Cancer Institute of New Jersey, New Brunswick, USA;2. Center for Breast Cancer, Massachusetts General Hospital, Boston, USA;3. Memorial Sloan Kettering Cancer Center, New York, USA;1. Wayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA;2. Henry Ford Hospital/Josephine Ford Cancer Institute, Detroit, MI, USA;3. University of Michigan, Ann Arbor, MI, USA |
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| Abstract: | ObjectivesTo evaluate the effectiveness of a question prompt list (QPL) in decision self-efficacy, decision-making participation, patient–physician communication, decisional conflict or regret, and health status in patients with breast cancer.MethodsA total of 240 patients with breast cancer were randomly assigned to a QPL group or control group (n = 120 each). The intervention and control groups received an additional educational QPL booklet and routine care, respectively.ResultsThe intervention group exhibited significant improvements in decision self-efficacy, perceived patient–physician interactions, and patient–physician communication compared with the control group. Multilevel modeling analyses revealed significant group–time interaction effects on decision self-efficacy (β = 9.99, P < 0.01), perceived patient–physician interactions (β = 8.10, P < 0.01), patient–physician communication (β = 5.02, P < 0.01), and anxiety status (β = ?3.78, P < 0.05). The QPL intervention exerted more favorable effects than routine care, with repeated measurements of the same patients and the data of patients under the care of the same surgeons accounted for.ConclusionsThe QPL intervention exerted multidimensional effects on decision-making outcomes among patients with breast cancer.Practical implicationsClinicians can integrate a QPL into routine care for patients with breast cancer. |
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| Keywords: | Breast cancer Question prompt list Shared decision-making Decision self-efficacy Randomized controlled trial |
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