Loading...
Assessing the quality and communicative aspects of patient decision aids for early-stage breast cancer treatment: a systematic review
Vromans,Ruben Tenfelde,Kim Pauws,Steffen van Eenbergen,Mies Mares-Engelberts,Ingeborg Velikova,Galina van de Poll-Franse,L.V. Krahmer,Emiel
Vromans,Ruben
Tenfelde,Kim
Pauws,Steffen
van Eenbergen,Mies
Mares-Engelberts,Ingeborg
Velikova,Galina
van de Poll-Franse,L.V.
Krahmer,Emiel
Abstract
Purpose Decision aids (DAs) support patients in shared decision-making by providing balanced evidence-based treatment information and eliciting patients’ preferences. The purpose of this systematic review was to assess the quality and communicative aspects of DAs for women diagnosed with early-stage breast cancer. Methods Twenty-one currently available patient DAs were identified through both published literature (MEDLINE, Embase, CINAHL, CENTRAL, and PsycINFO) and online sources. The DAs were reviewed for their quality by using the International Patient Decision Aid Standards (IPDAS) checklist, and subsequently assessed to what extent they paid attention to various communicative aspects, including (i) information presentation, (ii) personalization, (iii) interaction, (iv) information control, (v) accessibility, (vi) suitability, and (vii) source of information. Results The quality of the DAs varied substantially, with many failing to comply with all components of the IPDAS criteria (mean IPDAS score = 64%, range 31–92%). Five aids (24%) did not include any probability information, 10 (48%) presented multimodal descriptions of outcome probabilities (combining words, numbers, and visual aids), and only 2 (10%) provided personalized treatment outcomes based on patients and tumor characteristics. About half (12; 57%) used interaction methods for eliciting patients’ preferences, 16 (76%) were too lengthy, and 5 (24%) were not fully accessible. Conclusions In addition to the limited adherence to the IPDAS checklist, our findings suggest that communicative aspects receive even less attention. Future patient DA developments for breast cancer treatment should include communicative aspects that could influence the uptake of DAs in daily clinical practice.
Description
Date
2019-11
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
Organizational Units
Journal Issue
Keywords
Breast cancer, Decision aids, Shared decision-making, Risk communication, Patient education, Treatment decision-making, Decision support techniques, SDG 3 - Good Health and Well-being
Citation
Vromans, R, Tenfelde, K, Pauws, S, van Eenbergen, M, Mares-Engelberts, I, Velikova, G, van de Poll-Franse, L V & Krahmer, E 2019, 'Assessing the quality and communicative aspects of patient decision aids for early-stage breast cancer treatment : a systematic review', Breast Cancer Research and Treatment, vol. 178, no. 1, pp. 1-15. https://doi.org/10.1007/s10549-019-05351-4