Communication in decision aids for stage I–III colorectal cancer patients: A systematic review
Hommes,Saar Vromans,Ruben Clouth,Felix Verbeek,Xander de Hingh,Ignace H J T Krahmer,Emiel
Hommes,Saar
Vromans,Ruben
Clouth,Felix
Verbeek,Xander
de Hingh,Ignace H J T
Krahmer,Emiel
Abstract
Objectives: To assess the communicative quality of colorectal cancer patient decision aids (DAs) about treatment options, the current systematic review was conducted. Design: Systematic review. Data sources: DAs (published between 2006 and 2019) were identified through academic literature (MEDLINE, Embase, CINAHL, Cochrane Library and PsycINFO) and online sources. Eligibility criteria: DAs were only included if they supported the decision-making process of patients with colon, rectal or colorectal cancer in stages I-III. Data extraction and synthesis: After the search strategy was adapted from similar systematic reviews and checked by a colorectal cancer surgeon, two independent reviewers screened and selected the articles. After initial screening, disagreements were resolved with a third reviewer. The review was conducted in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DAs were assessed using the International Patient Decision Aid Standards (IPDAS) and Communicative Aspects (CA) checklist. Results: In total, 18 DAs were selected. Both the IPDAS and CA checklist revealed that there was a lot of variation in the (communicative) quality of DAs. The findings highlight that (1) personalisation of treatment information in DAs is lacking, (2) outcome probability information is mostly communicated verbally and (3) information in DAs is generally biased towards a specific treatment. Additionally, (4) DAs about colorectal cancer are lengthy and (5) many DAs are not written in plain language. Conclusions: Both instruments (IPDAS and CA) revealed great variation in the (communicative) quality of colorectal cancer DAs. Developers of patient DAs should focus on personalisation techniques and could use both the IPDAS and CA checklist in the developmental process to ensure personalised health communication and facilitate shared decision making in clinical practice.
Description
Funding Information: Contributors CRediT author statement. SH: conceptualisation, validation, formal analysis, investigation, data curation, writing-original draft, writing-review and editing, visualisation, project administration. RV: conceptualisation, methodology, validation, formal analysis, investigation, resources, writing-review and editing, visualisation. FC: conceptualisation, formal analysis, investigation, writing-review and editing. XV: conceptualisation, formal analysis, writing-review and editing. IdH: conceptualisation, validation, resources, writing-review and editing. EK: conceptualisation, methodology, validation, formal analysis, writing-review and editing, supervision, funding acquisition. Funding This systematic review is part of the Netherlands Organisation for Scientific Research (NWO Data2Person 628.011.030) project. IdH received unconditional research grants from QP&S/RanD, ROCHE Pharmaceutical and KWF for unrelated research. Funding Information: Acknowledgements For the overall project ‘Data-driven Shared Decision Making for Cancer Patients’, we received support from The Netherlands Organisation for Scientific Research (NWO Data2Person 628.011.030), for which we are grateful. We would also like to thank all authors and developers of the DAs involved for making their materials accessible. Also, many thanks to Marie Barking, our German colleague who helped with the assessment of the German DAs. Publisher Copyright: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Date
2021-04-28
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Research Projects
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Keywords
Colorectal cancer, Gastrointestinal Neoplasms, Health communication, DECISION AID, SDG 3 - Good Health and Well-being
Citation
Hommes, S, Vromans, R, Clouth, F, Verbeek, X, de Hingh, I H J T & Krahmer, E 2021, 'Communication in decision aids for stage I–III colorectal cancer patients : A systematic review', BMJ Open, vol. 11, no. 4. https://doi.org/10.1136/bmjopen-2020-044472
License
info:eu-repo/semantics/openAccess