Comparing a generic and individualized information decision support intervention for men newly diagnosed with localized prostate cancer.
A randomized study was conducted to compare a generic and individualized approach to providing decisional support to men newly diagnosed with localized prostate cancer. Patients (N = 324) were referred by community urologists to a patient education center where they were randomly assigned to receive either an individualized or generic information intervention. Men assigned to the generic group viewed a video on the various treatments available for localized prostate cancer. Men in the individualized information group used a computer program to identify their information preferences. Computer printouts on top information preferences were individualized according to patient's specific disease characteristics, followed by a discussion of the pros and cons of each recommended treatment option. Both groups received a standardized package of written information. Men completed measures of decision control, satisfaction, and decision conflict at baseline and after a definitive treatment decision was made. Results demonstrated that overall both groups reported increased levels of decision control and lower levels of decision conflict after their treatment decision. All men reported being satisfied with their preparation to make a treatment decision. Compared to the generic information group, men who received the individualized information were more satisfied with the type, amount and method of providing information, and role played in treatment decision making with their physician (P < .002). Both information interventions seem to be similar in providing decisional support to this group of men at the time of diagnosis. Further research is required to determine how to identify men who may benefit from a more individualized approach.
Davison
B Joyce
BJ
Prostate Centre at Vancouver General Hospital, Vancouver, British Columbia, Canada. joyce.davison@vch.ca
Goldenberg
S Larry
SL
Wiens
Kristin P
KP
Gleave
Martin E
ME
D000368:Aged; D001294:Attitude to Health; D003220:Conflict, Psychological; D003658:Decision Making, Computer-Assisted; D003661:Decision Support Techniques; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation; D017060:Patient Satisfaction; D011471:Prostatic Neoplasms / Q000628:therapy*; D014743:Videotape Recording