title: Treatment decisions for localized prostate cancer: a concept mapping approach.
abstract: OBJECTIVE
  Few decision aids emphasize active surveillance (AS) for localized prostate cancer. Concept mapping was used to produce a conceptual framework incorporating AS and treatment.
  
  
  METHODS
  Fifty-four statements about what men need to make a decision for localized prostate cancer were derived from focus groups with African American, Latino and white men previously screened for prostate cancer and partners (n = 80). In the second phase, 89 participants sorted and rated the importance of statements.
  
  
  RESULTS
  An eight cluster map was produced for the overall sample. Clusters were labelled Doctor-patient exchange, Big picture comparisons, Weighing the options, Seeking and using information, Spirituality and inner strength, Related to active treatment, Side-effects and Family concerns. A major division was between medical and home-based clusters. Ethnic groups and genders had similar sorting, but some variation in importance. Latinos rated Big picture comparisons as less important. African Americans saw Spirituality and inner strength most important, followed by Latinos, then whites. Ethnic- and gender-specific concept maps were not analysed because of high similarity in their sorting patterns.
  
  
  CONCLUSIONS
  We identified a conceptual framework for management of early-stage prostate cancer that included coverage of AS. Eliciting the conceptual framework is an important step in constructing decision aids which will address gaps related to AS.
authors: Institute for Social and Economic Research University of Essex, Colchester, UK.
authors: Stephanie L
authors: SL
authors: McFall
authors: School of Public Health, The University of Texas Health Sciences Center, Houston, TX, USA.
authors: Patricia D
authors: PD
authors: Mullen
authors: Department of Family and Community Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA.
authors: Theresa L
authors: TL
authors: Byrd
authors: Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors: Scott B
authors: SB
authors: Cantor
authors: School of Public Health, The University of Texas Health Sciences Center, Houston, TX, USA.
authors: Yen-Chi
authors: YC
authors: Le
authors: Graduate College of Social Work, University of Houston, Houston, TX, USA.
authors: Isabel
authors: I
authors: Torres-Vigil
authors: Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors: Curtis
authors: C
authors: Pettaway
authors: Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors: Robert J
authors: RJ
authors: Volk
mesh_terms: D000368:Aged; D003657:Decision Making; D003661:Decision Support Techniques; D019468:Disease Management; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D010817:Physician-Patient Relations; D011471:Prostatic Neoplasms / Q000208:ethnology / Q000628:therapy*; D057832:Watchful Waiting / Q000379:methods*
keywords: cancer; concept mapping; decision making; prostate neoplasms; qualitative research