Patient and family communication during consultation visits: The effects of a decision aid for treatment decision-making for localized prostate cancer.
To analyze the effects of a decision aid on improving patients' and family members' information giving and question asking during consultations for prostate cancer treatment decision-making.



This study is a secondary analysis of archived audio-recorded real-time consultation visits with participants from a randomized clinical trial. Participants were randomly assigned into three groups: TD-intervention targeted patient-only; TS-intervention targeted patients and family members; and control-a handout on staying healthy during treatment. We conducted content analysis using a researcher-developed communication coding system. Using SAS 9.3, we conducted Chi-square/Fisher's exact test to examine whether information giving and question asking among patients and family members varied by groups when discussing different content/topics.



Compared with those in the TS and control groups, significantly higher percentages of participants in the TD group demonstrated information giving in discussing topics about diagnosis, treatment options, risks and benefits, and preferences; and engaged in question asking when discussing diagnosis, watchful waiting/active surveillance, risks and benefits, and preferences for treatment impacts.



Information support and communication skills training for patients were effective in improving communication during treatment decision-making consultations.



Providing information about prostate cancer and communication skills training empower patients and their family members.
School of Nursing, University of North Carolina (UNC), Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, UNC, Chapel Hill, NC, USA. Electronic address: lsong@unc.edu.
Lixin
L
Song
School of Nursing, University of North Carolina (UNC), Chapel Hill, NC, USA; Office of Human Research Ethics (OHRE), UNC, Chapel Hill, NC, USA.
Christina
C
Tyler
College of Nursing, University of Utah, UT, USA.
Margaret F
MF
Clayton
School of Nursing, University of North Carolina (UNC), Chapel Hill, NC, USA.
Eleanor
E
Rodgiriguez-Rassi
School of Nursing, University of North Carolina (UNC), Chapel Hill, NC, USA.
Latorya
L
Hill
School of Nursing, University of North Carolina (UNC), Chapel Hill, NC, USA.
Jinbing
J
Bai
School of Medicine Department of Urology, UNC, Chapel Hill, NC, USA.
Raj
R
Pruthi
School of Nursing, Duke University, Durham, NC, USA.
Donald E
DE
Bailey
D000328:Adult; D000368:Aged; D003142:Communication; D003657:Decision Making; D003661:Decision Support Techniques; D005190:Family / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits; D010358:Patient Participation; D010817:Physician-Patient Relations; D011471:Prostatic Neoplasms / Q000628:therapy*; D012017:Referral and Consultation / Q000458:organization & administration*; D014481:United States
Decision aid; Decision-making; Intervention; Localized prostate cancer; Patient-provider communication; Uncertainty
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