TY - JOUR
T1 - Effectiveness of a patient decision aid for patients with superficial basal cell carcinoma
T2 - A pre- and post-implementation study
AU - van Delft, Lieke C.J.
AU - Essers, Brigitte A.B.
AU - Nelemans, Patty J.
AU - Mosterd, Klara
AU - van Winden, Marieke E.C.
AU - Romaen, Ine F.L.
AU - Retra, Sean J.J.
AU - Arits, Aimee H.M.M.
AU - Steijlen, Peter M.
AU - Lubeek, Satish F.K.
AU - Kelleners-Smeets, Nicole W.J.
N1 - Funding Information:
This work was supported by Health Foundation Limburg (Stichting Ackermans) (grant number AU18.1215 ).
Publisher Copyright:
© 2023 The Authors
PY - 2023/10/1
Y1 - 2023/10/1
N2 - Objective: This study evaluates whether using a patient decision aid (PDA) for patients with superficial basal-cell carcinoma (sBCC) results in a decreased decisional conflict level and increased knowledge. Methods: In a prospective multicentre study, patient groups were included before and after implementation of a PDA. Decisional conflict levels were compared directly after making the treatment decision, measured once as the mean score on the decisional conflict scale (DCS). Higher scores correspond with higher conflict levels (0-100). Secondary outcomes were knowledge on treatment options, recognizing a BCC, and risk factors for developing a BCC measured on an adapted version of a validated knowledge questionnaire for melanoma patients, and patient satisfaction with the PDA. Results: Data was available for 103 patients in the control-group and 109 in the PDA-group. The mean DCS score in the control-group was 22.78 (SD 14.76) compared to 22.34 (SD 14.54) in the PDA-group; the decrease was non-significant (p = 0.828). The average percentage correct answers on the knowledge questionnaire increased from 76.5% in the control-group to 80.5% in the PDA-group (p = 0.044). According to the majority of patients in the PDA-group (73.7%) the PDA had added value. Conclusion: Using the PDA had no significant effect on decisional conflict levels, but increased overall knowledge on relevant issues concerning sBCC. Practice implications: The PDA can be used as an informational tool by patients with sBCC.
AB - Objective: This study evaluates whether using a patient decision aid (PDA) for patients with superficial basal-cell carcinoma (sBCC) results in a decreased decisional conflict level and increased knowledge. Methods: In a prospective multicentre study, patient groups were included before and after implementation of a PDA. Decisional conflict levels were compared directly after making the treatment decision, measured once as the mean score on the decisional conflict scale (DCS). Higher scores correspond with higher conflict levels (0-100). Secondary outcomes were knowledge on treatment options, recognizing a BCC, and risk factors for developing a BCC measured on an adapted version of a validated knowledge questionnaire for melanoma patients, and patient satisfaction with the PDA. Results: Data was available for 103 patients in the control-group and 109 in the PDA-group. The mean DCS score in the control-group was 22.78 (SD 14.76) compared to 22.34 (SD 14.54) in the PDA-group; the decrease was non-significant (p = 0.828). The average percentage correct answers on the knowledge questionnaire increased from 76.5% in the control-group to 80.5% in the PDA-group (p = 0.044). According to the majority of patients in the PDA-group (73.7%) the PDA had added value. Conclusion: Using the PDA had no significant effect on decisional conflict levels, but increased overall knowledge on relevant issues concerning sBCC. Practice implications: The PDA can be used as an informational tool by patients with sBCC.
KW - Basal cell carcinoma
KW - Patient decision aid
KW - Patient education
KW - Shared decision making
KW - Treatment
U2 - 10.1016/j.pec.2023.107907
DO - 10.1016/j.pec.2023.107907
M3 - Article
C2 - 37487347
SN - 0738-3991
VL - 115
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 1
M1 - 107907
ER -