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Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer
Information seeking is essential for effective patient-centered decision-making. However, prostate cancer patients report a gap between information needed and information received. The importance of different information sources for treatment decision remains unclear. Thus, using the Comprehensive M...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533942/ https://www.ncbi.nlm.nih.gov/pubmed/33000703 http://dx.doi.org/10.1177/1557988320945461 |
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author | Chhatre, Sumedha Wittink, Marsha N. Gallo, Joseph J. Jayadevappa, Ravishankar |
author_facet | Chhatre, Sumedha Wittink, Marsha N. Gallo, Joseph J. Jayadevappa, Ravishankar |
author_sort | Chhatre, Sumedha |
collection | PubMed |
description | Information seeking is essential for effective patient-centered decision-making. However, prostate cancer patients report a gap between information needed and information received. The importance of different information sources for treatment decision remains unclear. Thus, using the Comprehensive Model of Health Information (CMIS) framework, we assessed the antecedent factors, information carrier factors, and information-seeking activities in localized prostate cancer patients. Data were collected via semistructured one-on-one, interviews and structured survey. Men with localized prostate cancer were recruited from two urban health-care centers. Following the interview, participants completed a survey about sources that were helpful in learning about prostate cancer treatment and decision-making. The interviews were audio-recorded, transcribed, and subjected to a thematic analysis using NVivo 10. Fifty localized prostate cancer survivors completed the interviews and surveys. Important antecedent factors that were observed were age, marital status, uncertainty, anxiety, caregiver burden, and out-of-pocket expenses. We identified complexity, magnitude, and reliability as information carrier characteristics. Preferred sources for information were health providers, medical websites, and pamphlets from the doctor’s office. These sources were also perceived as most helpful for decision-making. Urologists, urological oncologists, and radiation/radiation oncologists were important sources of information and helpful in decision-making. Prostate cancer patients obtained information from multiple sources. Most prostate cancer patients make patient-centered choices by incorporating personal factors and medical information. By considering factors that influence patients’ treatment decisions, health-care providers can enhance the patient-centeredness of care. Multiple strategies and interventions are necessary for disseminating valid, reliable, and unbiased information to prostate cancer patients to facilitate informed decisions. |
format | Online Article Text |
id | pubmed-7533942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-75339422020-10-14 Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer Chhatre, Sumedha Wittink, Marsha N. Gallo, Joseph J. Jayadevappa, Ravishankar Am J Mens Health Original Article Information seeking is essential for effective patient-centered decision-making. However, prostate cancer patients report a gap between information needed and information received. The importance of different information sources for treatment decision remains unclear. Thus, using the Comprehensive Model of Health Information (CMIS) framework, we assessed the antecedent factors, information carrier factors, and information-seeking activities in localized prostate cancer patients. Data were collected via semistructured one-on-one, interviews and structured survey. Men with localized prostate cancer were recruited from two urban health-care centers. Following the interview, participants completed a survey about sources that were helpful in learning about prostate cancer treatment and decision-making. The interviews were audio-recorded, transcribed, and subjected to a thematic analysis using NVivo 10. Fifty localized prostate cancer survivors completed the interviews and surveys. Important antecedent factors that were observed were age, marital status, uncertainty, anxiety, caregiver burden, and out-of-pocket expenses. We identified complexity, magnitude, and reliability as information carrier characteristics. Preferred sources for information were health providers, medical websites, and pamphlets from the doctor’s office. These sources were also perceived as most helpful for decision-making. Urologists, urological oncologists, and radiation/radiation oncologists were important sources of information and helpful in decision-making. Prostate cancer patients obtained information from multiple sources. Most prostate cancer patients make patient-centered choices by incorporating personal factors and medical information. By considering factors that influence patients’ treatment decisions, health-care providers can enhance the patient-centeredness of care. Multiple strategies and interventions are necessary for disseminating valid, reliable, and unbiased information to prostate cancer patients to facilitate informed decisions. SAGE Publications 2020-10-01 /pmc/articles/PMC7533942/ /pubmed/33000703 http://dx.doi.org/10.1177/1557988320945461 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article Chhatre, Sumedha Wittink, Marsha N. Gallo, Joseph J. Jayadevappa, Ravishankar Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer |
title | Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer |
title_full | Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer |
title_fullStr | Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer |
title_full_unstemmed | Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer |
title_short | Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer |
title_sort | sources of information for learning and decision-making in men with localized prostate cancer |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533942/ https://www.ncbi.nlm.nih.gov/pubmed/33000703 http://dx.doi.org/10.1177/1557988320945461 |
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