The comparative effectiveness of decision aids in diverse populations with early stage prostate cancer

A study protocol for a cluster-randomized controlled trial in the NCI Community Oncology Research Program (NCORP), Alliance A191402CD

Joel E. Pacyna, Simon Kim, Kathleen Yost, Hillary Sedlacek, Daniel Petereit, Judith Kaur, Bruce D. Rapkin, Robert Grubb, Electra Paskett, George J. Chang, Jeff Sloan, Ethan Basch, Brittny Major, Paul Novotny, John Taylor, Jan Buckner, J. Kellogg Parsons, Michael Morris, Jon C. Tilburt

Research output: Contribution to journalArticle

Abstract

Background: Treatments for localized prostate cancer present challenging tradeoffs in the face of uncertain treatment benefits. These options are best weighed in a process of shared decision-making with the patient's healthcare team. Minority men experience disparities in prostate cancer outcomes, possibly due in part to a lack of optimal communication during treatment selection. Decision aids facilitate shared decision-making, improve knowledge of treatment options, may increase satisfaction with treatment choice, and likely facilitate long-term quality of life. Methods/design: This study will compare the effect of two evidence-based decision aids on patient knowledge and on quality of life measured one year after treatment, oversampling minority men. One decision aid will be administered prior to specialist consultation, preparing patients for a treatment discussion. The other decision aid will be administered within the consultation to facilitate transparent, preference-sensitive, and evidence-informed deliberations. The study will utilize a four-arm, block-randomized design to test whether each decision aid alone (Arms 1 and 2) or in combination (Arm 3) can improve patient knowledge and quality of life compared to usual care (Arm 4). The study, funded by the National Cancer Institute's Community Oncology Research Program (NCORP), will be deployed within select institutions that have demonstrated capacity to recruit minority populations into urologic oncology trials. Discussion: Upon completion of the trial, we will have 1) tested the effectiveness of two evidence-based decision aids in enhancing patients' knowledge of options for prostate cancer therapy and 2) estimated whether decision aids may improve patient quality of life one year after initial treatment choice. Trial registration: Clinicaltrials.gov: NCT03103321. The trial registration date (on ClinicalTrials.gov) was April 6, 2017.

Original languageEnglish (US)
Article number788
JournalBMC Cancer
Volume18
Issue number1
DOIs
StatePublished - Aug 6 2018

Fingerprint

Decision Support Techniques
Prostatic Neoplasms
Randomized Controlled Trials
Research
Population
Quality of Life
Therapeutics
Decision Making
Referral and Consultation
Patient Care Team
National Cancer Institute (U.S.)
Communication

Keywords

  • Clinical trial
  • Decision aid
  • Prostate cancer
  • Shared decision-making

ASJC Scopus subject areas

  • Oncology
  • Genetics
  • Cancer Research

Cite this

The comparative effectiveness of decision aids in diverse populations with early stage prostate cancer : A study protocol for a cluster-randomized controlled trial in the NCI Community Oncology Research Program (NCORP), Alliance A191402CD. / Pacyna, Joel E.; Kim, Simon; Yost, Kathleen; Sedlacek, Hillary; Petereit, Daniel; Kaur, Judith; Rapkin, Bruce D.; Grubb, Robert; Paskett, Electra; Chang, George J.; Sloan, Jeff; Basch, Ethan; Major, Brittny; Novotny, Paul; Taylor, John; Buckner, Jan; Parsons, J. Kellogg; Morris, Michael; Tilburt, Jon C.

In: BMC Cancer, Vol. 18, No. 1, 788, 06.08.2018.

Research output: Contribution to journalArticle

Pacyna, JE, Kim, S, Yost, K, Sedlacek, H, Petereit, D, Kaur, J, Rapkin, BD, Grubb, R, Paskett, E, Chang, GJ, Sloan, J, Basch, E, Major, B, Novotny, P, Taylor, J, Buckner, J, Parsons, JK, Morris, M & Tilburt, JC 2018, 'The comparative effectiveness of decision aids in diverse populations with early stage prostate cancer: A study protocol for a cluster-randomized controlled trial in the NCI Community Oncology Research Program (NCORP), Alliance A191402CD', BMC Cancer, vol. 18, no. 1, 788. https://doi.org/10.1186/s12885-018-4672-3
Pacyna, Joel E. ; Kim, Simon ; Yost, Kathleen ; Sedlacek, Hillary ; Petereit, Daniel ; Kaur, Judith ; Rapkin, Bruce D. ; Grubb, Robert ; Paskett, Electra ; Chang, George J. ; Sloan, Jeff ; Basch, Ethan ; Major, Brittny ; Novotny, Paul ; Taylor, John ; Buckner, Jan ; Parsons, J. Kellogg ; Morris, Michael ; Tilburt, Jon C. / The comparative effectiveness of decision aids in diverse populations with early stage prostate cancer : A study protocol for a cluster-randomized controlled trial in the NCI Community Oncology Research Program (NCORP), Alliance A191402CD. In: BMC Cancer. 2018 ; Vol. 18, No. 1.
@article{4d52094e0c4d4996ba65795cb1e77539,
title = "The comparative effectiveness of decision aids in diverse populations with early stage prostate cancer: A study protocol for a cluster-randomized controlled trial in the NCI Community Oncology Research Program (NCORP), Alliance A191402CD",
abstract = "Background: Treatments for localized prostate cancer present challenging tradeoffs in the face of uncertain treatment benefits. These options are best weighed in a process of shared decision-making with the patient's healthcare team. Minority men experience disparities in prostate cancer outcomes, possibly due in part to a lack of optimal communication during treatment selection. Decision aids facilitate shared decision-making, improve knowledge of treatment options, may increase satisfaction with treatment choice, and likely facilitate long-term quality of life. Methods/design: This study will compare the effect of two evidence-based decision aids on patient knowledge and on quality of life measured one year after treatment, oversampling minority men. One decision aid will be administered prior to specialist consultation, preparing patients for a treatment discussion. The other decision aid will be administered within the consultation to facilitate transparent, preference-sensitive, and evidence-informed deliberations. The study will utilize a four-arm, block-randomized design to test whether each decision aid alone (Arms 1 and 2) or in combination (Arm 3) can improve patient knowledge and quality of life compared to usual care (Arm 4). The study, funded by the National Cancer Institute's Community Oncology Research Program (NCORP), will be deployed within select institutions that have demonstrated capacity to recruit minority populations into urologic oncology trials. Discussion: Upon completion of the trial, we will have 1) tested the effectiveness of two evidence-based decision aids in enhancing patients' knowledge of options for prostate cancer therapy and 2) estimated whether decision aids may improve patient quality of life one year after initial treatment choice. Trial registration: Clinicaltrials.gov: NCT03103321. The trial registration date (on ClinicalTrials.gov) was April 6, 2017.",
keywords = "Clinical trial, Decision aid, Prostate cancer, Shared decision-making",
author = "Pacyna, {Joel E.} and Simon Kim and Kathleen Yost and Hillary Sedlacek and Daniel Petereit and Judith Kaur and Rapkin, {Bruce D.} and Robert Grubb and Electra Paskett and Chang, {George J.} and Jeff Sloan and Ethan Basch and Brittny Major and Paul Novotny and John Taylor and Jan Buckner and Parsons, {J. Kellogg} and Michael Morris and Tilburt, {Jon C.}",
year = "2018",
month = "8",
day = "6",
doi = "10.1186/s12885-018-4672-3",
language = "English (US)",
volume = "18",
journal = "BMC Cancer",
issn = "1471-2407",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - The comparative effectiveness of decision aids in diverse populations with early stage prostate cancer

T2 - A study protocol for a cluster-randomized controlled trial in the NCI Community Oncology Research Program (NCORP), Alliance A191402CD

AU - Pacyna, Joel E.

AU - Kim, Simon

AU - Yost, Kathleen

AU - Sedlacek, Hillary

AU - Petereit, Daniel

AU - Kaur, Judith

AU - Rapkin, Bruce D.

AU - Grubb, Robert

AU - Paskett, Electra

AU - Chang, George J.

AU - Sloan, Jeff

AU - Basch, Ethan

AU - Major, Brittny

AU - Novotny, Paul

AU - Taylor, John

AU - Buckner, Jan

AU - Parsons, J. Kellogg

AU - Morris, Michael

AU - Tilburt, Jon C.

PY - 2018/8/6

Y1 - 2018/8/6

N2 - Background: Treatments for localized prostate cancer present challenging tradeoffs in the face of uncertain treatment benefits. These options are best weighed in a process of shared decision-making with the patient's healthcare team. Minority men experience disparities in prostate cancer outcomes, possibly due in part to a lack of optimal communication during treatment selection. Decision aids facilitate shared decision-making, improve knowledge of treatment options, may increase satisfaction with treatment choice, and likely facilitate long-term quality of life. Methods/design: This study will compare the effect of two evidence-based decision aids on patient knowledge and on quality of life measured one year after treatment, oversampling minority men. One decision aid will be administered prior to specialist consultation, preparing patients for a treatment discussion. The other decision aid will be administered within the consultation to facilitate transparent, preference-sensitive, and evidence-informed deliberations. The study will utilize a four-arm, block-randomized design to test whether each decision aid alone (Arms 1 and 2) or in combination (Arm 3) can improve patient knowledge and quality of life compared to usual care (Arm 4). The study, funded by the National Cancer Institute's Community Oncology Research Program (NCORP), will be deployed within select institutions that have demonstrated capacity to recruit minority populations into urologic oncology trials. Discussion: Upon completion of the trial, we will have 1) tested the effectiveness of two evidence-based decision aids in enhancing patients' knowledge of options for prostate cancer therapy and 2) estimated whether decision aids may improve patient quality of life one year after initial treatment choice. Trial registration: Clinicaltrials.gov: NCT03103321. The trial registration date (on ClinicalTrials.gov) was April 6, 2017.

AB - Background: Treatments for localized prostate cancer present challenging tradeoffs in the face of uncertain treatment benefits. These options are best weighed in a process of shared decision-making with the patient's healthcare team. Minority men experience disparities in prostate cancer outcomes, possibly due in part to a lack of optimal communication during treatment selection. Decision aids facilitate shared decision-making, improve knowledge of treatment options, may increase satisfaction with treatment choice, and likely facilitate long-term quality of life. Methods/design: This study will compare the effect of two evidence-based decision aids on patient knowledge and on quality of life measured one year after treatment, oversampling minority men. One decision aid will be administered prior to specialist consultation, preparing patients for a treatment discussion. The other decision aid will be administered within the consultation to facilitate transparent, preference-sensitive, and evidence-informed deliberations. The study will utilize a four-arm, block-randomized design to test whether each decision aid alone (Arms 1 and 2) or in combination (Arm 3) can improve patient knowledge and quality of life compared to usual care (Arm 4). The study, funded by the National Cancer Institute's Community Oncology Research Program (NCORP), will be deployed within select institutions that have demonstrated capacity to recruit minority populations into urologic oncology trials. Discussion: Upon completion of the trial, we will have 1) tested the effectiveness of two evidence-based decision aids in enhancing patients' knowledge of options for prostate cancer therapy and 2) estimated whether decision aids may improve patient quality of life one year after initial treatment choice. Trial registration: Clinicaltrials.gov: NCT03103321. The trial registration date (on ClinicalTrials.gov) was April 6, 2017.

KW - Clinical trial

KW - Decision aid

KW - Prostate cancer

KW - Shared decision-making

UR - http://www.scopus.com/inward/record.url?scp=85054931598&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054931598&partnerID=8YFLogxK

U2 - 10.1186/s12885-018-4672-3

DO - 10.1186/s12885-018-4672-3

M3 - Article

VL - 18

JO - BMC Cancer

JF - BMC Cancer

SN - 1471-2407

IS - 1

M1 - 788

ER -