The Implementation of Decision Aids During Medical Consultations for Lung Cancer Patients: A Focus Group Within I3LUNG Project.

IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Cancer Education Pub Date : 2025-01-21 DOI:10.1007/s13187-025-02566-6
Valeria Sebri, Patrizia Dorangricchia, Dario Monzani, Chiara Marzorati, Roberto Grasso, Lorenzo Conti, Giuseppe Lo Russo, Leonardo Provenzano, Andra Diana Dumitrascu, Gabriella Pravettoni
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Abstract

Lung cancer patients generally receive several information regarding their illness characteristics and available intervention. Therefore, patients can experience confusion, leading to anxiety and distress that might damage the relationship with physicians and treatment adherence. Literature showed that implementing decision aid tools during consultation can promote patients' knowledge and awareness about lung cancer and available oncological intervention, improving a shared decision-making process. However, not all lung cancer patients always appreciate decision aids' implementation. The present qualitative study explored patients' opinions and preferences regarding the implementation of decision aids during medical consultation. Twenty-two lung cancer patients who have already attended medical consultations for lung cancer voluntarily participated in four online focus groups carried out between January 2023 and December 2024. A thematic analysis with a bottom-up approach highlighted three main themes: the typology and number of information that patients would have received, the relevance of patient-and-doctor relationship, and the effects of providing additional decision-making tools on patients' emotions and preferences. Findings showed controversial opinions among patients, highlighting the relevance of personalized intervention tailored to patients' preferences. Practical implications are given.

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决策辅助在肺癌患者医疗咨询中的实施:I3LUNG项目的焦点小组
肺癌患者通常会收到一些关于其疾病特征和可用干预措施的信息。因此,患者可能会感到困惑,导致焦虑和痛苦,这可能会损害与医生的关系和治疗依从性。文献显示,在会诊期间实施决策辅助工具可以提高患者对肺癌和现有肿瘤干预措施的认识和认识,改善共同决策过程。然而,并不是所有的肺癌患者都喜欢决策辅助工具的实施。本质性研究探讨患者在医疗会诊过程中对决策辅助工具实施的意见和偏好。在2023年1月至2024年12月期间,22名已经参加过肺癌医疗咨询的肺癌患者自愿参加了四个在线焦点小组。采用自下而上方法的专题分析强调了三个主要主题:患者可能收到的信息的类型和数量,医患关系的相关性,以及提供额外决策工具对患者情绪和偏好的影响。研究结果显示,患者之间存在争议性意见,突出了根据患者偏好量身定制的个性化干预的相关性。给出了实际意义。
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来源期刊
Journal of Cancer Education
Journal of Cancer Education 医学-医学:信息
CiteScore
3.40
自引率
6.20%
发文量
122
审稿时长
4-8 weeks
期刊介绍: The Journal of Cancer Education, the official journal of the American Association for Cancer Education (AACE) and the European Association for Cancer Education (EACE), is an international, quarterly journal dedicated to the publication of original contributions dealing with the varied aspects of cancer education for physicians, dentists, nurses, students, social workers and other allied health professionals, patients, the general public, and anyone interested in effective education about cancer related issues. Articles featured include reports of original results of educational research, as well as discussions of current problems and techniques in cancer education. Manuscripts are welcome on such subjects as educational methods, instruments, and program evaluation. Suitable topics include teaching of basic science aspects of cancer; the assessment of attitudes toward cancer patient management; the teaching of diagnostic skills relevant to cancer; the evaluation of undergraduate, postgraduate, or continuing education programs; and articles about all aspects of cancer education from prevention to palliative care. We encourage contributions to a special column called Reflections; these articles should relate to the human aspects of dealing with cancer, cancer patients, and their families and finding meaning and support in these efforts. Letters to the Editor (600 words or less) dealing with published articles or matters of current interest are also invited. Also featured are commentary; book and media reviews; and announcements of educational programs, fellowships, and grants. Articles should be limited to no more than ten double-spaced typed pages, and there should be no more than three tables or figures and 25 references. We also encourage brief reports of five typewritten pages or less, with no more than one figure or table and 15 references.
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