Shared decision-making in palliative cancer care: a life span perspective

C. Groot-Kormelink, C. Bode, C. Drossaert, M. Wymenga

Research output: Contribution to journalMeeting AbstractAcademic

6 Downloads (Pure)

Abstract

Background: Due to complex treatment decisions, shared decision-making is advocated for in elderly cancer patients and in palliative cancer care. However, the process of (shared) decision-making is not comprehensively understood in these groups. Studies suggest age-based differences in patients’ level of preferences and actual involvement.

Methods: Patients with metastatic cancers (n = 77) were included in three age groups: ‘middle aged’ (40-64 years), ‘young elderly-’ (65-74 years) and ‘old elderly’ (≥ 75 years). A cross-sectional questionnaire assessed patients’ preferences (CPS), perceived involvement (PICS), level of information (decisional conflict scale) and self-efficacy in patient-physician interaction (PEPPI), health-related quality of life (EORTC QLQ-C30), loneliness and temporal perspective (TFS) as potential correlates.

Findings: Χ2 testing revealed that preferences, perceived participation and degrees of concordance do not differ between age groups. A majority of patients preferred and perceived to be involved in decision-making. Nearly 20% of patients was less involved than preferred. Age related factors were not related to perceived and preferred decision-making, although ‘old elderly’ patients were less encouraged by their oncologist to talk about worries. Shared decision-making was more often perceived by women than men and was associated with higher levels of self-efficacy in communication with oncologists.

Discussion: Age-related differences with regard to decision making preferences and perceived participation seemed to be cancelled out in palliative cancer care, probably due to near-to-death perception. If clinical practice aims to achieve higher concordance levels, patients’ preferences for involvement should be explicitly discussed. Increased attention to (older) patients’ psycho-social needs is suggested.
Original languageEnglish
Pages (from-to)120-120
Number of pages1
JournalEuropean Health Psychologist
Volume18
Issue numberSuppl
Publication statusPublished - 2016
Event30th Annual Conference of the European Health Psychology Society (EHPS) 2016: Behaviour Change: Making an Impact on Health and Health Services - Aberdeen, United Kingdom
Duration: 23 Aug 201627 Aug 2016
Conference number: 30

Fingerprint

Palliative Care
Decision Making
Patient Preference
Neoplasms
Self Efficacy
Age Groups
Loneliness
Age Factors
Communication
Quality of Life
Physicians

Cite this

@article{4e00f703620d41dd84c2009d58029b50,
title = "Shared decision-making in palliative cancer care: a life span perspective",
abstract = "Background: Due to complex treatment decisions, shared decision-making is advocated for in elderly cancer patients and in palliative cancer care. However, the process of (shared) decision-making is not comprehensively understood in these groups. Studies suggest age-based differences in patients’ level of preferences and actual involvement.Methods: Patients with metastatic cancers (n = 77) were included in three age groups: ‘middle aged’ (40-64 years), ‘young elderly-’ (65-74 years) and ‘old elderly’ (≥ 75 years). A cross-sectional questionnaire assessed patients’ preferences (CPS), perceived involvement (PICS), level of information (decisional conflict scale) and self-efficacy in patient-physician interaction (PEPPI), health-related quality of life (EORTC QLQ-C30), loneliness and temporal perspective (TFS) as potential correlates. Findings: Χ2 testing revealed that preferences, perceived participation and degrees of concordance do not differ between age groups. A majority of patients preferred and perceived to be involved in decision-making. Nearly 20{\%} of patients was less involved than preferred. Age related factors were not related to perceived and preferred decision-making, although ‘old elderly’ patients were less encouraged by their oncologist to talk about worries. Shared decision-making was more often perceived by women than men and was associated with higher levels of self-efficacy in communication with oncologists.Discussion: Age-related differences with regard to decision making preferences and perceived participation seemed to be cancelled out in palliative cancer care, probably due to near-to-death perception. If clinical practice aims to achieve higher concordance levels, patients’ preferences for involvement should be explicitly discussed. Increased attention to (older) patients’ psycho-social needs is suggested.",
author = "C. Groot-Kormelink and C. Bode and C. Drossaert and M. Wymenga",
year = "2016",
language = "English",
volume = "18",
pages = "120--120",
journal = "European Health Psychologist",
issn = "2225-6962",
publisher = "European Health Psychology Society",
number = "Suppl",

}

Shared decision-making in palliative cancer care : a life span perspective. / Groot-Kormelink, C.; Bode, C.; Drossaert, C.; Wymenga, M.

In: European Health Psychologist, Vol. 18, No. Suppl, 2016, p. 120-120.

Research output: Contribution to journalMeeting AbstractAcademic

TY - JOUR

T1 - Shared decision-making in palliative cancer care

T2 - a life span perspective

AU - Groot-Kormelink, C.

AU - Bode, C.

AU - Drossaert, C.

AU - Wymenga, M.

PY - 2016

Y1 - 2016

N2 - Background: Due to complex treatment decisions, shared decision-making is advocated for in elderly cancer patients and in palliative cancer care. However, the process of (shared) decision-making is not comprehensively understood in these groups. Studies suggest age-based differences in patients’ level of preferences and actual involvement.Methods: Patients with metastatic cancers (n = 77) were included in three age groups: ‘middle aged’ (40-64 years), ‘young elderly-’ (65-74 years) and ‘old elderly’ (≥ 75 years). A cross-sectional questionnaire assessed patients’ preferences (CPS), perceived involvement (PICS), level of information (decisional conflict scale) and self-efficacy in patient-physician interaction (PEPPI), health-related quality of life (EORTC QLQ-C30), loneliness and temporal perspective (TFS) as potential correlates. Findings: Χ2 testing revealed that preferences, perceived participation and degrees of concordance do not differ between age groups. A majority of patients preferred and perceived to be involved in decision-making. Nearly 20% of patients was less involved than preferred. Age related factors were not related to perceived and preferred decision-making, although ‘old elderly’ patients were less encouraged by their oncologist to talk about worries. Shared decision-making was more often perceived by women than men and was associated with higher levels of self-efficacy in communication with oncologists.Discussion: Age-related differences with regard to decision making preferences and perceived participation seemed to be cancelled out in palliative cancer care, probably due to near-to-death perception. If clinical practice aims to achieve higher concordance levels, patients’ preferences for involvement should be explicitly discussed. Increased attention to (older) patients’ psycho-social needs is suggested.

AB - Background: Due to complex treatment decisions, shared decision-making is advocated for in elderly cancer patients and in palliative cancer care. However, the process of (shared) decision-making is not comprehensively understood in these groups. Studies suggest age-based differences in patients’ level of preferences and actual involvement.Methods: Patients with metastatic cancers (n = 77) were included in three age groups: ‘middle aged’ (40-64 years), ‘young elderly-’ (65-74 years) and ‘old elderly’ (≥ 75 years). A cross-sectional questionnaire assessed patients’ preferences (CPS), perceived involvement (PICS), level of information (decisional conflict scale) and self-efficacy in patient-physician interaction (PEPPI), health-related quality of life (EORTC QLQ-C30), loneliness and temporal perspective (TFS) as potential correlates. Findings: Χ2 testing revealed that preferences, perceived participation and degrees of concordance do not differ between age groups. A majority of patients preferred and perceived to be involved in decision-making. Nearly 20% of patients was less involved than preferred. Age related factors were not related to perceived and preferred decision-making, although ‘old elderly’ patients were less encouraged by their oncologist to talk about worries. Shared decision-making was more often perceived by women than men and was associated with higher levels of self-efficacy in communication with oncologists.Discussion: Age-related differences with regard to decision making preferences and perceived participation seemed to be cancelled out in palliative cancer care, probably due to near-to-death perception. If clinical practice aims to achieve higher concordance levels, patients’ preferences for involvement should be explicitly discussed. Increased attention to (older) patients’ psycho-social needs is suggested.

UR - http://ehps2016.org/abstracts.html

M3 - Meeting Abstract

VL - 18

SP - 120

EP - 120

JO - European Health Psychologist

JF - European Health Psychologist

SN - 2225-6962

IS - Suppl

ER -