Ministry of Health, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2020 May;41(5):499-507. doi: 10.15537/smj.2020.5.25064.
To evaluate the effect of decision aids (DAs) for metastatic colorectal cancer (mCRC) patients in the Arabic language.
A multi-centered randomized control trial was used to evaluate the effect of Arabic DA use with usual care for mCRC patients compared to usual care alone. Patients were recruited from 4 main oncology centers in Saudi Arabia: King Fahad Medical City, Riyadh; King Khalid University Hospital, Riyadh; King Saud Medical City, Riyadh; and King Fahd Specialist Hospital, Dammam, Saudi Arabia, between March 2016 and October 2018. The final follow up was in April 2019. The study measured patient understanding of prognosis, treatment options, and the level of the patient's anxiety.
Ninety-two patients were included in the analysis; 51 in the intervention group. A small proportion of both (DA with usual care and usual care) understood that mCRC was incurable (8% and 5%) of the 2 groups, respectively. There was no significant difference between groups in anxiety level; however, a time effect both initially and after one month was significantly higher than at 6 month.
The study shows that a higher level of patient's baseline understanding lowered anxiety levels over time. Decision aids group presented low levels of anxiety over time than those provided the usual care. We recommend using Arabic DA in the oncology centers dealing with mCRC patients, aiming to empower patients in decision making.
评估阿拉伯语转移性结直肠癌（mCRC）患者决策辅助工具（DAs）的效果。
采用多中心随机对照试验，评估与常规护理相比，阿拉伯语 DA 在 mCRC 患者中的应用效果。患者于 2016 年 3 月至 2018 年 10 月期间在沙特阿拉伯的 4 个主要肿瘤中心招募：利雅得的法赫德国王医疗城、利雅得的哈立德国王大学医院、利雅得的沙特国王医疗城和达曼的法赫德国王专科医院。最终随访时间为 2019 年 4 月。研究测量了患者对预后、治疗选择的理解程度和患者焦虑水平。
92 名患者纳入分析；干预组 51 名。两组中只有一小部分（DA 联合常规护理和常规护理）分别理解 mCRC 是不可治愈的（8%和 5%）。两组之间的焦虑水平没有显著差异；然而，在最初和一个月后都有显著高于 6 个月的时间效应。
研究表明，较高的患者基线理解水平降低了焦虑水平。决策辅助组在整个时间内的焦虑水平低于常规护理组。我们建议在处理 mCRC 患者的肿瘤中心使用阿拉伯语 DA，旨在增强患者的决策能力。
