Department of IQ Healthcare, Radboud University Medical Centre, Nijmegen, the Netherlands.
Department of Medical Oncology, Erasmus MC Cancer Institute, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Patient Educ Couns. 2024 Feb;119:108075. doi: 10.1016/j.pec.2023.108075. Epub 2023 Nov 16.
In the shared decision-making (SDM) process for potential early phase clinical cancer trial participation, value clarification is highly recommended. However, exploration and discussion of patient values between patients and oncologists remains limited. This study aims to develop an SDM-supportive intervention, consisting of a preparatory online value clarification tool (OnVaCT) and a communication training.
The OnVaCT intervention was developed and pilot-tested by combining theoretical notions on value clarification, with interview studies with patients and oncologists, focus groups with patient representatives and oncologists, and think aloud sessions with patients, following the Medical Research Council (MRC) framework for complex interventions. These human-centered methodologies enabled a user-centered approach at every step of the development process of the intervention.
This study shows relevant patient values and oncologists' perspectives on value exploration and discussion in daily practice. This has been combined with theoretical considerations into the creation of characters based on real-life experiences of patients in the OnVaCT, and how the tool is combined with a communication training for oncologists to improve SDM.
在潜在早期癌症临床试验参与的共同决策（SDM）过程中，强烈推荐明确价值观。然而，患者和肿瘤医生之间对患者价值观的探索和讨论仍然有限。本研究旨在开发一种支持 SDM 的干预措施，包括一个预备在线价值澄清工具（OnVaCT）和沟通培训。
OnVaCT 干预措施是通过将价值澄清的理论概念与患者和肿瘤医生的访谈研究、患者代表和肿瘤医生的焦点小组以及患者的出声思维会议相结合而开发和试点测试的，遵循医学研究委员会（MRC）复杂干预措施框架。这些以人为本的方法在干预措施的开发过程的每一步都实现了以用户为中心的方法。
本研究展示了相关的患者价值观和肿瘤医生在日常实践中对价值探索和讨论的观点。这些观点结合了理论考虑因素，创造了基于患者真实体验的角色，以及该工具如何与肿瘤医生的沟通培训相结合，以改善 SDM。
