Using a Mixed Methods Approach to Understand Shared Decision-Making in Lung Cancer Screening
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 654
- 试验地点
- 1
- 主要终点
- Key Components of Shared Decision Making Process That Predict Patient-perceived Lung Cancer Screening Decision Quality
研究概览
简要总结
The purpose of this study is to learn about discussion between clinicians and their patients related to lung screening. Survey answers will be collected from both clinicians and their patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •CLINICIANS:
- •Clinician (physician, nurse practitioner, or physician assistant)
- •Practicing in a KPWA primary care clinic
- •Having a patient panel with >/= 10 lung cancer screening eligible patients
- •PATIENTS (Quantitative Phase):
- •Age 55-80 years
- •>/= 30 pack-year tobacco smoking history
- •Current smoker or former smoker who has quit within the past 15 years
- •Documented SDM lung cancer screening discussion during a recent clinic visit
排除标准
- •Significant comorbidities (Charlson Comorbidity Index >/=3)
- •Lung cancer diagnosis
结局指标
主要结局
Key Components of Shared Decision Making Process That Predict Patient-perceived Lung Cancer Screening Decision Quality
时间窗: at baseline (study enrollment)
Decisional Quality was measured using the multidimensional Decisional Conflict Scale, a 16-item Likert-response scale that was modified by the investigators for the lung cancer screening context. The total score ranging from 0 to 64. This total score is commonly transformed into a standardized score that falls within a 0 to 100 range. Decisional quality measured on this numeric scale from which lower scores represent lower decisional conflict and, therefore, higher decisional quality. Scores below 25 have been associated with low decisional conflict.
次要结局
未报告次要终点
研究者
Lisa Carter-Bawa, PhD
Director | Cancer Prevention Precision Control Institute
Hackensack Meridian Health