Randomized trial of a patient-centered decision aid for promoting informed decisions about lung cancer screening: Implementation of a PCORI study protocol and lessons learned

Contemporary Clinical Trials
Lisa M LowensteinRobert J Volk

Abstract

We describe the methods, stakeholder engagement, and lessons learned from a study comparing a video decision aid to standard educational materials on lung cancer screening decisions. The study followed rigorous methodology standards from the Patient-Centered Outcomes Research Institute. The importance of patient-centeredness and patient/stakeholder engagement are reflected across the study's conceptualization, execution, interpretation, and dissemination efforts. Advisory groups of current and former smokers, quitline service providers, clinicians, and patient advocates were formed for the project. The study used both retrospective and prospective recruitment strategies. Randomization of patients occurred within state-based quitlines, with aggressive tracking of participants. We collected data at baseline and 1-week, 3-month and 6-months after receiving the intervention. The patient-centered outcomes included whether patients' receiving the decision aid a) felt better prepared to make a decision, b) felt more informed about the screening decision, c) had more clarity on their values regarding the benefits and harms of lung cancer screening, and d) were more knowledgeable about lung cancer screening than patients receiving the s...Continue Reading

Citations

Jan 10, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Randi M WilliamsCheryl L Knott
Jan 11, 2020·Praxis der Kinderpsychologie und Kinderpsychiatrie·Frank HäßlerMonika Schröder
Mar 6, 2021·BMC Health Services Research·Joanne EnticottHelena Teede

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