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Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences -A Mixed-Methods-Study

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Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences -A Mixed-Methods-Study. / Heuser, Christian; Schellenberger, Barbara; Ernstmann, Nicole; Diekmann, Annika; Krüger, Emily; Schreiber, Leonie; Scholl, Isabelle; Ansmann, Lena.

in: J MULTIDISCIP HEALTH, Jahrgang 16, 2023, S. 397-409.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Heuser, C, Schellenberger, B, Ernstmann, N, Diekmann, A, Krüger, E, Schreiber, L, Scholl, I & Ansmann, L 2023, 'Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences -A Mixed-Methods-Study', J MULTIDISCIP HEALTH, Jg. 16, S. 397-409. https://doi.org/10.2147/JMDH.S397300

APA

Heuser, C., Schellenberger, B., Ernstmann, N., Diekmann, A., Krüger, E., Schreiber, L., Scholl, I., & Ansmann, L. (2023). Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences -A Mixed-Methods-Study. J MULTIDISCIP HEALTH, 16, 397-409. https://doi.org/10.2147/JMDH.S397300

Vancouver

Heuser C, Schellenberger B, Ernstmann N, Diekmann A, Krüger E, Schreiber L et al. Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences -A Mixed-Methods-Study. J MULTIDISCIP HEALTH. 2023;16:397-409. https://doi.org/10.2147/JMDH.S397300

Bibtex

@article{0825855889ee469c9d8ef66efd44576d,
title = "Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences -A Mixed-Methods-Study",
abstract = "PURPOSE: This study aimed (1) to analyze patients' perceived shared decision-making (SDM) experiences over 4 weeks between patients participating or not in multidisciplinary tumor conferences (MTCs) and (2) to analyze the association of patients' active participation in and organizational variables of MTCs with patients' perceived SDM experience directly after MTC.PATIENTS AND METHODS: From the N=317 patients, this observational study included patient surveys, observations, and audio transcripts from MTCs with (N=82) and without (N=145) patient participation in six breast and gynecologic cancer centers. We performed t tests for within- and between-group comparisons and linear regression with {"}patients' perceived SDM experiences in MTC{"} as the dependent variable.RESULTS: Patients' perceived SDM experiences increased at 4 weeks after MTC (p<0.001) with lower perceived SDM experiences for participating versus nonparticipating patients (p<0.001). Linear regression showed that the organizational variable {"}round table seating arrangement{"} was significantly associated with higher perceived SDM experiences compared with a theater or U-shape arrangement (beta=-0.38, p=0.043; beta=-0.69, p=0.010) directly after MTC.CONCLUSION: Results provide first insights into patients' perceived SDM experiences in MTCs. SDM in MTCs is associated with organizational variables of MTCs. A round table seating arrangement in MTCs with patient participation seems important for patients' perceived SDM experiences. The relatively low perceived SDM experiences of participating patients directly after MTC indicates room for improvement, eg concerning patient-centered communication.",
author = "Christian Heuser and Barbara Schellenberger and Nicole Ernstmann and Annika Diekmann and Emily Kr{\"u}ger and Leonie Schreiber and Isabelle Scholl and Lena Ansmann",
note = "{\textcopyright} 2023 Heuser et al.",
year = "2023",
doi = "10.2147/JMDH.S397300",
language = "English",
volume = "16",
pages = "397--409",
journal = "J MULTIDISCIP HEALTH",
issn = "1178-2390",
publisher = "DOVE MEDICAL PRESS LTD",

}

RIS

TY - JOUR

T1 - Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences -A Mixed-Methods-Study

AU - Heuser, Christian

AU - Schellenberger, Barbara

AU - Ernstmann, Nicole

AU - Diekmann, Annika

AU - Krüger, Emily

AU - Schreiber, Leonie

AU - Scholl, Isabelle

AU - Ansmann, Lena

N1 - © 2023 Heuser et al.

PY - 2023

Y1 - 2023

N2 - PURPOSE: This study aimed (1) to analyze patients' perceived shared decision-making (SDM) experiences over 4 weeks between patients participating or not in multidisciplinary tumor conferences (MTCs) and (2) to analyze the association of patients' active participation in and organizational variables of MTCs with patients' perceived SDM experience directly after MTC.PATIENTS AND METHODS: From the N=317 patients, this observational study included patient surveys, observations, and audio transcripts from MTCs with (N=82) and without (N=145) patient participation in six breast and gynecologic cancer centers. We performed t tests for within- and between-group comparisons and linear regression with "patients' perceived SDM experiences in MTC" as the dependent variable.RESULTS: Patients' perceived SDM experiences increased at 4 weeks after MTC (p<0.001) with lower perceived SDM experiences for participating versus nonparticipating patients (p<0.001). Linear regression showed that the organizational variable "round table seating arrangement" was significantly associated with higher perceived SDM experiences compared with a theater or U-shape arrangement (beta=-0.38, p=0.043; beta=-0.69, p=0.010) directly after MTC.CONCLUSION: Results provide first insights into patients' perceived SDM experiences in MTCs. SDM in MTCs is associated with organizational variables of MTCs. A round table seating arrangement in MTCs with patient participation seems important for patients' perceived SDM experiences. The relatively low perceived SDM experiences of participating patients directly after MTC indicates room for improvement, eg concerning patient-centered communication.

AB - PURPOSE: This study aimed (1) to analyze patients' perceived shared decision-making (SDM) experiences over 4 weeks between patients participating or not in multidisciplinary tumor conferences (MTCs) and (2) to analyze the association of patients' active participation in and organizational variables of MTCs with patients' perceived SDM experience directly after MTC.PATIENTS AND METHODS: From the N=317 patients, this observational study included patient surveys, observations, and audio transcripts from MTCs with (N=82) and without (N=145) patient participation in six breast and gynecologic cancer centers. We performed t tests for within- and between-group comparisons and linear regression with "patients' perceived SDM experiences in MTC" as the dependent variable.RESULTS: Patients' perceived SDM experiences increased at 4 weeks after MTC (p<0.001) with lower perceived SDM experiences for participating versus nonparticipating patients (p<0.001). Linear regression showed that the organizational variable "round table seating arrangement" was significantly associated with higher perceived SDM experiences compared with a theater or U-shape arrangement (beta=-0.38, p=0.043; beta=-0.69, p=0.010) directly after MTC.CONCLUSION: Results provide first insights into patients' perceived SDM experiences in MTCs. SDM in MTCs is associated with organizational variables of MTCs. A round table seating arrangement in MTCs with patient participation seems important for patients' perceived SDM experiences. The relatively low perceived SDM experiences of participating patients directly after MTC indicates room for improvement, eg concerning patient-centered communication.

U2 - 10.2147/JMDH.S397300

DO - 10.2147/JMDH.S397300

M3 - SCORING: Journal article

C2 - 36816614

VL - 16

SP - 397

EP - 409

JO - J MULTIDISCIP HEALTH

JF - J MULTIDISCIP HEALTH

SN - 1178-2390

ER -