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Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study

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Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study. / Bravo, Paulina; Dois, Angelina; Villarroel, Luis; González-Agüero, Marcela; Fernández-González, Loreto; Sánchez, César; Martinez, Alejandra; Turén, Valentina; Quezada, Constanza; Guasalaga, María Elisabeth; Härter, Martin.

In: BMJ OPEN, Vol. 13, No. 7, 20.07.2023, p. e074111.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Bravo, P, Dois, A, Villarroel, L, González-Agüero, M, Fernández-González, L, Sánchez, C, Martinez, A, Turén, V, Quezada, C, Guasalaga, ME & Härter, M 2023, 'Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study', BMJ OPEN, vol. 13, no. 7, pp. e074111. https://doi.org/10.1136/bmjopen-2023-074111

APA

Bravo, P., Dois, A., Villarroel, L., González-Agüero, M., Fernández-González, L., Sánchez, C., Martinez, A., Turén, V., Quezada, C., Guasalaga, M. E., & Härter, M. (2023). Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study. BMJ OPEN, 13(7), e074111. https://doi.org/10.1136/bmjopen-2023-074111

Vancouver

Bravo P, Dois A, Villarroel L, González-Agüero M, Fernández-González L, Sánchez C et al. Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study. BMJ OPEN. 2023 Jul 20;13(7):e074111. https://doi.org/10.1136/bmjopen-2023-074111

Bibtex

@article{afa8d703cd7b4f82a8865114734b9899,
title = "Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study",
abstract = "INTRODUCTION: Chile is committed to actively involving patients in their healthcare. However, little is known about how this is translated into clinical encounters. Breast cancer (BC) is the first cause of cancer-related death in Chilean women. National policy guarantees standard care, and treatment decisions should be made along this process that can have long-term consequences for women. So, BC is a particularly well-suited case study to understand the complexity of patient participation in decision-making.OBJECTIVE: To identify the factors that affect the active involvement of patients in the BC treatment decision-making process, considering the perspectives and practices of health professionals and women facing the disease.METHOD AND ANALYSIS: We will conduct a mixed-method study through a convergent parallel design in three stages: (1) A qualitative study: non-participant observation of the tumour board (TB) meetings; semi-structured interviews with key informants from TBs; documentary analyses; semi-structured interviews with women facing BC; and non-participant observations of clinical encounters; (2) a cross-sectional study with 445 women facing BC stages I-III from three hospitals in Santiago, Chile. We will measure the level of expected participation, experienced participation, decisional conflict, quality of life (QoL) and satisfaction with healthcare. Descriptive analysis will be performed, and multivariable binary logistic regression models will be adjusted to identify factors associated with high levels of QoL or satisfaction; (3) an integration study will bring together the data through a joint display technique.ETHICS AND DISSEMINATION: The study has been conceived and will be conducted according to international and local agreements for ethical research. Ethical approval has been granted by two Ethics Committees in Chile.The results will be disseminated to scientific and lay audiences (publications in scientific journals and conferences, seminars and a website for plain language dissemination).",
keywords = "Humans, Female, Breast Neoplasms/therapy, Decision Making, Quality of Life, Cross-Sectional Studies, Research Design",
author = "Paulina Bravo and Angelina Dois and Luis Villarroel and Marcela Gonz{\'a}lez-Ag{\"u}ero and Loreto Fern{\'a}ndez-Gonz{\'a}lez and C{\'e}sar S{\'a}nchez and Alejandra Martinez and Valentina Tur{\'e}n and Constanza Quezada and Guasalaga, {Mar{\'i}a Elisabeth} and Martin H{\"a}rter",
note = "{\textcopyright} Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2023",
month = jul,
day = "20",
doi = "10.1136/bmjopen-2023-074111",
language = "English",
volume = "13",
pages = "e074111",
journal = "BMJ OPEN",
issn = "2044-6055",
publisher = "British Medical Journal Publishing Group",
number = "7",

}

RIS

TY - JOUR

T1 - Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study

AU - Bravo, Paulina

AU - Dois, Angelina

AU - Villarroel, Luis

AU - González-Agüero, Marcela

AU - Fernández-González, Loreto

AU - Sánchez, César

AU - Martinez, Alejandra

AU - Turén, Valentina

AU - Quezada, Constanza

AU - Guasalaga, María Elisabeth

AU - Härter, Martin

N1 - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2023/7/20

Y1 - 2023/7/20

N2 - INTRODUCTION: Chile is committed to actively involving patients in their healthcare. However, little is known about how this is translated into clinical encounters. Breast cancer (BC) is the first cause of cancer-related death in Chilean women. National policy guarantees standard care, and treatment decisions should be made along this process that can have long-term consequences for women. So, BC is a particularly well-suited case study to understand the complexity of patient participation in decision-making.OBJECTIVE: To identify the factors that affect the active involvement of patients in the BC treatment decision-making process, considering the perspectives and practices of health professionals and women facing the disease.METHOD AND ANALYSIS: We will conduct a mixed-method study through a convergent parallel design in three stages: (1) A qualitative study: non-participant observation of the tumour board (TB) meetings; semi-structured interviews with key informants from TBs; documentary analyses; semi-structured interviews with women facing BC; and non-participant observations of clinical encounters; (2) a cross-sectional study with 445 women facing BC stages I-III from three hospitals in Santiago, Chile. We will measure the level of expected participation, experienced participation, decisional conflict, quality of life (QoL) and satisfaction with healthcare. Descriptive analysis will be performed, and multivariable binary logistic regression models will be adjusted to identify factors associated with high levels of QoL or satisfaction; (3) an integration study will bring together the data through a joint display technique.ETHICS AND DISSEMINATION: The study has been conceived and will be conducted according to international and local agreements for ethical research. Ethical approval has been granted by two Ethics Committees in Chile.The results will be disseminated to scientific and lay audiences (publications in scientific journals and conferences, seminars and a website for plain language dissemination).

AB - INTRODUCTION: Chile is committed to actively involving patients in their healthcare. However, little is known about how this is translated into clinical encounters. Breast cancer (BC) is the first cause of cancer-related death in Chilean women. National policy guarantees standard care, and treatment decisions should be made along this process that can have long-term consequences for women. So, BC is a particularly well-suited case study to understand the complexity of patient participation in decision-making.OBJECTIVE: To identify the factors that affect the active involvement of patients in the BC treatment decision-making process, considering the perspectives and practices of health professionals and women facing the disease.METHOD AND ANALYSIS: We will conduct a mixed-method study through a convergent parallel design in three stages: (1) A qualitative study: non-participant observation of the tumour board (TB) meetings; semi-structured interviews with key informants from TBs; documentary analyses; semi-structured interviews with women facing BC; and non-participant observations of clinical encounters; (2) a cross-sectional study with 445 women facing BC stages I-III from three hospitals in Santiago, Chile. We will measure the level of expected participation, experienced participation, decisional conflict, quality of life (QoL) and satisfaction with healthcare. Descriptive analysis will be performed, and multivariable binary logistic regression models will be adjusted to identify factors associated with high levels of QoL or satisfaction; (3) an integration study will bring together the data through a joint display technique.ETHICS AND DISSEMINATION: The study has been conceived and will be conducted according to international and local agreements for ethical research. Ethical approval has been granted by two Ethics Committees in Chile.The results will be disseminated to scientific and lay audiences (publications in scientific journals and conferences, seminars and a website for plain language dissemination).

KW - Humans

KW - Female

KW - Breast Neoplasms/therapy

KW - Decision Making

KW - Quality of Life

KW - Cross-Sectional Studies

KW - Research Design

U2 - 10.1136/bmjopen-2023-074111

DO - 10.1136/bmjopen-2023-074111

M3 - SCORING: Journal article

C2 - 37474182

VL - 13

SP - e074111

JO - BMJ OPEN

JF - BMJ OPEN

SN - 2044-6055

IS - 7

ER -