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Web-based decision support tool reduces decisional conflict in men with localized prostate cancer

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A multi-site study of a web-based decision support tool for men newly diagnosed with localized prostate cancer found that the tool helped significantly reduce decisional conflict in choosing treatment options. This tool, the Personal Patient-Profile-Prostate (P3P) decision aid, involved education and communication coaching through text, graphs, and video clips. The study found that the P3P intervention reduced decisional conflict that participants experienced regarding their treatment options during the weeks after their diagnosis, compared to usual care. The study also revealed subtle differences in the level of decisional conflict experienced by participants that were associated with marital status, risk level for poor treatment outcomes, and income. Decision support strategies such as the P3P intervention can help support patients newly diagnosed with localized prostate cancer make what can be difficult choices about their treatment.

Berry DL, Hong F, Blonquist TM, Halpenny B, Filson CP, Master VA, Sanda MG, Chang P, Chien GW, Jones RA, Krupski TL, Wolpin S, Wilson L, Hayes JH, Trinh QD, Sokoloff M, Somayaji P. Decision Support with the Personal Patient Profile-Prostate: A Multicenter Randomized Trial. J Urol. 2018 Jan;199(1):89-97. PMID:28754540

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