Shared decision making in care for the gynecologic cancer patient

Karina Dahl Steffensen, Lars Ulrik Fokdal, Anja Ør Knudsen, Christine Vestergård Madsen, Pernille Tine Jensen, Lene Lundvall, Karina Olling, Birthe Lemley, Dorthe Blou, Büchmann Hanne, Haee Mette

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskningpeer review

Resumé

Shared decision making in care for the gynecologic cancer patient Steffensen KD, Fokdal LU, Oer Knudsen A, Vestergaard Madsen C, Jensen PT, Lundvall L, Olling K, Lemley B, Blou D, Büchmann H, Haee M Introduction: Treatment of recurrent ovarian cancer is complex and may involve surgery, chemotherapy or surveillance options that should be discussed with patients to reach a shared decision. This project aims to develop and test a patient decision aid (PDA) to facilitate shared decision making (SDM) in treatment planning of the ovarian cancer patient with relapse and furthermore, to evaluate SDM implementation methods Material & Methods: Development, testing, evaluation, and implementation of a PDA for women with relapsed ovarian cancer will be performed at three hospitals in Denmark. The test phase will include; 1) Alpha test: Patients and clinicians are interviewed based on a structured interview guide based on internationally validated questionnaires used to assess, to what extent the PDA prepare the patient to make a decision. 2) Betatest: Validated outcome measures, such a SDM-Q9, SDM-Q-DOC, OPTION and CollaboRATE will be used to assess patients and doctors experiences of SDM in consultations with patients experiencing a disease relapse at baseline before introduction of the PDA (Betatest 1) and after the use of the PDA (Betatest 2) Results: Based on an existing generic platform we have developed a PDA for platinum-sensitive as well as platinum-resistant relapse. The patient-clinician conversation in which the PDA is used consists of 5 steps: 1) The purpose of the PDA is presented 2) The patient is informed of the available treatment possibilities 3) The patients personal preferences is identified, what is important/concerns the patient 4) Patient's options and harms/benefits of each option are reviewed 5) A shared treatment decision is made with the patient Conclusions: The project results are intended to be disseminated on a national level through the Danish Gynecological Cancer Group for the benefit of other cancer patients. The generic PDA template can also be adjusted and used to develop new tools for other clinical decisions within Danishhealthcare
OriginalsprogEngelsk
Publikationsdato30. aug. 2018
StatusUdgivet - 30. aug. 2018
BegivenhedDCCC Danish Cancer Research Days: Danske Kræftforskningsdage - Odeon, Odense, Danmark
Varighed: 30. aug. 201831. aug. 2018
http://www.conferencemanager.dk/DanskeKraeftforskningsdage/arrangementet.html

Konference

KonferenceDCCC Danish Cancer Research Days
LokationOdeon
LandDanmark
ByOdense
Periode30/08/201831/08/2018
Internetadresse

Citer dette

Dahl Steffensen, K., Fokdal, L. U., Ør Knudsen, A., Madsen, C. V., Jensen, P. T., Lundvall, L., ... Mette, H. (2018). Shared decision making in care for the gynecologic cancer patient. Poster session præsenteret på DCCC Danish Cancer Research Days, Odense, Danmark.
Dahl Steffensen, Karina ; Fokdal, Lars Ulrik ; Ør Knudsen, Anja ; Madsen, Christine Vestergård ; Jensen, Pernille Tine ; Lundvall, Lene ; Olling, Karina ; Lemley, Birthe ; Blou, Dorthe ; Hanne, Büchmann ; Mette, Haee. / Shared decision making in care for the gynecologic cancer patient. Poster session præsenteret på DCCC Danish Cancer Research Days, Odense, Danmark.
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title = "Shared decision making in care for the gynecologic cancer patient",
abstract = "Shared decision making in care for the gynecologic cancer patient Steffensen KD, Fokdal LU, Oer Knudsen A, Vestergaard Madsen C, Jensen PT, Lundvall L, Olling K, Lemley B, Blou D, B{\"u}chmann H, Haee M Introduction: Treatment of recurrent ovarian cancer is complex and may involve surgery, chemotherapy or surveillance options that should be discussed with patients to reach a shared decision. This project aims to develop and test a patient decision aid (PDA) to facilitate shared decision making (SDM) in treatment planning of the ovarian cancer patient with relapse and furthermore, to evaluate SDM implementation methods Material & Methods: Development, testing, evaluation, and implementation of a PDA for women with relapsed ovarian cancer will be performed at three hospitals in Denmark. The test phase will include; 1) Alpha test: Patients and clinicians are interviewed based on a structured interview guide based on internationally validated questionnaires used to assess, to what extent the PDA prepare the patient to make a decision. 2) Betatest: Validated outcome measures, such a SDM-Q9, SDM-Q-DOC, OPTION and CollaboRATE will be used to assess patients and doctors experiences of SDM in consultations with patients experiencing a disease relapse at baseline before introduction of the PDA (Betatest 1) and after the use of the PDA (Betatest 2) Results: Based on an existing generic platform we have developed a PDA for platinum-sensitive as well as platinum-resistant relapse. The patient-clinician conversation in which the PDA is used consists of 5 steps: 1) The purpose of the PDA is presented 2) The patient is informed of the available treatment possibilities 3) The patients personal preferences is identified, what is important/concerns the patient 4) Patient's options and harms/benefits of each option are reviewed 5) A shared treatment decision is made with the patient Conclusions: The project results are intended to be disseminated on a national level through the Danish Gynecological Cancer Group for the benefit of other cancer patients. The generic PDA template can also be adjusted and used to develop new tools for other clinical decisions within Danishhealthcare",
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Dahl Steffensen, K, Fokdal, LU, Ør Knudsen, A, Madsen, CV, Jensen, PT, Lundvall, L, Olling, K, Lemley, B, Blou, D, Hanne, B & Mette, H 2018, 'Shared decision making in care for the gynecologic cancer patient', DCCC Danish Cancer Research Days, Odense, Danmark, 30/08/2018 - 31/08/2018.

Shared decision making in care for the gynecologic cancer patient. / Dahl Steffensen, Karina; Fokdal, Lars Ulrik; Ør Knudsen, Anja; Madsen, Christine Vestergård; Jensen, Pernille Tine; Lundvall, Lene; Olling, Karina; Lemley, Birthe ; Blou, Dorthe; Hanne, Büchmann; Mette, Haee.

2018. Poster session præsenteret på DCCC Danish Cancer Research Days, Odense, Danmark.

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskningpeer review

TY - CONF

T1 - Shared decision making in care for the gynecologic cancer patient

AU - Dahl Steffensen, Karina

AU - Fokdal, Lars Ulrik

AU - Ør Knudsen, Anja

AU - Madsen, Christine Vestergård

AU - Jensen, Pernille Tine

AU - Lundvall, Lene

AU - Olling, Karina

AU - Lemley, Birthe

AU - Blou, Dorthe

AU - Hanne, Büchmann

AU - Mette, Haee

PY - 2018/8/30

Y1 - 2018/8/30

N2 - Shared decision making in care for the gynecologic cancer patient Steffensen KD, Fokdal LU, Oer Knudsen A, Vestergaard Madsen C, Jensen PT, Lundvall L, Olling K, Lemley B, Blou D, Büchmann H, Haee M Introduction: Treatment of recurrent ovarian cancer is complex and may involve surgery, chemotherapy or surveillance options that should be discussed with patients to reach a shared decision. This project aims to develop and test a patient decision aid (PDA) to facilitate shared decision making (SDM) in treatment planning of the ovarian cancer patient with relapse and furthermore, to evaluate SDM implementation methods Material & Methods: Development, testing, evaluation, and implementation of a PDA for women with relapsed ovarian cancer will be performed at three hospitals in Denmark. The test phase will include; 1) Alpha test: Patients and clinicians are interviewed based on a structured interview guide based on internationally validated questionnaires used to assess, to what extent the PDA prepare the patient to make a decision. 2) Betatest: Validated outcome measures, such a SDM-Q9, SDM-Q-DOC, OPTION and CollaboRATE will be used to assess patients and doctors experiences of SDM in consultations with patients experiencing a disease relapse at baseline before introduction of the PDA (Betatest 1) and after the use of the PDA (Betatest 2) Results: Based on an existing generic platform we have developed a PDA for platinum-sensitive as well as platinum-resistant relapse. The patient-clinician conversation in which the PDA is used consists of 5 steps: 1) The purpose of the PDA is presented 2) The patient is informed of the available treatment possibilities 3) The patients personal preferences is identified, what is important/concerns the patient 4) Patient's options and harms/benefits of each option are reviewed 5) A shared treatment decision is made with the patient Conclusions: The project results are intended to be disseminated on a national level through the Danish Gynecological Cancer Group for the benefit of other cancer patients. The generic PDA template can also be adjusted and used to develop new tools for other clinical decisions within Danishhealthcare

AB - Shared decision making in care for the gynecologic cancer patient Steffensen KD, Fokdal LU, Oer Knudsen A, Vestergaard Madsen C, Jensen PT, Lundvall L, Olling K, Lemley B, Blou D, Büchmann H, Haee M Introduction: Treatment of recurrent ovarian cancer is complex and may involve surgery, chemotherapy or surveillance options that should be discussed with patients to reach a shared decision. This project aims to develop and test a patient decision aid (PDA) to facilitate shared decision making (SDM) in treatment planning of the ovarian cancer patient with relapse and furthermore, to evaluate SDM implementation methods Material & Methods: Development, testing, evaluation, and implementation of a PDA for women with relapsed ovarian cancer will be performed at three hospitals in Denmark. The test phase will include; 1) Alpha test: Patients and clinicians are interviewed based on a structured interview guide based on internationally validated questionnaires used to assess, to what extent the PDA prepare the patient to make a decision. 2) Betatest: Validated outcome measures, such a SDM-Q9, SDM-Q-DOC, OPTION and CollaboRATE will be used to assess patients and doctors experiences of SDM in consultations with patients experiencing a disease relapse at baseline before introduction of the PDA (Betatest 1) and after the use of the PDA (Betatest 2) Results: Based on an existing generic platform we have developed a PDA for platinum-sensitive as well as platinum-resistant relapse. The patient-clinician conversation in which the PDA is used consists of 5 steps: 1) The purpose of the PDA is presented 2) The patient is informed of the available treatment possibilities 3) The patients personal preferences is identified, what is important/concerns the patient 4) Patient's options and harms/benefits of each option are reviewed 5) A shared treatment decision is made with the patient Conclusions: The project results are intended to be disseminated on a national level through the Danish Gynecological Cancer Group for the benefit of other cancer patients. The generic PDA template can also be adjusted and used to develop new tools for other clinical decisions within Danishhealthcare

M3 - Poster

ER -

Dahl Steffensen K, Fokdal LU, Ør Knudsen A, Madsen CV, Jensen PT, Lundvall L et al. Shared decision making in care for the gynecologic cancer patient. 2018. Poster session præsenteret på DCCC Danish Cancer Research Days, Odense, Danmark.