Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/654

Appears in Collections:School of Health Sciences Journal Articles
Peer Review Status: Refereed
Title: Preferences for involvement in treatment decision making of patients with cancer: A review of the literature
Authors: Hubbard, Gill
Kidd, Lisa
Donaghy, Edward
Contact Email: lisa.kidd@stir.ac.uk
Keywords: decision making,
involvement
treatment
cancer
Issue Date: May-2008
Publisher: Elsevier
Citation: Hubbard G, Kidd L & Donaghy E (2008) Preferences for involvement in treatment decision making of patients with cancer: A review of the literature, European Journal of Oncology Nursing, 12 (4), pp. 299-318.
Abstract: A systematic review of the literature about patients’ preferences for involvement in cancer treatment decision making was conducted. Establishing preferences is important if the aim is to make health care more sensitive to the needs and expectations of each individual patient. Thirty-one papers were included in the review. Generalising from this literature is problematic because of limitations related to sample size, sample composition and methods used to assess preferences. Whilst we take cognizance of these limitations, research suggests that preferences vary considerably and that whilst most patients prefer a collaborative role, a significant minority prefer a passive or active role. Evidence about the association of factors such as age, gender, level of education, marital status, socio-economic status and health status with preferences is inconclusive. Only a handful of studies investigated the degree of congruence between patients’ role preferences and the actual role that they perceived they had played, which highlight that some patients experience a dissonance between the two. Similarly, few studies investigated the impact of this dissonance on patient anxiety or satisfaction with the treatment decision. We advocate more rigorous investigations before recommendations for health care professionals can be processed with confide
Type: Journal Article
URI: http://hdl.handle.net/1893/654
DOI Link: http://dx.doi.org/10.1016/j.ejon.2008.03.004
Rights: Published in European Journal of Oncology Nursing by Elsevier
Affiliation: Cancer Care Research Centre

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