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dc.contributor.authorAbhyankar, Purvaen_UK
dc.contributor.authorBekker, Hilary Len_UK
dc.contributor.authorSummers, Barbara Aen_UK
dc.contributor.authorVelikova, Galinaen_UK
dc.description.abstractBackground: Decision aids help patients make informed treatment decisions. Values clarification (VC) techniques are part of decision aids that help patients assimilate the information with their personal values. There is little evidence that these techniques contribute to enhanced decision making over and above the provision of good quality information. Objectives: To assess whether VC techniques are active ingredients in enhancing informed decision making and explain how and why they work. Methods: Participants were randomly assigned to one of three groups: (i) information only, (ii) information plus implicit task, (iii) information plus explicit task. Thirty healthy women from a UK University participated by making a hypothetical choice between taking part in a clinical trial and having the standard treatment for breast cancer. Verbal protocols were elicited by think-aloud method and content analysed to assess informed decision making; a questionnaire was completed after the decision assessing decision preference, perceptions of decisional conflict and ambivalence. Data were analysed using multivariate statistics. Findings: No participants changed their decision preference as a result of the VC techniques. Women in the explicit VC group evaluated more information in accord with personal values, expressed lower ambivalence, decisional uncertainty and greater clarity of personal values than those in the implicit VC and control groups. Feelings of ambivalence about both options were related to decisional conflict. Conclusion: Explicit VC techniques are likely to be active ingredients in decision aids. They work by enabling people to deliberate about the decision information in accord with their personal values, which is associated with a better decision experience.en_UK
dc.relationAbhyankar P, Bekker HL, Summers BA & Velikova G (2011) Why values elicitation techniques enable people to make informed decisions about cancer trial participation. Health Expectations, 14 (Supplement s1), pp. 20-32.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectdecision aidsen_UK
dc.subjectinformed choiceen_UK
dc.subjectinformed decision makingen_UK
dc.subjecttrial participationen_UK
dc.subjectvalues clarificationen_UK
dc.titleWhy values elicitation techniques enable people to make informed decisions about cancer trial participationen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Abhyankar et al-values elicitation techniques 2011.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleHealth Expectationsen_UK
dc.citation.issueSupplement s1en_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Leedsen_UK
dc.contributor.affiliationUniversity of Leedsen_UK
dc.contributor.affiliationSt James University Hospitalen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorAbhyankar, Purva|0000-0002-0779-6588en_UK
local.rioxx.authorBekker, Hilary L|en_UK
local.rioxx.authorSummers, Barbara A|en_UK
local.rioxx.authorVelikova, Galina|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameAbhyankar et al-values elicitation techniques 2011.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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