Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials

Objectives: Patients often consent to participate in cancer clinical trials despite misunderstanding the trial content. We developed a tablet-based clinical trial decision aid and tested its use with the usual discussion at the time of clinical trial registration. Methods: Participants were individu...

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Autores principales:	Hiroko Okada, Tsuyoshi Okuhara, Takahiro Kiuchi
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Clinical trials Decision making Decision aid Patient-provider communication Health communication Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/850e31cf3d194cbb8be38aa120bd9f5d
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spelling	oai:doaj.org-article:850e31cf3d194cbb8be38aa120bd9f5d2021-11-20T05:08:06ZDevelopment and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials2451-865410.1016/j.conctc.2021.100854https://doaj.org/article/850e31cf3d194cbb8be38aa120bd9f5d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S245186542100154Xhttps://doaj.org/toc/2451-8654Objectives: Patients often consent to participate in cancer clinical trials despite misunderstanding the trial content. We developed a tablet-based clinical trial decision aid and tested its use with the usual discussion at the time of clinical trial registration. Methods: Participants were individuals considering participating in a breast cancer clinical trial. The control participated in usual discussions; the intervention group participated in discussion using the decision aid. Pre- and post-discussion, we investigated knowledge, decision-making conflict, and discussion length. Results: We enrolled 54 patients, 27 in the control group and 27 in the intervention group. Post-discussion clinical trial knowledge was significantly higher in the intervention group than in the control group (p = 0.003). No significant difference was found in decisional conflict, but the intervention group tended to have lower post-discussion conflict than the control group. There was no between-group difference in the length of discussions with physicians and clinical research coordinators. Conclusion: For women considering participation in cancer clinical trials, a tablet-based decision aid may promote clinical trial understanding without increasing discussion length or patient burden. This pre-learning decision aid incorporating a quiz and bidirectional question prompt lists may improve participants’ understanding of clinical trials.Hiroko OkadaTsuyoshi OkuharaTakahiro KiuchiElsevierarticleClinical trialsDecision makingDecision aidPatient-provider communicationHealth communicationMedicine (General)R5-920ENContemporary Clinical Trials Communications, Vol 24, Iss , Pp 100854- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Clinical trials Decision making Decision aid Patient-provider communication Health communication Medicine (General) R5-920
spellingShingle	Clinical trials Decision making Decision aid Patient-provider communication Health communication Medicine (General) R5-920 Hiroko Okada Tsuyoshi Okuhara Takahiro Kiuchi Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials
description	Objectives: Patients often consent to participate in cancer clinical trials despite misunderstanding the trial content. We developed a tablet-based clinical trial decision aid and tested its use with the usual discussion at the time of clinical trial registration. Methods: Participants were individuals considering participating in a breast cancer clinical trial. The control participated in usual discussions; the intervention group participated in discussion using the decision aid. Pre- and post-discussion, we investigated knowledge, decision-making conflict, and discussion length. Results: We enrolled 54 patients, 27 in the control group and 27 in the intervention group. Post-discussion clinical trial knowledge was significantly higher in the intervention group than in the control group (p = 0.003). No significant difference was found in decisional conflict, but the intervention group tended to have lower post-discussion conflict than the control group. There was no between-group difference in the length of discussions with physicians and clinical research coordinators. Conclusion: For women considering participation in cancer clinical trials, a tablet-based decision aid may promote clinical trial understanding without increasing discussion length or patient burden. This pre-learning decision aid incorporating a quiz and bidirectional question prompt lists may improve participants’ understanding of clinical trials.
format	article
author	Hiroko Okada Tsuyoshi Okuhara Takahiro Kiuchi
author_facet	Hiroko Okada Tsuyoshi Okuhara Takahiro Kiuchi
author_sort	Hiroko Okada
title	Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials
title_short	Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials
title_full	Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials
title_fullStr	Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials
title_full_unstemmed	Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials
title_sort	development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/850e31cf3d194cbb8be38aa120bd9f5d
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Development and preliminary evaluation of tablet computer-based decision aid for patients participating in cancer clinical trials

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