Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study

Abstract Background Multiple myeloma (MM) is an incurable cancer with complex treatment options. Trusting patient–clinician relationships are essential to promote effective shared decision‐making that aligns best clinical practices with patient values and preferences. This study sought to shed light...

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Autores principales:	Robin L. Whitney, Anne Elizabeth Clark White, Aaron S. Rosenberg, Richard L. Kravitz, Katherine K. Kim
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	multiple myeloma professional–patient relations shared decision‐making trust Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/c209c2bb53564dd7ae51132066aca1c0
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spelling	oai:doaj.org-article:c209c2bb53564dd7ae51132066aca1c02021-11-22T09:08:47ZTrust and shared decision‐making among individuals with multiple myeloma: A qualitative study2045-763410.1002/cam4.4322https://doaj.org/article/c209c2bb53564dd7ae51132066aca1c02021-11-01T00:00:00Zhttps://doi.org/10.1002/cam4.4322https://doaj.org/toc/2045-7634Abstract Background Multiple myeloma (MM) is an incurable cancer with complex treatment options. Trusting patient–clinician relationships are essential to promote effective shared decision‐making that aligns best clinical practices with patient values and preferences. This study sought to shed light on the development of trust between MM patients and clinicians. Methods Nineteen individual semi‐structured interviews were conducted with MM patients within 2 years of initial diagnosis or relapse for this qualitative study. Interviews were recorded and transcripts were coded thematically. Results We identified three main themes: (1) externally validated trust describes patients’ predisposition to trust or distrust clinicians based on factors outside of patient–clinician interactions; (2) internally validated trust describes how patients develop trust based on interactions with specific clinicians. Internally validated trust is driven primarily by clinician communication practices that demonstrate competence, responsiveness, listening, honesty, and empathy; and (3) trust in relation to shared decision‐making describes how patients relate the feeling of trust, or lack thereof, to the process of shared decision‐making. Conclusion Many factors contribute to the development of trust between MM patients and clinicians. While some are outside of clinicians’ control, others derive from clinician behaviors and interpersonal communication skills. These findings suggest the possibility that trust can be enhanced through communication training or shared decision‐making tools that emphasize relational communication. Given the important role trust plays in shared decision‐making, clinicians working with MM patients should prioritize establishing positive, trusting relationships.Robin L. WhitneyAnne Elizabeth Clark WhiteAaron S. RosenbergRichard L. KravitzKatherine K. KimWileyarticlemultiple myelomaprofessional–patient relationsshared decision‐makingtrustNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancer Medicine, Vol 10, Iss 22, Pp 8040-8057 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	multiple myeloma professional–patient relations shared decision‐making trust Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	multiple myeloma professional–patient relations shared decision‐making trust Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Robin L. Whitney Anne Elizabeth Clark White Aaron S. Rosenberg Richard L. Kravitz Katherine K. Kim Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study
description	Abstract Background Multiple myeloma (MM) is an incurable cancer with complex treatment options. Trusting patient–clinician relationships are essential to promote effective shared decision‐making that aligns best clinical practices with patient values and preferences. This study sought to shed light on the development of trust between MM patients and clinicians. Methods Nineteen individual semi‐structured interviews were conducted with MM patients within 2 years of initial diagnosis or relapse for this qualitative study. Interviews were recorded and transcripts were coded thematically. Results We identified three main themes: (1) externally validated trust describes patients’ predisposition to trust or distrust clinicians based on factors outside of patient–clinician interactions; (2) internally validated trust describes how patients develop trust based on interactions with specific clinicians. Internally validated trust is driven primarily by clinician communication practices that demonstrate competence, responsiveness, listening, honesty, and empathy; and (3) trust in relation to shared decision‐making describes how patients relate the feeling of trust, or lack thereof, to the process of shared decision‐making. Conclusion Many factors contribute to the development of trust between MM patients and clinicians. While some are outside of clinicians’ control, others derive from clinician behaviors and interpersonal communication skills. These findings suggest the possibility that trust can be enhanced through communication training or shared decision‐making tools that emphasize relational communication. Given the important role trust plays in shared decision‐making, clinicians working with MM patients should prioritize establishing positive, trusting relationships.
format	article
author	Robin L. Whitney Anne Elizabeth Clark White Aaron S. Rosenberg Richard L. Kravitz Katherine K. Kim
author_facet	Robin L. Whitney Anne Elizabeth Clark White Aaron S. Rosenberg Richard L. Kravitz Katherine K. Kim
author_sort	Robin L. Whitney
title	Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study
title_short	Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study
title_full	Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study
title_fullStr	Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study
title_full_unstemmed	Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study
title_sort	trust and shared decision‐making among individuals with multiple myeloma: a qualitative study
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/c209c2bb53564dd7ae51132066aca1c0
work_keys_str_mv	AT robinlwhitney trustandshareddecisionmakingamongindividualswithmultiplemyelomaaqualitativestudy AT anneelizabethclarkwhite trustandshareddecisionmakingamongindividualswithmultiplemyelomaaqualitativestudy AT aaronsrosenberg trustandshareddecisionmakingamongindividualswithmultiplemyelomaaqualitativestudy AT richardlkravitz trustandshareddecisionmakingamongindividualswithmultiplemyelomaaqualitativestudy AT katherinekkim trustandshareddecisionmakingamongindividualswithmultiplemyelomaaqualitativestudy
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Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study

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