When do cancer patients regret their treatment decision?: A path analysis of the influence of clinicians’ communication styles and the match of decision-making styles on decision regret
Objective - To test the influence of physician empathy (PE), shared decision making (SDM), and the match between patients’ preferred and perceived decision-making styles on patients’ decision regret. - Methods - Patients with breast or colon cancer (n=71) completed questionnaires immediately followi...
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| Hauptverfasser: | , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2016
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| In: |
Patient education and counseling
Year: 2015, Jahrgang: 99, Heft: 5, Pages: 739-746 |
| ISSN: | 1873-5134 |
| DOI: | 10.1016/j.pec.2015.11.019 |
| Online-Zugang: | Verlag, Volltext: https://doi.org/10.1016/j.pec.2015.11.019 Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0738399115301361 
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| Verfasserangaben: | Jennifer Nicolai, Angela Buchholz, Nathalie Seefried, Katrin Reuter, Martin Härter, Wolfgang Eich, Christiane Bieber |
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| 245 | 1 | 0 | |a When do cancer patients regret their treatment decision? |b A path analysis of the influence of clinicians’ communication styles and the match of decision-making styles on decision regret |c Jennifer Nicolai, Angela Buchholz, Nathalie Seefried, Katrin Reuter, Martin Härter, Wolfgang Eich, Christiane Bieber |
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| 520 | |a Objective - To test the influence of physician empathy (PE), shared decision making (SDM), and the match between patients’ preferred and perceived decision-making styles on patients’ decision regret. - Methods - Patients with breast or colon cancer (n=71) completed questionnaires immediately following (T1) and three months after a consultation (T2). Path analysis was used to examine the relationships among patient demographics, patient reports of PE, SDM, the match between preferred and perceived decision-making styles, and patient decision regret at T2. - Results - After controlling for clinician clusters, higher PE was directly associated with more SDM (β=0.43, p<0.01) and lower decision regret (β=−0.28, p<0.01). The match between patients’ preferred and perceived roles was negatively associated with decision regret (β=−0.33, p<0.01). Patients who participated less than desired reported more decision regret at T2. There was no significant association between SDM and decision regret (β=0.03, p=0.74). - Conclusion - PE and the match between patients’ preferred and perceived roles in medical decision making are essential for patient-centered cancer consultations and treatment decisions. - Practice implications - Ways to enhance PE and matching the consultation style to patients’ expectations should be encouraged. | ||
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