How does physicians' decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study.

Libert, Yves;Peternelj, Livia;Canivet, Delphine;Farvacques, Christine;Razavi, Darius;et.al.
(2020) Patient Education and Counseling — Vol. 103, n° 9, p. 1752-1759 (2020)

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Authors
  • Libert, Yves
    Author
  • Peternelj, Livia
    Author
  • Canivet, Delphine
    Author
  • Farvacques, Christine
    Author
  • Reynaert, ChristineUCLouvain
    Author
  • Razavi, Darius
    Author
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Abstract
(en) OBJECTIVES: This descriptive study assesses how physicians' decisional conflict influences their ability to address treatment outcomes (TOs) in a decision-making encounter with an advanced-stage cancer simulated patient (SP). METHODS: Physicians (N = 138) performed a decision-making encounter with the SP trained to ask for TOs information. The physicians' decisional conflict regarding patients' cancer treatments in general was assessed with the General Decisional Conflict Scale (Gen-DCS). The physicians' decisional conflict regarding the SP's cancer treatments was assessed with the Specific Decisional Conflict Scale (Spe-DCS). Physicians' ability to address TOs during the encounter was assessed with an interaction analysis system: the Multi-Dimensional Analysis of Patient Outcome Predictions (MD.POP). Weekly time spent with cancer patients was assessed with a questionnaire. RESULTS: Physicians' Spe-DCS (β = -.21 ; p = .014) and weekly time spent with cancer patients (β = .22 ; p = .008) predicted the number of TOs addressed during the encounter. Spe-DCS scores predicted nearly all MD.POP dimensions (r = -.18 ; p = .040 to r = -.30 to p < .001) whereas Gen-DCS scores predicted nearly none MD.POP dimensions. CONCLUSION: Physicians' specific decisional conflict interferes with their ability to address TOs in a decision-making encounter with an advanced-stage cancer SP. PRACTICE IMPLICATIONS: Physicians should be trained to address TOs according to patient preferences, despite their own decisional conflict.
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Libert, Y., Peternelj, L., Canivet, D., Farvacques, C., Liénard, A., Ménard, C., Merckaert, I., Reynaert, C., Slachmuylder, J.-L., & Razavi, D. (2020). How does physicians’ decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study. Patient Education and Counseling, 103(9), 1752-1759. https://doi.org/10.1016/j.pec.2020.03.008 (Original work published 2020)