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The role of time in involving patients with cancer in treatment decision making: A scoping review

Wieringa, Thomas H.
; 
León-García, Montserrat
; 
Espinoza Suárez, Nataly R.
; 
Hernández-Leal, María José
; 
Jacome, Cristian Soto
; 
Zisman-Ilani, Yaara
; 
Otten, René H. J.
; 
Montori, Victor M.
; 
Pieterse, Arwen H.
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Journal article
Date
2024-04-22
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Social and Behavioral Sciences
Subject
Patient involvement
 Shared decision making
 Time
 Treatment decision making
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https://scholarshare.temple.edu/handle/20.500.12613/11996
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https://doi.org/10.1016/j.pec.2024.108285
Abstract
Background Time is often perceived as a barrier to shared decision making in cancer care. It remains unclear how time functions as a barrier and how it could be most effectively utilized. Objective This scoping review aimed to describe the role of time in patient involvement, and identify strategies to overcome time-related barriers. Methods Seven databases were searched for any publications on patient involvement in cancer treatment decisions, focusing on how time is used to involve patients, the association between time and patient involvement, and/or strategies to overcome time-related barriers. Reviewers worked independently and in duplicate to select publications and extract data. One coder thematically analyzed data, a second coder checked these analyses. Results The analysis of 26 eligible publications revealed four themes. Time was a resource 1) to process the diagnosis, 2) to obtain/process/consider information, 3) for patients and clinicians to spend together, and 4) for patient involvement in making decisions. Discussion Time is a resource throughout the treatment decision-making process, and generic strategies have been proposed to overcome time constraints. Practice value Clinicians could co-create decision-making timelines with patients, spread decisions across several consultations, share written information with patients, and support healthcare redesigns that allocate the necessary time.
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Thomas H. Wieringa, Montserrat León-García, Nataly R. Espinoza Suárez, María José Hernández-Leal, Cristian Soto Jacome, Yaara Zisman-Ilani, René H.J. Otten, Victor M. Montori, Arwen H. Pieterse, The role of time in involving patients with cancer in treatment decision making: A scoping review, Patient Education and Counseling, Volume 125, 2024, 108285, ISSN 0738-3991, https://doi.org/10.1016/j.pec.2024.108285. (https://www.sciencedirect.com/science/article/pii/S0738399124001526)
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Elsevier
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Patient Education and Counseling, Vol. 125
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