Uitgezaaide, niet-operabele tumoren Metastasized and inoperable tumours
Conditions
Interventions
The CHOICE skills training is based on a four-step model of SDM and on
techniques known from behavior change theories. The training is provided in
small groups (n=3-5) by a professional trainer and
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients In order to be eligible to participate in this study, a subject must meet all of the following criteria: 1. diagnosed with metastasized or locally irresectable cancer 2. not eligible for treatment with curative intent 3. median life expectancy of
Exclusion criteria
Exclusion criteria: Patients A potential subject who meets any of the following criteria will be excluded from participation in this study: 1. insufficient mastery of Dutch, i.e., inability to understand the 'Gesprekswijzer' as well as the questionnaires as judged by either the physician or the researcher 2. cognitive disabilities or a psychiatric disorder that hinder understanding of the 'Gesprekswijzer' as well as the questionnaires as judged by either the physician or the researcher 3. not enough time (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the level of SDM as observed in the consultation. To this end, we will audiotape the consultation. | — |
Secondary
| Measure | Time frame |
|---|---|
| o Observed SDM in a simulated patient encounter (effect training only) o Patients* perceived efficacy in communication before the consultation o Patient and oncologist satisfaction with communication and decision making o Congruence between patients* preferred and perceived role in decision making o Patients* attitudes towards striving for quantity (length) or quality of life o Patients* evaluation of the decision made o Patients* quality of life o Patients* trust in the oncologist o Patients* anxiety o Patients* fighting spirit o Consultation time o The treatment decision made o Patients* use of the *Gesprekswijzer* o Patients*evaluation of the *Gesprekswijzer* | — |
Countries
Netherlands
Outcome results
None listed