Prostate cancer survivors with a passive role preference in treatment decision-making are less satisfied with information received: Results from the PROFILES registry

To investigate decision-making role preferences and their association with the evaluation of information received in a sample of low-risk and intermediate-risk prostate cancer (Pca) survivors.

Cross-sectional study involved 562 men diagnosed with low-risk or intermediate-risk Pca (median time since diagnosis, 48mo), measuring preferred decision-making role (Control Preference Scale) and the evaluation of information received (EORTC QLQ-INFO25). Analyses were performed using analysis of variance, chi-square tests, and multivariable linear regression models.

Men who preferred a passive role were older and less educated than other preference groups and more often selected a noninvasive treatment option (all with P<0.001). The passive role preference group reported having received less information, judged the received information as less helpful, and indicated lower overall satisfaction with information received (all with P<0.05). Role preference groups did not differ in their desire to receive more information.

Compared with nonpassive preference groups, the preference for a passive role in Pca treatment decision-making is associated with less satisfaction with the information received.

Assessment of role preferences and tailored information provision could improve satisfaction with information received and perhaps may ultimately lead to improved patient participation in treatment decision-making.

Urologic oncology. 2016 Jul 15 [Epub ahead of print]

Maarten Cuypers, Romy E D Lamers, Marieke de Vries, Olga Husson, Paul J M Kil, Lonneke V van de Poll-Franse

Department of Social Psychology, Tilburg University, Tilburg, The Netherlands. Electronic address: ., Department of Urology, St. Elisabeth Hospital, Tilburg, The Netherlands., Institute for Computing and Information Sciences (iCIS), Radboud University, Nijmegen, The Netherlands., Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands., Department of Urology, St. Elisabeth Hospital, Tilburg, The Netherlands., Department of Medical Psychology and Clinical Psychology, CoRPS-Center of Research on Psychology in Somatic Diseases, Tilburg University, Tilburg, The Netherlands; Department of Research, Comprehensive Cancer Organisation The Netherlands-Netherlands Cancer Registry, Eindhoven, The Netherlands.