Treatment Decisions for Localized Prostate Cancer: A Concept Mapping Approach

Details

• Alternative Title:
  Health Expect
• Personal Author:
  McFall, Stephanie L. ; Mullen, Patricia D. ; Byrd, Theresa L. ; Cantor, Scott B. ; Le, Yen-Chi ; Torres-Vigil, Isabel ; Pettaway, Curtis ; Volk, Robert J.
• Description:
  Objective
  
  Few decision aids emphasize active surveillance for localized prostate cancer. Concept mapping was used to produce a conceptual framework incorporating active surveillance and treatment.
  
  Methods
  
  54 statements about what men need to make a decision for localized prostate cancer were derived from focus groups with African American, Latino, and white men previously screened for prostate cancer and partners (n=80). In the second phase, 89 participants sorted and rated the importance of statements.
  
  Results
  
  An 8 cluster map was produced for the overall sample. Clusters were labelled Doctor-patient exchange, Big picture comparisons, Weighing the options, Seeking and using information, Spirituality and inner strength, Related to active treatment, Side effects, and Family concerns. A major division was between medical and home-based clusters. Ethnic groups and genders had similar sorting, but some variation in importance. Latinos rated Big picture comparisons as less important. African Americans saw Spirituality and inner strength most important, followed by Latinos, then whites. Ethnic- and gender-specific concept maps were not analyzed because of high similarity in their sorting patterns.
  
  Conclusions
  
  We identified a conceptual framework for management of early stage prostate cancer that included coverage of active surveillance. Eliciting the conceptual framework is an important step in constructing decision aids which will address gaps related to active surveillance.
  
  
• Subjects:
  Aged Article Decision Making Decision Support Techniques Disease Management Focus Groups Humans Male Middle Aged Patient Participation Physician-Patient Relations Prostatic Neoplasms Watchful Waiting

  More +
• Source:
  Health Expect. 18(6):2079-2090.
• Pubmed ID:
  24506829
• Pubmed Central ID:
  PMC4128894
• Document Type:
  Journal Article
• Funding:
  K01 CA151785/CA/NCI NIH HHS/United States ; R25 CA057712/CA/NCI NIH HHS/United States ; 1U48DP001949-01/DP/NCCDPHP CDC HHS/United States ; K01 CA151785-04/CA/NCI NIH HHS/United States
• Volume:
  18
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:aa627e2d2f7fc717e497e21cd803439d6d30fa67889dcccac484c44fa10317e3
• Download URL:
  https://stacks.cdc.gov/view/cdc/39425/cdc_39425_DS1.pdf
• File Type:
  [PDF - 272.09 KB ]