Different patients, different preferences: a multicenter assessment of patients' personality traits and anxiety in shared decision making
peer-reviewed
Erstveröffentlichung
2022-03-24Authors
Köther, Anja K.
Büdenbender, Björn
Grüne, Britta
Holbach, Sonja
Huber, Johannes
Wissenschaftlicher Artikel
Published in
Cancer Medicine ; 11 (2022), 15. - S. 2999-3008. - ISSN 2045-7634
Link to original publication
https://dx.doi.org/10.1002/cam4.4667Institutions
UKU. Klinik für Urologie und KinderurologieDocument version
published version (publisher's PDF)Abstract
Abstract
Objective
Patient‐centered care and shared decision making (SDM) are generally recognized as the gold standard for medical consultations, especially for preference‐sensitive decisions. However, little is known about psychological patient characteristics that influence patient‐reported preferences. We set out to explore the role of personality and anxiety for a preference‐sensitive decision in bladder cancer patients (choice of urinary diversion, UD) and to determine if anxiety predicts patients' participation preferences.
Methods
We recruited a sample of bladder cancer patients (N = 180, primarily male, retired) who awaited a medical consultation on radical cystectomy and their choice of UD. We asked patients to fill in a set of self‐report questionnaires before this consultation, including measures of treatment preference, personality (BFI‐10), anxiety (STAI), and participation preference (API and API‐Uro), as well as sociodemographic characteristics.
Results
Most patients (79%) indicated a clear preference for one of the treatment options (44% continent UD, 34% incontinent UD). Patients who reported more conscientiousness were more likely to prefer more complex methods (continent UD). The majority (62%) preferred to delegate decision making to healthcare professionals. A substantial number of patients reported elevated anxiety (32%), and more anxiety was predictive of higher participation preference, specifically for uro‐oncological decisions (β = 0.207, p < 0.01).
Conclusions
Our findings provide insight into the role of psychological patient characteristics for SDM. Aspects of personality such as conscientiousness influence treatment preferences. Anxiety contributes to patients' motivation to be involved in pertinent decisions. Thus, personality and negative affect should be considered to improve SDM. We set out to explore the role of personality and anxiety for a preference‐sensitive decision in a multicenter assessment of bladder cancer patients (N = 180; choice of urinary diversion, UD). Most patients indicated a clear preference for one of the treatment options (44% continent UD, 34% incontinent UD) and patients who reported more conscientiousness were more likely to prefer more complex treatment methods (continent UD). Moreover, anxiety was predictive of higher participation preference, specifically for uro‐oncological decisions.
image
Subject headings
[GND]: Urologische Onkologie | Blasenkrebs | Sozialpsychologie[MeSH]: Urinary bladder neoplasms; Psychology | Behavioral sciences
[Free subject headings]: ethical considerations | psychosocial studies | urological oncology
[DDC subject group]: DDC 150 / Psychology | DDC 610 / Medicine & health
Metadata
Show full item recordDOI & citation
Please use this identifier to cite or link to this item: http://dx.doi.org/10.18725/OPARU-47928
Köther, Anja K. et al. (2023): Different patients, different preferences: a multicenter assessment of patients' personality traits and anxiety in shared decision making. Open Access Repositorium der Universität Ulm und Technischen Hochschule Ulm. http://dx.doi.org/10.18725/OPARU-47928
Citation formatter >