Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’
Introduction Patient engagement is continuously being promoted by patients as well as politicians and healthcare professionals. One way of increasing patient engagement is by using shared decision-making (SDM), which is a joint effort of clinicians and patients making decisions together.When plannin...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
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| author | Karina Dahl Steffensen Signe Timm Torben Frøstrup Hansen Thomas Leth Fink Charlotte Kristiansen Torben Schjødt Hansen Rune Slot Thing |
| author_facet | Karina Dahl Steffensen Signe Timm Torben Frøstrup Hansen Thomas Leth Fink Charlotte Kristiansen Torben Schjødt Hansen Rune Slot Thing |
| author_sort | Karina Dahl Steffensen |
| collection | DOAJ |
| description | Introduction Patient engagement is continuously being promoted by patients as well as politicians and healthcare professionals. One way of increasing patient engagement is by using shared decision-making (SDM), which is a joint effort of clinicians and patients making decisions together.When planning stereotactic body radiation therapy (SBRT) for a lung tumour located close to the thoracic wall, there are conflicting interests between (1) delivering the highest possible dose to obtain local tumour control and (2) reducing the dose to the thoracic wall to decrease the risk of chest wall pain and rib fractures following treatment. The radiation oncologist often makes the choice of dose without any engagement of the patient. We believe that the patients should be engaged in such a decision.To explore this matter, we have designed a randomised trial, ‘SDM Lung SBRT’, for which we present our study protocol with a special focus on a patient decision aid (PtDA), which is being tested in this trial.Methods and analysis This study includes patients with a lung tumour located ≤1 cm from the thoracic wall. Patients are randomised to have the primary consultation with or without use of the PtDA. Treatment options are a radiation dose of either 66 Gray (Gy) in three fractions, 45 Gy in three fractions or no treatment. The primary outcome is patient engagement in decision-making measured by the validated observer-rated OPTION-12 score. Secondary outcomes are patient-reported outcomes, quality of life and side effects following treatment.Ethics and dissemination All patients give informed consent to participate. According to Danish legislation, ethical approval is not required for this study as studies using questionnaires, observations or other non-biological studies are not considered interventions according to the Committee Act. Results from this study will be presented at scientific meetings and published in English peer-reviewed journals.Trial registration number ClinicalTrials.gov (NCT04940936). |
| format | Article |
| id | doaj-art-4febcb2af62540159e2ac9d6e3f3be81 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-4febcb2af62540159e2ac9d6e3f3be812025-01-21T07:05:08ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-088595Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’Karina Dahl Steffensen0Signe Timm1Torben Frøstrup Hansen2Thomas Leth Fink3Charlotte Kristiansen4Torben Schjødt Hansen5Rune Slot Thing6Department of Regional Health Research, University of Southern Denmark, Vejle, DenmarkDepartment of Oncology, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, DenmarkDepartment of Oncology, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, DenmarkDepartment of Oncology, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, DenmarkDepartment of Oncology, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, DenmarkDepartment of Oncology, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, DenmarkDepartment of Oncology, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, DenmarkIntroduction Patient engagement is continuously being promoted by patients as well as politicians and healthcare professionals. One way of increasing patient engagement is by using shared decision-making (SDM), which is a joint effort of clinicians and patients making decisions together.When planning stereotactic body radiation therapy (SBRT) for a lung tumour located close to the thoracic wall, there are conflicting interests between (1) delivering the highest possible dose to obtain local tumour control and (2) reducing the dose to the thoracic wall to decrease the risk of chest wall pain and rib fractures following treatment. The radiation oncologist often makes the choice of dose without any engagement of the patient. We believe that the patients should be engaged in such a decision.To explore this matter, we have designed a randomised trial, ‘SDM Lung SBRT’, for which we present our study protocol with a special focus on a patient decision aid (PtDA), which is being tested in this trial.Methods and analysis This study includes patients with a lung tumour located ≤1 cm from the thoracic wall. Patients are randomised to have the primary consultation with or without use of the PtDA. Treatment options are a radiation dose of either 66 Gray (Gy) in three fractions, 45 Gy in three fractions or no treatment. The primary outcome is patient engagement in decision-making measured by the validated observer-rated OPTION-12 score. Secondary outcomes are patient-reported outcomes, quality of life and side effects following treatment.Ethics and dissemination All patients give informed consent to participate. According to Danish legislation, ethical approval is not required for this study as studies using questionnaires, observations or other non-biological studies are not considered interventions according to the Committee Act. Results from this study will be presented at scientific meetings and published in English peer-reviewed journals.Trial registration number ClinicalTrials.gov (NCT04940936).https://bmjopen.bmj.com/content/15/1/e088595.full |
| spellingShingle | Karina Dahl Steffensen Signe Timm Torben Frøstrup Hansen Thomas Leth Fink Charlotte Kristiansen Torben Schjødt Hansen Rune Slot Thing Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’ BMJ Open |
| title | Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’ |
| title_full | Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’ |
| title_fullStr | Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’ |
| title_full_unstemmed | Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’ |
| title_short | Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation – protocol for the randomised trial ‘SDM Lung SBRT’ |
| title_sort | enhancing patient engagement the influence of an in consult patient decision aid on shared decision making for lung tumour radiation protocol for the randomised trial sdm lung sbrt |
| url | https://bmjopen.bmj.com/content/15/1/e088595.full |
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