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Patient Educ Couns. 2009 Nov;77(2):302-7. doi: 10.1016/j.pec.2009.03.017. Epub 2009 Apr 21.

"It's not like I can change my mind later": reversibility and decision timing in prostate cancer treatment decision-making.

Author information

1
University of Washington School of Public Health and Community Medicine, Institute for Public Health Genetics, Seattle, WA 98195, USA. nhenriks@u.washington.edu

Abstract

OBJECTIVE:

To explore whether reversibility, decision timing, and uncertainty are relevant to men deciding on treatment for localized prostate cancer (LPC).

DESIGN:

Secondary qualitative data analysis of unstructured interviews.

METHODS:

Content analysis of previously collected qualitative data (31 individual interviews, 5 focus groups). We identified the frequency of references to reversibility, decision timing, and uncertainty and related sub-themes.

RESULTS:

We identified eight themes: reversibility, timing of decision, number of options, "getting it over with," "the way I make decisions," uncertainty among experts, desire for certainty, and probability. Fifteen men mentioned reversibility in individual interviews; 13 mentioned the importance of the timing of their decision. Eleven mentioned the importance of the number of options; twelve "the way I make decisions." Eleven men mentioned the uncertainty of experts, fourteen the desire to "get it over with," and six a desire for certainty.

CONCLUSION:

This study provides compelling preliminary data suggesting that men consider the reversibility, decision timing, and uncertainty in the prostate cancer treatment decision.

PRACTICE IMPLICATION:

These findings may be helpful in enhancing support for men facing the treatment decision.

PMID:
19386460
PMCID:
PMC3509197
DOI:
10.1016/j.pec.2009.03.017
[Indexed for MEDLINE]
Free PMC Article

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