Decisional Conflict and Regret | 57 2 Participants Reported themes Construct Deduced themes 19 1. Information, communication and education 2. Respect for patients’ values, preferences and expressed needs 3. Involvement of family and friends 4. Emotional support and alleviation of fear and anxiety 5. Coordination and integration of care 6. Physical comfort DC - Preparation - Information - SDM roles 11 pre-treatment patients, 15 post-treatment patients 1. Emotional response: alarm at cancer diagnosis; decisional conflict 2. Roles in decision-making: trust in treatment team; shared decision with doctor, team; shared decision with spouse; ultimately decisional autonomy 3. Other factors influencing treatment decision-making: desire for physical tumor removal; fear of adverse effects of treatment; possible need for adjuvant therapy obviated advantage of surgery; patient-specific values 4. Informational needs: felt generally well-informed; patient-centered information would be helpful; internet is a poor resource for informationgathering; advantage of hearing from post-treatment survivors DC - Stress of diagnosis - Preparation - Information - Time pressure - SDM roles
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