Shared Decision-Making in Early Phase Clinical Trials and Palliative Care: A Prospective Study on the Impact of an Online Value Clarification Tool Intervention

When patients with incurable cancer do not have any standard treatment options anymore, they can sometimes decide to participate in an early phase clinical trial (i.e. experimental treatment with uncertain outcomes). The decision to participate or not can be complicated for patients. This study evaluated the impact of the OnVaCT intervention, a narrative-based Online Value Clarification Tool (OnVaCT), combined with communication training for oncologists, on shared decision-making (SDM) in discussions on potential early phase clinical trial participation and palliative care. In this prospective, multicentre pre-post clinical study, patients completed two surveys, and their recorded consultations on early phase clinical trials and palliative care were assessed by independent coders. Pre-intervention patients received usual care, while post-intervention patients used the OnVaCT. Oncologists underwent communication training between study phases.

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Titel Shared Decision-Making in Early Phase Clinical Trials and Palliative Care: A Prospective Study on the Impact of an Online Value Clarification Tool Intervention
Omschrijving

When patients with incurable cancer do not have any standard treatment options anymore, they can sometimes decide to participate in an early phase clinical trial (i.e. experimental treatment with uncertain outcomes). The decision to participate or not can be complicated for patients. This study evaluated the impact of the OnVaCT intervention, a narrative-based Online Value Clarification Tool (OnVaCT), combined with communication training for oncologists, on shared decision-making (SDM) in discussions on potential early phase clinical trial participation and palliative care. In this prospective, multicentre pre-post clinical study, patients completed two surveys, and their recorded consultations on early phase clinical trials and palliative care were assessed by independent coders. Pre-intervention patients received usual care, while post-intervention patients used the OnVaCT. Oncologists underwent communication training between study phases.
Keywords
Contact points
Contact point 1
URI
Naam
Contact dataset owners via DataverseNL.
Name (translations)
Email
rso@erasmusmc.nl
Identifier
URL
  1. https://doi.org/10.34894/P23URS
Publisher
Publisher 1
URI
Naam
Erasmus MC
Name (translations)
Email
rso@erasmusmc.nl
URL
https://www.erasmusmc.nl/en/contact-details-and-directions
Type
Publisher note
Publisher type
Identifier
NL-EMC
Creator
Creator 1
URI
Naam
van der Rijt, C.C.D.
Name (translations)
Email
rso@erasmusmc.nl
URL
https://fdp.erasmusmc.nl/dataset/unknown
Type
Publisher note
Publisher type
Identifier
unknown
Creator 2
URI
Naam
van Lent, Liza
Name (translations)
Email
rso@erasmusmc.nl
URL
https://fdp.erasmusmc.nl/dataset/unknown
Type
Publisher note
Publisher type
Identifier
unknown
Landing page https://doi.org/10.34894/P23URS
Release date 2025-05-14T22:00:00+00:00
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    Identifier doi:10.34894/P23URS
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    Spatial resolution in meters
    Access rights http://publications.europa.eu/resource/authority/access-right/RESTRICTED
    Other identifier
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    1. https://publications.europa.eu/resource/authority/data-theme/HEAL
    Taal
    1. http://id.loc.gov/vocabulary/iso639-1/en
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    1. http://data.europa.eu/eli/reg/2016/679/oj
    Has version
    1. 1.0
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    URI https://fdp.erasmusmc.nl/dataset/d682fad8-179d-47d0-a4f0-3607ad84e053