계명대학교 의학도서관 Repository

Use of a Decision Aid to Help Caregivers Discuss Terminal Disease Status With a Family Member With Cancer: A Randomized Controlled Trial

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Author(s)
Young Ho YunMyung Kyung LeeSohee ParkJung Lim LeeJeanno ParkYoun Seon ChoiYeun Keun LimSam Yong KimHyun Sik JeongJung Hun KangHo-Suk OhJi Chan ParkSi-Young KimHong Suk SongJungsil RoKeun Seok LeeDae Seog HeoYoung Seon Hong
Keimyung Author(s)
Song, Hong Suk
Department
Dept. of Internal Medicine (내과학)
Journal Title
Journal of Clinical Oncology
Issued Date
2011
Volume
29
Issue
36
Abstract
Purpose:
We tested whether a decision aid explaining how to discuss the approach of death with a family member with cancer would help family caregivers decide to discuss a terminal prognosis.

Patients and Methods:
We randomly assigned caregivers of terminally ill patients with cancer to a group that received a video and a companion workbook that showed either how they can discuss the prognosis with their patient (experimental arm) or how cancer pain can be controlled (control arm). At baseline and 1 month, we evaluated the decision to discuss terminal prognosis as the primary outcome. At 0, 1, 3, and 6 months, we assessed the caregivers' decisional conflict and satisfaction as secondary outcomes using a Decision Conflict Scale (DCS).

Results:
We found no difference in changes in the decision to discuss terminal prognosis between the two groups. Conflict (P = .003), uncertainty (P = .019), and value clarity (P = .007) subscale scores and total DCS score (P = .008) improved from baseline to 1 month significantly more in the experimental arm than in the control arm. Over 6 months, the significant between-group differences continued for the conflict (P = .031), uncertainty (P = .014), and value clarity (P = .039) subscale scores and total DCS score (P = .040).

Conclusion:
Decision aids can help caregivers, with the aid of trained professionals, to communicate with patients about their terminal illness.
Keimyung Author(s)(Kor)
송홍석
Publisher
School of Medicine
Citation
Young Ho Yun et al. (2011). Use of a Decision Aid to Help Caregivers Discuss Terminal Disease Status With a Family Member With Cancer: A Randomized Controlled Trial. Journal of Clinical Oncology, 29(36), 4811–4819. doi: 10.1200/JCO.2011.35.3870
Type
Article
ISSN
0732-183X
Source
http://ascopubs.org.proxy.dsmc.or.kr/doi/abs/10.1200/JCO.2011.35.3870?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
DOI
10.1200/JCO.2011.35.3870
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33999
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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