Identifying and Quantifying Adolescent and Young Adult Patient Preferences in Cancer Care: Development of a Conjoint Analysis-Based Decision-Making Tool

被引:9
作者
Snaman, Jennifer M. [1 ,2 ]
Blazin, Lindsay [3 ]
Holder, Rachel L. [1 ]
Wolfe, Joanne [1 ]
Baker, Justin N. [3 ]
机构
[1] Dana Farber Canc Inst, Dept Psychosocial Oncol & Palliat Care, 450 Brookline Ave,Dana 2081, Boston, MA 02115 USA
[2] Dana Farber Canc Inst, Dept Pediat Oncol, Boston, MA 02115 USA
[3] St Jude Childrens Res Hosp, Dept Oncol, Div Qual Life & Palliat Care, 332 N Lauderdale St, Memphis, TN 38105 USA
关键词
communication; quality of life; decision-making; conjoint analysis; end-of-life care; advance care planning; OF-LIFE CARE; PEDIATRIC PALLIATIVE CARE; PHASE-I; INVOLVEMENT; INTENSITY; PARENTS;
D O I
10.1089/jayao.2018.0116
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Compared with younger children and older adults, adolescent and young adult (AYA) patients with cancer receive more intensive end-of-life (EOL) care. We hypothesize that enhanced understanding of AYA preferences, increased engagement of these patients in decision-making, and improved communication of their preferences with family members and the medical team will lead to increased provision of goal-concordant care and decreased intensity of EOL care. In this study, we describe the development of a novel tool that quantifies the relative importance of numerous factors considered by AYA patients with cancer, their parents, and health care providers when choosing between treatment options.
引用
收藏
页码:212 / 216
页数:5
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