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

DOI

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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The data are sensitive since they involve personal information of patients. There are restrictions on use by commercial parties and on sharing openly, based on (inter)national laws and regulations and written informed consent. Therefore these data (and additional clinical data) are only available upon signing a Data Transfer Agreement (see Terms of Access).

Identifier
DOI https://doi.org/10.34894/P23URS
Related Identifier IsCitedBy https://doi.org/10.1186/s12904-019-0486-6
Related Identifier IsCitedBy https://doi.org/10.3390/cancers14061500
Metadata Access https://dataverse.nl/oai?verb=GetRecord&metadataPrefix=oai_datacite&identifier=doi:10.34894/P23URS
Provenance
Creator van Lent, Liza ORCID logo; van der Rijt, C.C.D. ORCID logo
Publisher DataverseNL
Contributor van der Rijt, C.C.D.
Publication Year 2025
Funding Reference KWF Kankerbestrijding (Dutch Cancer Society) KWF11086
Rights info:eu-repo/semantics/restrictedAccess
OpenAccess false
Contact van der Rijt, C.C.D. (erasmusmc.nl)
Representation
Resource Type survey data, observer scores (for recorded consultation), and some information from patient records; Dataset
Format application/x-spss-sav; application/x-spss-syntax
Size 244224; 7526; 3476
Version 1.0
Discipline Life Sciences; Medicine