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Self-efficacy of advanced cancer patients for participation in treatment-related decision-making in six European countries : the ACTION study

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Abstract
PurposeMany patients prefer an active role in making decisions about their care and treatment, but participating in such decision-making is challenging. The aim of this study was to explore whether patient-reported outcomes (quality of life and patient satisfaction), patients' coping strategies, and sociodemographic and clinical characteristics were associated with self-efficacy for participation in decision-making among patients with advanced cancer.MethodsWe used baseline data from the ACTION trial of patients with advanced colorectal or lung cancer from six European countries, including scores on the decision-making participation self-efficacy (DEPS) scale, EORTC QLQ-C15-PAL questionnaire, and the EORTC IN-PATSAT32 questionnaire. Multivariable linear regression analyses were used to examine associations with self-efficacy scores.ResultsThe sample included 660 patients with a mean age of 66 years (SD 10). Patients had a mean score of 73 (SD 24) for self-efficacy. Problem-focused coping (B 1.41 (95% CI 0.77 to 2.06)), better quality of life (B 2.34 (95% CI 0.89 to 3.80)), and more patient satisfaction (B 7.59 (95% CI 5.61 to 9.56)) were associated with a higher level of self-efficacy. Patients in the Netherlands had a higher level of self-efficacy than patients in Belgium ((B 7.85 (95% CI 2.28 to 13.42)), whereas Italian patients had a lower level ((B -7.50 (95% CI -13.04 to -1.96)) than those in Belgium.ConclusionCoping style, quality of life, and patient satisfaction with care were associated with self-efficacy for participation in decision-making among patients with advanced cancer. These factors are important to consider for healthcare professionals when supporting patients in decision-making processes.
Keywords
Oncology, Support, Coping, Advanced cancer, Decision-making, Self-efficacy

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MLA
Yildiz, Berivan, et al. “Self-Efficacy of Advanced Cancer Patients for Participation in Treatment-Related Decision-Making in Six European Countries : The ACTION Study.” SUPPORTIVE CARE IN CANCER, vol. 31, no. 9, Springer Science and Business Media LLC, 2023, doi:10.1007/s00520-023-07974-2.
APA
Yildiz, B., Korfage, I. J., Deliens, L., Preston, N. J., Miccinesi, G., Kodba-Ceh, H., … van der Heide, A. (2023). Self-efficacy of advanced cancer patients for participation in treatment-related decision-making in six European countries : the ACTION study. SUPPORTIVE CARE IN CANCER, 31(9). https://doi.org/10.1007/s00520-023-07974-2
Chicago author-date
Yildiz, Berivan, Ida J. Korfage, Luc Deliens, Nancy J. Preston, Guido Miccinesi, Hana Kodba-Ceh, Kristian Pollock, et al. 2023. “Self-Efficacy of Advanced Cancer Patients for Participation in Treatment-Related Decision-Making in Six European Countries : The ACTION Study.” SUPPORTIVE CARE IN CANCER 31 (9). https://doi.org/10.1007/s00520-023-07974-2.
Chicago author-date (all authors)
Yildiz, Berivan, Ida J. Korfage, Luc Deliens, Nancy J. Preston, Guido Miccinesi, Hana Kodba-Ceh, Kristian Pollock, Anna Thit Johnsen, Johannes J. M. van Delden, Judith A. C. Rietjens, and Agnes van der Heide. 2023. “Self-Efficacy of Advanced Cancer Patients for Participation in Treatment-Related Decision-Making in Six European Countries : The ACTION Study.” SUPPORTIVE CARE IN CANCER 31 (9). doi:10.1007/s00520-023-07974-2.
Vancouver
1.
Yildiz B, Korfage IJ, Deliens L, Preston NJ, Miccinesi G, Kodba-Ceh H, et al. Self-efficacy of advanced cancer patients for participation in treatment-related decision-making in six European countries : the ACTION study. SUPPORTIVE CARE IN CANCER. 2023;31(9).
IEEE
[1]
B. Yildiz et al., “Self-efficacy of advanced cancer patients for participation in treatment-related decision-making in six European countries : the ACTION study,” SUPPORTIVE CARE IN CANCER, vol. 31, no. 9, 2023.
@article{01H8BEY9D9PN81E3QGR2NMX2CD,
  abstract     = {{PurposeMany patients prefer an active role in making decisions about their care and treatment, but participating in such decision-making is challenging. The aim of this study was to explore whether patient-reported outcomes (quality of life and patient satisfaction), patients' coping strategies, and sociodemographic and clinical characteristics were associated with self-efficacy for participation in decision-making among patients with advanced cancer.MethodsWe used baseline data from the ACTION trial of patients with advanced colorectal or lung cancer from six European countries, including scores on the decision-making participation self-efficacy (DEPS) scale, EORTC QLQ-C15-PAL questionnaire, and the EORTC IN-PATSAT32 questionnaire. Multivariable linear regression analyses were used to examine associations with self-efficacy scores.ResultsThe sample included 660 patients with a mean age of 66 years (SD 10). Patients had a mean score of 73 (SD 24) for self-efficacy. Problem-focused coping (B 1.41 (95% CI 0.77 to 2.06)), better quality of life (B 2.34 (95% CI 0.89 to 3.80)), and more patient satisfaction (B 7.59 (95% CI 5.61 to 9.56)) were associated with a higher level of self-efficacy. Patients in the Netherlands had a higher level of self-efficacy than patients in Belgium ((B 7.85 (95% CI 2.28 to 13.42)), whereas Italian patients had a lower level ((B -7.50 (95% CI -13.04 to -1.96)) than those in Belgium.ConclusionCoping style, quality of life, and patient satisfaction with care were associated with self-efficacy for participation in decision-making among patients with advanced cancer. These factors are important to consider for healthcare professionals when supporting patients in decision-making processes.}},
  articleno    = {{512}},
  author       = {{Yildiz, Berivan and Korfage, Ida J. and Deliens, Luc and Preston, Nancy J. and Miccinesi, Guido and Kodba-Ceh, Hana and Pollock, Kristian and Johnsen, Anna Thit and van Delden, Johannes J. M. and Rietjens, Judith A. C. and van der Heide, Agnes}},
  issn         = {{0941-4355}},
  journal      = {{SUPPORTIVE CARE IN CANCER}},
  keywords     = {{Oncology,Support,Coping,Advanced cancer,Decision-making,Self-efficacy}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{10}},
  publisher    = {{Springer Science and Business Media LLC}},
  title        = {{Self-efficacy of advanced cancer patients for participation in treatment-related decision-making in six European countries : the ACTION study}},
  url          = {{http://doi.org/10.1007/s00520-023-07974-2}},
  volume       = {{31}},
  year         = {{2023}},
}

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