Decision-making and cost conversations about slow-growing prostate cancer

This project aims to (1) assess the impact of a conversation-based decision aid (Option Grid) containing cost information about slow-growing prostate cancer management options, combined with urologic surgeon training, on the frequency and quality of patient-urologic surgeon cost conversations, and (2) examine the impact of the decision aid and surgeon training on decision quality.

This project is led by Dr. Mary Politi and supported by Dr. Bettina Drake, the Empowerment Network, and the Division of Urologic Surgery.

This project is supported by the Robert Wood Johnson Foundation (grant number 77292).

Politi, M. C., Forcino, R. C., Parrish, K., Durand, M. A., O’Malley, A. J., & Elwyn, G. (2021). Cost talk: protocol for a stepped-wedge cluster randomized trial of an intervention helping patients and urologic surgeons discuss costs of care for slow-growing prostate cancer during shared decision-making. Trials, 22(1), 422. https://doi.org/10.1186/s13063-021-05369-4

Politi, M. C., Forcino, R. C., Parrish, K., Durand, M. A., O’Malley, A. J., Moses, R., Cooksey, K., & Elwyn, G. (2023). The impact of adding cost information to a conversation aid to support shared decision making about low-risk prostate cancer treatment: Results of a stepped-wedge cluster randomised trial. Health expectations : an international journal of public participation in health care and health policy, 26(5), 2023–2039. https://doi.org/10.1111/hex.13810