Encounter tool for Shared Decision Making about Adjuvant Treatment of Lung Cancer: Randomized Clinical Trial.
Satya Sai Sri Bandi, Megan E Branda, Maria Mateo Chavez...
https://pubmed.ncbi.nlm.nih.gov/42183367/Actively Recruiting
Led by Mayo Clinic · Updated on 2026-03-10
100
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating a shared decision-making communication tool to improve the quality of discussions between patients with non-small cell lung cancer NSCLC and their clinicians. The study aims to see if using this tool during clinical visits enhances the decision-making process and reduces patients doubts about their treatment choices compared to standard care alone. The trial focuses on adult NSCLC patients eligible for adjuvant treatment, highlighting the importance of patient involvement in choosing their care. Participants are randomly assigned to one of two groups one group receives standard care visits with their clinician, while the other group receives standard care plus the use of the shared decision-making conversation tool during the visit. After these clinical encounters, patients are followed up at 2 and 6 weeks to assess the impact of the tool. Additional study activities include reviews of electronic health records and collecting surveys, video, and audio recordings as part of ancillary studies. During the study, researchers measure how well the shared decision-making process is implemented immediately after appointments and again at 2 weeks. They also assess how involved patients feel in decisions and gather feedback from clinicians about using the conversation tool after each encounter. The total participation involves the initial clinical visit plus follow-ups at two time points to monitor outcomes related to decision quality and satisfaction.
CONDITIONS
A Tool for Improving the Shared Decision-making Process in Patients With Non-small Cell Lung Cancer
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Mayo Clinic
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Shared Decision-making Tool with Standard Care | Standard of Care Only |
|---|---|---|
| What it is | The use of a structured conversation tool to guide shared decision-making during adjuvant therapy planning, integrated with usual clinic workflow. | Standard clinic conversations between oncologist and patient regarding adjuvant therapy options for non-small cell lung cancer. |
| Role in the trial | Represents the intervention arm that adds structured shared decision-making to the discussion about adjuvant therapy. | Serves as the comparator reflecting typical oncology practice without additional decision-support aids. |
| Primary use | Aims to enhance patient involvement and support decision-making with a structured tool during adjuvant treatment consultations. | Enables patients and oncologists to discuss treatment choices using established clinic communication routines. |
| How it is given or performed | Oncologist uses the conversation tool during the clinic visit to guide treatment discussion and help clarify options, with patient engagement. | Oncologist and patient conduct a routine appointment discussing risks, benefits, and choices for adjuvant therapy. |
| Evidence status | Prior randomized trial evidence demonstrates that the conversation tool can enhance patient involvement and satisfaction in making adjuvant therapy decisions. | Standard clinical conversation is long established as routine practice and is widely used for informing adjuvant therapy choices in NSCLC. |
| Important limitations | Requires training and adjustment for clinicians; effectiveness depends on how fully the tool is used and time constraints in clinic settings. | Patient engagement and understanding can vary; traditional conversations may miss addressing some patient values or leave uncertainties about treatment options. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day
Participants attend a standard of care visit with their clinician, with or without the shared decision-making conversation tool depending on their assigned group.
1 visit (in-person)
Duration - 6 weeks
Participants are followed up to assess outcomes related to shared decision-making and decisional conflict after the treatment visit.
2 follow-up visits at 2 and 6 weeks post appointment
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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Satya Sai Sri Bandi, Megan E Branda, Maria Mateo Chavez...
https://pubmed.ncbi.nlm.nih.gov/42183367/Mayo Clinic
Lead Sponsor