Introduction
depression, prostate cancer
AIDS, PROSTATE CANCER
Shared decision-making (SDM), defined as a process in which both the patient and the health care professional work together to decide the best plan of care for the patient, is the recommended approach for prostate cancer treatment decision-making [The use of personal, technology-based decision aids empowers patients to identify and verbalize their own preferences and bring their concerns to the clinical consultation, which encourages an SDM process. Multiple studies demonstrate that the use of personal decision aids facilitates SDM [Our goal was to address the limitations of our prior aids (eg, risk of information overload, too time-consuming, lack of integration into physician consultation) while retaining their efficacy, and simultaneously focusing on patients’ preferences. Therefore, we reconceptualized our approach to software-guided facilitation of decision-making consistent with the SDM approach and developed HealiumHealium primarily focuses on the elicitation of treatment preferences [Therefore, the purpose of this study is: (research question 1) to evaluate whether Healium, designed to focus on preference elicitation, is as efficacious in improving decision-making outcomes—(1) decisional conflict, (2) satisfaction with decision, and (3) preparation for decision-making, as Healing Choices in a randomized controlled trial; (research question 2) to compare the emotional quality of life—(1) anxiety/tension and (2) depression, between patients randomized to Healium and Healing Choices; and (research question 3) to assess the relationship between treatment decision and patients’ emotional quality of life—(1) anxiety/tension and (2) depression.