P22.06.A DOES ADDING INFORMATION ON PATIENT GOALS VIA AN APP IMPROVE SHARED DECISION-MAKING IN NEUROSURGICAL CONSULTATIONS WITH BRAIN TUMOR PATIENTS?

• Published in: Neuro-oncology (Charlottesville, Va.) Va.), 2024-10, Vol.26 (Supplement_5), p.v123-v124
• Main Authors: Bras, I J, Rutten, G J, Sitskoorn, M M, Hoogendoorn, A P, Gehring, K
• Format: Article
• Language: English
• ISSN: 1522-8517; 1523-5866
• DOI: 10.1093/neuonc/noae144.420

Abstract BACKGROUND In shared decision-making (SDM), the patient serves as the expert on their own life, while the health care professional (HCP) provides medical expertise. Recent models of SDM propose incorporating patient “goals” into the decision-making process (i.e. what patients find important activities or roles in everyday life), to better align treatment with patient preferences and everyday life priorities. This study aims to evaluate the effect of an intervention for tracking patient goals and symptoms (the Goings-On app). We will assess the number and nature of goals that brain tumor patients enter into the app, their experiences with using the app and the degree of SDM. We hypothesize that the use of the Going-on app leads to more goal-oriented discussions and will improve SDM. MATERIAL AND METHODS Data was collected for an observational and an intervention cohort of non-treated patients with a newly diagnosed presumed glioma or meningioma. The Goings-On app allows patients to enter their own goals (including personal photos), and symptoms, and log them daily. This information is made available to the neurosurgeon in the electronic patient file for use during the consultation. Consultations were audio-recorded and evaluated using the OPTION-MCC. This observer-based coding scheme is used to rate SDM behaviors of the HCP, patient and informal caregiver regarding: (1) goal talk: eliciting and identifying patient goals, (2) option talk: alternate options and information about options, (3) team talk: support deliberation/forming a partnership, (4) decision talk: eliciting preferences and integrating preferences and (5) evaluation talk. Following the consultation, questionnaires concerning Goings-On app usage were administered. RESULTS Patients in the intervention cohort (n=49) entered on average 4.7 ± 1.8 [range 1-9] goals into the Goings-On app, with the majority of goals belonging to the categories: Social/Role/Relationship (32%), Leisure/Pleasure (26%) and Everyday/Practical (22%). Of the patients who completed the questionnaires (n=44), 61% reported that their goals were discussed during the consultation, with 84% of them finding the experience pleasant and 85% considering it meaningful. Rating of SDM behaviors for the observational cohort (n=66) and the intervention cohort and analysis of between-group differences, from the audio-recordings is ongoing. Results will be expected end of July 2024. CONCLUSION In this study, patients reported vario