You have accessJournal of UrologyCME1 May 2022MP43-02 PREFERENCE ELICITATION AND TREATMENT DECISION MAKING AMONG MEN DIAGNOSED WITH LOCALIZED PROSTATE CANCER: RESULTS FROM THE HEALIUM TRIAL Michael Diefenbach, Simon Hall, Manish Vira, Michael Schwartz, Erin Tagai, Alexander Kutikov, Andres Correa, Halie Pfister, Andrea Yacoub, and Suzanne Miller Michael DiefenbachMichael Diefenbach More articles by this author , Simon HallSimon Hall More articles by this author , Manish ViraManish Vira More articles by this author , Michael SchwartzMichael Schwartz More articles by this author , Erin TagaiErin Tagai More articles by this author , Alexander KutikovAlexander Kutikov More articles by this author , Andres CorreaAndres Correa More articles by this author , Halie PfisterHalie Pfister More articles by this author , Andrea YacoubAndrea Yacoub More articles by this author , and Suzanne MillerSuzanne Miller More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002609.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Treatment decision-making for localized prostate cancer is complex and is influenced by on patients’ personal preferences. Although important, personal preferences are rarely comprehensively assessed in the clinical encounter and incorporated in the treatment selection process. Ignoring of patient preferences has been associated with higher levels of decisional conflict and decisional regret. Objective: To evaluate Healium, a brief interactive tool to aide men diagnosed with localized prostate cancer in preference identification and medical decision-making, in a randomized controlled trial. METHODS: Men diagnosed with localized prostate cancer (N=281) recruited from two hospitals were randomized to receive Healium or, matched for time and attention, the Healing Choices for men with prostate cancer, an established online education tool. Healium can be completed in 10 minutes or less and focuses on treatment preferences. Healing choices’ content, can takes several hours to explore. The programs were introduced prior to a consultation with the physician. Decisional conflict, the primary outcome variable, was assessed at baseline, at 6 weeks and 3 months. RESULTS: Men were on average 64 years old (SD=6.93), 25% minority; 78% married; and had a bachelor’s degree or below (73.4%). At baseline mean decisional conflict was 36.06 (SD=28) for Healium and 32.96 (SD=24.52) for Healing Choices, indicating moderate decisional conflict (range 0-100; 100 extreme conflict). At six weeks post consultation decisional conflict decreased significantly in both conditions: 7.13 (SD=15.26) for Healium; 6.61 (SD=13.04) for Healing Choices; (F(1,213) = 0.068; ns). We found no differences in decisional conflict subscales by intervention type or any moderating effect of age, education, or race. CONCLUSIONS: Software education programs such as Healium or Healing Choices significantly decrease treatment decisional conflict among men diagnosed with prostate cancer. The short time it takes to complete Healium and its effectiveness, however, makes it an ideal tool for use in clinical practice. Integration into the electronic medical health records and a guide for clinicians to discuss patient preferences are next steps in the implementation of the program. Source of Funding: American Cancer Society, Research Scholar Award (RSG-15-021-01-CPPB) © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e740 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Diefenbach More articles by this author Simon Hall More articles by this author Manish Vira More articles by this author Michael Schwartz More articles by this author Erin Tagai More articles by this author Alexander Kutikov More articles by this author Andres Correa More articles by this author Halie Pfister More articles by this author Andrea Yacoub More articles by this author Suzanne Miller More articles by this author Expand All Advertisement PDF DownloadLoading ...