Shared decision-making in Malaysia: Legislation, patient involvement, implementation and the impact of COVID-19

Article Oncology

Effectiveness of Decision Aid in Men with Localized Prostate Cancer: a Multicenter Randomized Controlled Trial at Tertiary Referral Hospitals in an Asia Pacific Country

N. B. Jalil et al.

Summary: This study aimed to evaluate the effectiveness of a PDA modified to the local context in improving patients' knowledge, decisional conflict, and preparation for decision making among men with localized prostate cancer. Although the intervention group showed significant improvement in knowledge and decisional conflict, there were no significant differences between the control and intervention groups in terms of knowledge, decisional conflict, and preparation for decision-making.

JOURNAL OF CANCER EDUCATION (2022)

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Article Oncology

The needs of Southeast Asian BRCA mutation carriers considering risk-reducing salpingo-oophorectomy: a qualitative study

Hamizah Sa'at et al.

Summary: The study found that Malaysian BRCA mutation carriers need time to accept their mutation status before making a risk-reducing choice, understanding complex genetic information and multiple risk management options can be overwhelming, and obtaining more information and a second opinion can be challenging. Many felt the need for support from their spouse, family members, and religion to feel reassured with their decision.

FAMILIAL CANCER (2022)

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Article Psychology, Clinical

Decision-making for Risk-reducing Salpingo-oophorectomy (RRSO) in Southeast Asian BRCA Mutation Carriers With Breast Cancer: A Qualitative Study

Hamizah Sa'at et al.

Summary: BRCA mutation carriers in Malaysia consider factors such as risk perception, self-preservation, motherhood obligation, and the importance of marriage when making decisions about risk-reducing salpingo-oophorectomy (RRSO). Some women fear the physical and emotional impact of the surgery, while others feel obligated to choose RRSO for their children's sake. The support and approval of their husbands are crucial, and women's decisions about RRSO evolve with changing priorities at different stages of life.

INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2022)

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Article Psychiatry

Shared Decision-Making and Role Preference Among Patients With Schizophrenia in Malaysia: A Cross-Sectional Study

Mohamad Ayob Ismail et al.

Summary: The study found that while the majority of participants (56%) preferred an autonomous role, only 35% reported having high SDM experiences. Younger age and non-clozapine users were significantly associated with high SDM, while lower insight and being on oral antipsychotic drugs only were significantly associated with autonomous role preference.

FRONTIERS IN PSYCHIATRY (2021)

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Review Health Care Sciences & Services