A Qualitative Thematic Analysis Exploring Chinese Young Adults’ Experiences in Decision Making on the Management of Low-Risk Papillary Thyroid Cancer
Authors' conclusion
These results highlight the necessity of adopting flexible strategies when supporting collaborative treatment decision making in the context of the doctor-patient interaction for low-risk PTC.
Study context
- Population
- Chinese young adults (18–38 years) diagnosed with low-risk papillary thyroid cancer (PTC), March 2023–May 2024; 22 of 24 with tumour ≤1 cm, largest 1.47 cm4 men · 20 women
- Participants
- 24 adults
- Outcome
- Shared decision-making (SDM) experiences of young patients with low-risk PTC
Methodological detailsqualitative descriptive design, semistructured interviews, reflexive thematic analysis
- Qualitative descriptive design
- Semistructured interviews
- Reflexive thematic analysis
Main finding
As reported in the abstract
- Four themes: challenges in information sharing; reasons for information seeking; factors influencing decision making; self-positioning in treatment decision making
- Three self-positions: dependent ("paternalistic"), collaborative ("sharing"), autonomous (increased personal responsibility for health and engagement in decision making)
- Main information-sharing challenges: limited treatment options offered, overuse of medical terminology, clinician–patient communication gaps
- Information needs persisting after consultations led to active information seeking
- Key variables potentially affecting decision making: future personal considerations, language used to discuss cancer, negative emotions
Original publication
A Qualitative Thematic Analysis Exploring Chinese Young Adults’ Experiences in Decision Making on the Management of Low-Risk Papillary Thyroid Cancer. Thyroid. Published 17 October 2024. doi:10.
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