Unpacking overuse of androgen deprivation therapy for prostate cancer to inform de-implementation strategies.

ABSTRACT:

Background

Many men with prostate cancer will be exposed to androgen deprivation therapy (ADT). While evidence-based ADT use is common, ADT is also used in cases with no or limited evidence resulting in more harm than benefit, i.e., overuse. Since there are risks of ADT (e.g., diabetes, osteoporosis), it is important to understand the behaviors facilitating overuse to inform de-implementation strategies. For these reasons, we conducted a theory-informed survey study, including a discrete choice experiment (DCE), to better understand ADT overuse and provider preferences for mitigating overuse.

Methods

Our survey used the Action, Actor, Context, Target, Time (AACTT) framework, the Theoretical Domains Framework (TDF), the Capability, Opportunity, Motivation-Behavior (COM-B) Mod

SUBMITTER: Skolarus TA 

PROVIDER: S-EPMC11005280 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature