From Two Perspectives to One Choice: Blending Couple and Individual Views of Prostate Cancer Treatment Selection

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Abstract
Prostate cancer is a leading public health concern. Despite advances leading to early detection, the scientific community is at odds as to whether such early detection is beneficial in terms of improved survival and quality of life. Currently available treatment options carry significant side effects such as incontinence, impotence, and impaired bowel functioning. A theoretical basis for guiding decision making from the patient/family perspective is now emerging. This article details the methodological decisions made by one research team in its efforts to examine the prostate cancer treatment selection process as experienced by older couples. Selected findings are presented as they illuminate the process by which couples moved from their individual perspectives of cancer treatment options to one negotiated couple choice.