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. 2014 Feb 9;18(6):2079–2090. doi: 10.1111/hex.12175

Table 2.

Clusters, ordered by mean importance, with text of statements, statement numbers and mean importance ratings of statements

Cluster label Statement (statement number) Mean SD
Doctor–patient exchange Find a doctor he is comfortable with (54) 4.50 0.86
Find out about all of the possible treatments (50) 4.32 0.90
Know what care would be needed after treatment (53) 4.28 0.93
Tell his doctor if there's something he doesn't understand (47) 4.23 0.94
Ask for the information he wants to know (48) 4.16 0.95
Ask for the most up‐to‐date information (45) 4.10 1.20
Ask for a second opinion from another doctor (44) 4.06 1.06
Ask if it is helpful to use natural or alternative medicine (e.g. herbs or acupuncture) to treat his cancer (2) 3.30 1.40
Big picture comparisons Find out the survival rates of active treatment and active surveillance. (This means how likely a man is to still be alive 5 years from diagnosis) (18). 4.07 1.16
Ask about the risk that the cancer will spread during treatment (9) 4.02 1.14
Find out exactly what would be done during active treatment or active surveillance (17) 3.99 1.02
Find out if anything can be done about treatment side‐effects if they happen (10) 3.90 1.09
Know that active surveillance is also an option (38) 3.78 0.95
Weighing options Compare the risks and benefits of active treatment (5) 4.18 0.89
Consider what effects the active treatment might have on his bowel or urinary function (15) 4.05 1.08
Consider the risk that the cancer may come back after active treatment (8) 4.06 1.02
Compare the risks and benefits of active surveillance (6) 4.06 0.99
Know that he will probably live just as long, whether he chooses active treatment or active surveillance (25) 4.01 1.17
Understand that if he chooses active surveillance, he may feel worried about the cancer spreading (7) 3.98 1.18
Think about how willing he is to return for frequent examinations if he chooses active surveillance (30) 3.76 1.02
Know that if he chooses active surveillance, he can still change his mind later (20) 3.72 1.24
Ask whether he's likely to have a bad health‐care experience like one he may have had in the past (e.g. slow recovery from surgery) (4) 3.59 1.10
Consider how often and for how long he would need to go to the clinic or hospital (16). 3.49 1.13
Seeking and using information Decide how much input he wants from his doctor in the final decision (29) 4.17 0.89
Make sure to get his doctor's opinion (42) 4.05 0.91
Realize that he has a choice (39) 4.05 1.00
Do things to help him remember the information that doctors give him (e.g. taking notes, having someone else go with him) (51) 4.02 1.01
Be willing to talk about which treatment he'd rather have (28) 3.92 1.22
Get information from other places such as the Internet (49) 3.85 1.04
Find out about other people's experiences with early‐stage prostate cancer, both with active surveillance and active treatment (33) 3.70 1.15
Talk to another health‐care worker, such as a nurse or promoter/a (43) 3.28 1.20
Spirituality and inner strength Think about how his positive frame of mind will help him cope with whatever happens (36) 4.17 1.03
Look to his faith for strength and guidance when making the decision (35) 4.10 1.19
Consider how much help he will need from family and friends during active treatment and recovery (34) 3.83 1.05
Consider how family members would feel if he had side‐effects from active treatment (32) 3.42 1.29
Consider how family members would feel if he chose active surveillance (31) 3.37 1.19
Related to active treatment Be aware that the older he is, the slower the cancer may grow or spread (1) 3.94 1.03
Consider how strongly he feels about doing something right away to get rid of the cancer (22) 3.92 1.29
Consider how long it will take to recover (19) 3.91 0.99
Consider that he may be given fewer treatment options, depending on where he lives, his income or his race/ethnicity (24) 3.82 1.22
Evaluate how much of the cost of treatment or of active surveillance will have to be paid out of his pocket (e.g. travel costs or co‐payments) (21) 3.70 1.36
Consider the effect that active treatment might have on his ability to have children (12) 2.98 1.66
Side‐effects Consider that active treatment may be harder on him than active surveillance if he is in poor health, has other health conditions or is older (3) 4.17 1.01
Consider the effects of active treatment on his usual activities (11) 3.86 1.02
Consider how strongly he feels about avoiding side‐effects of active treatments (23) 3.80 1.10
Consider the effect that active treatment might have on his sex life (13) 3.48 1.41
Consider the effect that active treatment might have on his sense of manhood (14) 3.23 1.48
Family concerns Consider what is important both to him and to his loved ones (37) 4.23 1.02
Say what's important to him in choosing what to do (27) 4.00 1.06
Make sure loved ones get the information they want (52) 3.94 1.11
Take as much time as he needs to make the best decision for him (40) 3.88 1.08
Include family members in making the decision (41) 3.71 1.17
Resist pressure from others about what to do (26) 3.52 1.41
Ask friends for advice (46) 2.66 1.24