Publications by authors named "M D Clayman"

Fertility concerns (FC) are central to the well-being of many adolescent and young adult (AYA) cancer survivors. Clinical conversations about FC and fertility preservation are suboptimal, increasing patient distress. The goal of this project was to establish content validity and comprehensibility of self-report questions on FCs for AYAs with cancer.

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Introduction: We present a relationship-centred shared-decision-making (RCSDM) process model to explicate factors that shape decision-making processes during physical medicine and rehabilitation (PMR) encounters among patients, their care partners and practitioners. Existing shared decision-making (SDM) models fall short in addressing the everyday decisions routinely made regarding persons with chronic disabilities who require high levels of support, their care partners and rehabilitation practitioners. In PMR, these everyday decisions are small scale, immediate and in service to a larger therapeutic goal.

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Article Synopsis
  • The study aimed to understand important decisions made by parents in a Pediatric Intensive Care Unit (PICU) and the factors leading to parental decision regret, a feeling linked to psychological distress.
  • A survey conducted among 233 parents revealed that over half experienced some level of decision regret, with nearly 19% categorized as having moderate to severe regret, particularly among Hispanic parents and those with longer hospital stays or specific medical conditions.
  • Findings highlight the need for better communication and support for parents during critical decisions in the PICU to help reduce feelings of regret.
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