Shared decision making for elderly advanced cancer patients

Interventions: Based on the manual, the interventionist conducts: 1)Geriatric Assessment (GA): a guideline-based assessment of elderly’s physical, cognitive and social functioning to assess their vulnerability to treatment. 2)Communication coaching: role-playing to help elderly sort out their goals and values regarding treatment choices using the question promotion list (QPL) and express them to their doctor 3)Providing feedback on the results of the GA and QPL to the patient/family as well as the doctor. Interventions will be carried out prior to the consultation with the doctor. Within this process, psychological support will be provided when necessary. Interventionists are clinical psychologists, psycho-oncologists, and nurses who have completed training in accordance with the manual in advance.
Usual care
Primary outcome(s): Perceived decision-making process in post-intervention consultations (Decisional Conflict Scale)
Study Design: Parallel Randomized