{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T21:14:59Z","timestamp":1788297299550,"version":"build-2803163510"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Foundation","doi-asserted-by":"publisher","award":["NNF18OC0034612"],"award-info":[{"award-number":["NNF18OC0034612"]}],"id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","tipsro.science","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Technical Innovations &amp; Patient Support in Radiation Oncology"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.tipsro.2026.100425","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T16:08:20Z","timestamp":1786464500000},"page":"100425","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Feasibility, acceptability, and usability of a patient decision aid for participation in the DAHANCA 35 proton radiotherapy trial: A qualitative study"],"prefix":"10.1016","volume":"39","author":[{"given":"Anne Wilh\u00f8ft","family":"Kristensen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annesofie Lunde","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne Oksbjerg","family":"Dalton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeppe","family":"Friborg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary L.","family":"Bekker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cai","family":"Grau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.tipsro.2026.100425_bb0005","article-title":"Exploring patient-reported barriers to participating in proton therapy clinical trials","volume":"29","author":"Wilh\u00f8ft Kristensen","year":"2024","journal-title":"Tech Innov Patient Support Radiat Oncol."},{"key":"10.1016\/j.tipsro.2026.100425_bb0010","article-title":"Physician barriers and dilemmas in the execution of clinical trials impacting decision-making in the DAHANCA 35 proton therapy trial for head and neck cancer","volume":"31","author":"Wilh\u00f8ft Kristensen","year":"2024","journal-title":"Tech Innov Patient Support Radiat Oncol"},{"issue":"3","key":"10.1016\/j.tipsro.2026.100425_bb0015","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1093\/jnci\/djy221","article-title":"Systematic review and Meta-analysis of the magnitude of structural, clinical, and physician and patient barriers to Cancer clinical trial participation","volume":"111","author":"Unger","year":"2019","journal-title":"J Natl Cancer Inst"},{"key":"10.1016\/j.tipsro.2026.100425_bb0020","series-title":"Handbook for Good Clinical Practice (GCP)","author":"(WHO) WHO","year":"2005"},{"key":"10.1016\/j.tipsro.2026.100425_bb0025","series-title":"Guidance for best practices for clinical trials","author":"Organization WH","year":"2024"},{"issue":"20","key":"10.1016\/j.tipsro.2026.100425_bb0030","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"Ethical principles for medical research involving human subjects","volume":"310","author":"World Medical Association Declaration of Helsinki","year":"2013","journal-title":"JAMA"},{"key":"10.1016\/j.tipsro.2026.100425_bb0035","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/1745-6215-15-62","article-title":"Patient information leaflets (PILs) for UK randomised controlled trials: a feasibility study exploring whether they contain information to support decision making about trial participation","volume":"15","author":"Gillies","year":"2014","journal-title":"Trials"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0040","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0295784","article-title":"Participants\u2019 understanding of informed consent in clinical trials: a systematic review and updated meta-analysis","volume":"19","author":"Wu","year":"2024","journal-title":"PloS One"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0045","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s13063-020-04969-w","article-title":"The reality of informed consent: empirical studies on patient comprehension-systematic review","volume":"22","author":"Pietrzykowski","year":"2021","journal-title":"Trials"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0050","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"1","author":"Stacey","year":"2024","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"10.1016\/j.tipsro.2026.100425_bb0055","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/S0738-3991(03)00056-9","article-title":"Understanding why decision aids work: linking process with outcome what works in implementing patient decision aids in routine clinical settings? A rapid realist review and update from the international patient decision aid standards collaboration","volume":"50","author":"Bekker","year":"2003","journal-title":"Patient Educ Couns"},{"issue":"11","key":"10.1016\/j.tipsro.2026.100425_bb0060","article-title":"Decision aids for people considering taking part in clinical trials","volume":"2015","author":"Gillies","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.tipsro.2026.100425_bb0065","doi-asserted-by":"crossref","unstructured":"I Juraskova, P Butow1, C Bonner, M L Bell, A B Smith, M Seccombe, F Boyle, L Reaby, J Cuzick, J F Forbes. Improving decision making about clinical trial participation \u2013 a randomised controlled trial of a decision aid for women considering participation in the IBIS-II breast cancer prevention trial. Br J Cancer (2014) 111, 1\u20137 | doi:101038\/bjc2014144. 2014.","DOI":"10.1038\/bjc.2014.144"},{"issue":"3","key":"10.1016\/j.tipsro.2026.100425_bb0070","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1007\/s13187-019-1482-5","article-title":"Development of a plain language decision support tool for Cancer clinical trials: blending health literacy, academic research, and minority patient perspectives","volume":"35","author":"Langford","year":"2020","journal-title":"J Cancer Educ"},{"key":"10.1016\/j.tipsro.2026.100425_bb0075","article-title":"A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance","volume":"154","author":"Skivington","year":"2024","journal-title":"Int J Nurs Stud"},{"key":"10.1016\/j.tipsro.2026.100425_bb0080","series-title":"Complex interventions in health - an overview of research methods","author":"Richards","year":"2015"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0085","article-title":"Development of a patient decision aid for the DAHANCA 35 proton radiotherapy trial - an iterative development process with user-centered design elements","volume":"11","author":"Wilh\u00f8ft Kristensen","year":"2026","journal-title":"MDM Policy Pract"},{"key":"10.1016\/j.tipsro.2026.100425_bb0090","series-title":"Interpretive Description, Qualitative Research for Applied Practice","first-page":"336","author":"Thorne","year":"2016"},{"key":"10.1016\/j.tipsro.2026.100425_bb0095","doi-asserted-by":"crossref","DOI":"10.1016\/j.radonc.2023.109958","article-title":"Considerations for study design in the DAHANCA 35 trial of protons versus photons for head and neck cancer","volume":"190","author":"Friborg","year":"2024","journal-title":"Radiother Oncol"},{"issue":"7","key":"10.1016\/j.tipsro.2026.100425_bb0100","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1002\/1878-0261.12677","article-title":"Particle therapy in Europe","volume":"14","author":"Grau","year":"2020","journal-title":"Mol Oncol"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0105","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1001\/jama.2024.21972","article-title":"Declaration of Helsinki: ethical principles for medical research involving human participants","volume":"333","author":"World Medical Association","year":"2025","journal-title":"JAMA"},{"key":"10.1016\/j.tipsro.2026.100425_bb0110","series-title":"Interpretive description qualitative research for applied practice","author":"Thorne","year":"2025"},{"issue":"7","key":"10.1016\/j.tipsro.2026.100425_bb0115","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1177\/0272989X211035681","article-title":"The international patient decision aid standards (IPDAS) collaboration: evidence update 2.0","volume":"41","author":"Stacey","year":"2021","journal-title":"Med Decis Making"},{"issue":"8","key":"10.1016\/j.tipsro.2026.100425_bb0120","first-page":"e308","article-title":"Are you SURE?: assessing patient decisional conflict with a 4-item screening test","volume":"56","author":"L\u00e9gar\u00e9","year":"2010","journal-title":"Can Fam Physician"},{"issue":"3","key":"10.1016\/j.tipsro.2026.100425_bb0125","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1177\/0272989X20911870","article-title":"20th anniversary Ottawa decision support framework: part 3 overview of systematic reviews and updated framework","volume":"40","author":"Stacey","year":"2020","journal-title":"Med Decis Making"},{"key":"10.1016\/j.tipsro.2026.100425_bb0130","series-title":"Qualitative data analysis with NVivo","author":"PJK","year":"2019"},{"issue":"10","key":"10.1016\/j.tipsro.2026.100425_bb0135","doi-asserted-by":"crossref","first-page":"1605","DOI":"10.1093\/ndt\/gfv209","article-title":"How to routinely collect data on patient-reported outcome and experience measures in renal registries in Europe: an expert consensus meeting","volume":"30","author":"Breckenridge","year":"2015","journal-title":"Nephrol Dial Transplant"},{"issue":"12","key":"10.1016\/j.tipsro.2026.100425_bb0140","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-064067","article-title":"Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review","volume":"12","author":"Toft","year":"2022","journal-title":"BMJ Open"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0145","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/bjc.2014.144","article-title":"Improving decision making about clinical trial participation - a randomised controlled trial of a decision aid for women considering participation in the IBIS-II breast cancer prevention trial","volume":"111","author":"Juraskova","year":"2014","journal-title":"Br J Cancer"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0150","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.radonc.2017.08.013","article-title":"A randomised controlled trial evaluating the utility of a patient decision aid to improve clinical trial (RAVES 08.03) related decision-making","volume":"125","author":"Sundaresan","year":"2017","journal-title":"Radiother Oncol"},{"issue":"12","key":"10.1016\/j.tipsro.2026.100425_bb0155","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1634\/theoncologist.2016-0068","article-title":"Decision aids can support Cancer clinical trials decisions: results of a randomized trial","volume":"21","author":"Politi","year":"2016","journal-title":"Oncologist"},{"issue":"4","key":"10.1016\/j.tipsro.2026.100425_bb0160","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1007\/s13187-018-1377-x","article-title":"Evaluating adaptation of a Cancer clinical trial decision aid for rural Cancer patients: a mixed-methods approach","volume":"34","author":"Pathak","year":"2019","journal-title":"J Cancer Educ"},{"issue":"5","key":"10.1016\/j.tipsro.2026.100425_bb0165","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1016\/j.pec.2021.08.037","article-title":"Feasibility, acceptability, and effectiveness of a decision aid versus an informational website to promote clinical trial decision-making among cancer patients: a pilot randomized controlled trial","volume":"105","author":"Christy","year":"2022","journal-title":"Patient Educ Couns"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0170","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1186\/s13063-021-05345-y","article-title":"Can patient decision aids reduce decisional conflict in a de-escalation of breast radiotherapy clinical trial? The PRIMETIME study within a trial implemented using a cluster stepped-wedge trial design","volume":"22","author":"Bhattacharya","year":"2021","journal-title":"Trials"},{"issue":"7","key":"10.1016\/j.tipsro.2026.100425_bb0175","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1177\/0272989X20978208","article-title":"What works in implementing patient decision aids in routine clinical settings? A rapid realist review and update from the international patient decision aid standards collaboration","volume":"41","author":"Joseph-Williams","year":"2021","journal-title":"Med Decis Making"},{"issue":"16","key":"10.1016\/j.tipsro.2026.100425_bb0180","doi-asserted-by":"crossref","first-page":"2666","DOI":"10.1200\/JCO.2007.14.8114","article-title":"Influence of clinical communication on patients\u2019 decision making on participation in clinical trials","volume":"26","author":"Albrecht","year":"2008","journal-title":"J Clin Oncol"},{"issue":"3","key":"10.1016\/j.tipsro.2026.100425_bb0185","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1093\/jnci\/djaa155","article-title":"\u201cwhen offered to participate\u201d: a systematic review and Meta-analysis of patient agreement to participate in Cancer clinical trials","volume":"113","author":"Unger","year":"2021","journal-title":"J Natl Cancer Inst"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0190","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1001\/journalofethics.2017.18.1.ecas1-1601","article-title":"Could good care mean withholding information from patients?","volume":"18","author":"Long","year":"2016","journal-title":"AMA J Ethics"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0195","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1159\/000509119","article-title":"Principles of clinical ethics and their application to practice","volume":"30","author":"Varkey","year":"2021","journal-title":"Med Princ Pract"},{"issue":"11","key":"10.1016\/j.tipsro.2026.100425_bb0200","first-page":"CD013385","article-title":"Decision coaching for people making healthcare decisions","volume":"11","author":"Jull","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"issue":"7","key":"10.1016\/j.tipsro.2026.100425_bb0205","article-title":"Interventions for increasing the use of shared decision making by healthcare professionals","volume":"7","author":"L\u00e9gar\u00e9","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100425_bb0210","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s12909-023-04998-4","article-title":"The impact of train-the-trainer programs on the continued professional development of nurses: a systematic review","volume":"24","author":"Nex\u00f8","year":"2024","journal-title":"BMC Med Educ"}],"container-title":["Technical Innovations &amp; Patient Support in Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405632426000521?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405632426000521?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T20:28:26Z","timestamp":1788294506000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405632426000521"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":42,"alternative-id":["S2405632426000521"],"URL":"https:\/\/doi.org\/10.1016\/j.tipsro.2026.100425","relation":{},"ISSN":["2405-6324"],"issn-type":[{"value":"2405-6324","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Feasibility, acceptability, and usability of a patient decision aid for participation in the DAHANCA 35 proton radiotherapy trial: A qualitative study","name":"articletitle","label":"Article Title"},{"value":"Technical Innovations & Patient Support in Radiation Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.tipsro.2026.100425","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V. on behalf of European Society for Radiotherapy & Oncology.","name":"copyright","label":"Copyright"}],"article-number":"100425"}}