Dominick L Frosch
Biographic Data
| ID | 146731 |
|---|---|
| NAME | Dominick L Frosch |
| GIVEN NAMES | Dominick L |
| FAMILY NAME | Frosch |
| SIGNATURE | FROSCH D L |
| AFFILIATIONS | University of California, Los Angeles |
| ORCID | 0000-0003-1680-0734 |
| VERIFIED | Yes |
| TOTAL WORKS | 17 |
| TOTAL CITATIONS | 9 |
| AUTHOR COUNT | 17 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Active surveillance and trajectories of decision-making among patients with low-risk prostate cancer
Objectives Prostate cancer is the most common cancer among men in the United States. This study examines factors associated with active surveillance (AS) uptake, timing of treatment decision making, and whether timing affects quality of life. Methods We used data from a population-based observational study of 512 patients aged 40–79 diagnosed with low-risk prostate cancer from 2016 to 2022. Factors associated with AS receipt and treatment decisio…
Racial and Ethnic Disparities in Diabetes Prevention Outcomes: Insights from the Prediabetes Informed Decisions and Education Study
Background: To achieve health equity, interventions should yield similar effectiveness across all patient subgroups. However, the adoption of diabetes prevention strategies and successful weight loss in "real-world" Diabetes Prevention Program (DPP) translational studies have varied by race and ethnicity. We examined racial and ethnic differences in diabetes prevention outcomes among study participants from the Prediabetes Informed Decisions and …
Predicting prostate cancer treatment choices: The role of numeracy, time discounting, and risk attitudes
Prostate cancer is the most common cancer among males in the United States, and there is lack of consensus as to whether active surveillance or radical prostatectomy is the best course of treatment. In this study, we examined the role of numeracy, time discounting, and risk taking on decision-making about prostate cancer treatment-in 279 men over age 50 without a prior prostate cancer diagnosis. Results showed that active surveillance was the mos…
An exploratory mixed‐methods crossover study comparing DVD ‐ vs. Web‐based patient decision support in three conditions: The importance of patient perspectives
BACKGROUND: The last 15 years have witnessed considerable progress in the development of decision support interventions (DESIs). However, fundamental questions about design and format of delivery remain. METHODS: An exploratory, randomized mixed-method crossover study was conducted to compare a DVD- and Web-based DESI. Randomized participants used either the Web or the DVD first, followed by the alternative format. Participants completed a questi…
Physicians' perceptions of shared decision‐making behaviours: A qualitative study demonstrating the continued chasm between aspirations and clinical practice
BACKGROUND: Shared Decision Making (SDM) is a process of engaging patients in health decisions that involve multiple medically appropriate treatment options. Despite growing public and policy support for patient engagement in health decisions, SDM is not widely practiced in clinical settings. OBJECTIVE: The purpose of our study was to explore clinicians' attitudes, beliefs and perceived social norms about engaging in SDM behaviours. DESIGN: Semi-…
Redefining Risk and Benefit: Understanding the Decision to Undergo Contralateral Prophylactic Mastectomy
Rates of contralateral prophylactic mastectomy (CPM) among unilateral breast cancer patients are rapidly increasing; however, there are little data documenting the decision-making process of patients with no known BRCA mutations, who elect this more aggressive treatment. We conducted semistructured interviews with nine newly diagnosed patients who elected CPM over other surgical options. Using grounded theory, we analyzed interview data to identi…
Barriers and facilitators to routine distribution of patient decision support interventions: A preliminary study in community‐based primary care settings
Background A growing body of literature documents the value of decision support interventions (DESIs) in facilitating patient participation in preference sensitive decision making, but little is known about their implementation in routine care. Objective This study explored barriers and facilitators to prescribing DESIs in primary care. Setting and participants Four community‐based primary care practices across Los Angeles County serving diverse …
Beyond barriers: Fundamental ‘disconnects’ underlying the treatment of breast cancer patients' sexual health
Sexual health concerns represent one of the most frequently experienced and longest-lasting effects of breast cancer treatment, but research suggests that service providers rarely discuss sexual health with their patients. Existing research examining barriers to addressing patients' sexual health concerns has focused on discrete characteristics of the provider-patient interaction without considering the broader context in which these interactions…
Shared decision making: Really putting patients at the centre of healthcare
Although many clinicians feel they already use shared decision making, research shows a perception-reality gap. A M Stiggelbout and colleagues discuss why it is important and highlight some best practices.
Shared Decision Making: A Model for Clinical Practice
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is …
Conducting implementation research in community‐based primary care: A qualitative study on integrating patient decision support interventions for cancer screening into routine practice
Background Despite a growing body of evidence supporting the efficacy of patient decision support interventions (DESI), little is known about their implementation in community‐based primary care practices. Objective The goal of this study was to explore the feasibility of integrating the use of DESIs for cancer screening in primary care practices serving patients from diverse backgrounds and learn more about the potential barriers and facilitator…
Living in the "land of no"? Consumer perceptions of healthy lifestyle portrayals in direct-to-consumer advertisements of prescription drugs
Examining the Dimensions of Cancer-Related Information Seeking and Scanning Behavior
Recent decades have witnessed a growing emphasis on patients as active consumers of health information. The literature about cancer-related information focuses on active and purposeful information seeking, but a great deal of exposure to cancer-relevant information may happen less purposively (termed information scanning). This article presents results from an in-depth interview study that examined information seeking and scanning behavior in the…
Diagnostic and Treatment Decisions in US Healthcare
The practice of medicine links diagnosis to treatment. However, for many diagnosed conditions diagnosis and treatment may not affect health outcome. Examples include low-grade cancers that do not influence life expectancy or quality of life. Further, there is considerable uncertainty about the point along a biologic continuum where treatment should begin. Changes in diagnostic thresholds often increase healthcare costs even though the benefit of …
Comparison of German language versions of the QWB-SA and SF-36 evaluating outcomes for patients with prostate disease
Substance Abuse Treatment as HIV Prevention for Men Who Have Sex with Men
Toy Stories: Aggression in Children's Narratives in the United States, Sweden, Germany, and Indonesia
One hundred twenty 4-year-old children (30 from each culture, half girls) told two stories using toys with aggressive and neutral cues. Preschool teachers rated children's social competence and classroom behavior and parents completed a questionnaire about their child-rearing practices. Children's narratives were coded for length, complexity, story characteristics, thematic content, and number of aggressive words. Results showed that American chi…
Living in the "land of no"? Consumer perceptions of healthy lifestyle portrayals in direct-to-consumer advertisements of prescription drugs
Diagnostic and Treatment Decisions in US Healthcare
The practice of medicine links diagnosis to treatment. However, for many diagnosed conditions diagnosis and treatment may not affect health outcome. Examples include low-grade cancers that do not influence life expectancy or quality of life. Further, there is considerable uncertainty about the point along a biologic continuum where treatment should begin. Changes in diagnostic thresholds often increase healthcare costs even though the benefit of …
Toy Stories: Aggression in Children's Narratives in the United States, Sweden, Germany, and Indonesia
One hundred twenty 4-year-old children (30 from each culture, half girls) told two stories using toys with aggressive and neutral cues. Preschool teachers rated children's social competence and classroom behavior and parents completed a questionnaire about their child-rearing practices. Children's narratives were coded for length, complexity, story characteristics, thematic content, and number of aggressive words. Results showed that American chi…
Toy Stories: Aggression in Children's Narratives in the United States, Sweden, Germany, and Indonesia
One hundred twenty 4-year-old children (30 from each culture, half girls) told two stories using toys with aggressive and neutral cues. Preschool teachers rated children's social competence and classroom behavior and parents completed a questionnaire about their child-rearing practices. Children's narratives were coded for length, complexity, story characteristics, thematic content, and number of aggressive words. Results showed that American chi…
Substance Abuse Treatment as HIV Prevention for Men Who Have Sex with Men
Comparison of German language versions of the QWB-SA and SF-36 evaluating outcomes for patients with prostate disease
Diagnostic and Treatment Decisions in US Healthcare
The practice of medicine links diagnosis to treatment. However, for many diagnosed conditions diagnosis and treatment may not affect health outcome. Examples include low-grade cancers that do not influence life expectancy or quality of life. Further, there is considerable uncertainty about the point along a biologic continuum where treatment should begin. Changes in diagnostic thresholds often increase healthcare costs even though the benefit of …
Examining the Dimensions of Cancer-Related Information Seeking and Scanning Behavior
Recent decades have witnessed a growing emphasis on patients as active consumers of health information. The literature about cancer-related information focuses on active and purposeful information seeking, but a great deal of exposure to cancer-relevant information may happen less purposively (termed information scanning). This article presents results from an in-depth interview study that examined information seeking and scanning behavior in the…
Conducting implementation research in community‐based primary care: A qualitative study on integrating patient decision support interventions for cancer screening into routine practice
Background Despite a growing body of evidence supporting the efficacy of patient decision support interventions (DESI), little is known about their implementation in community‐based primary care practices. Objective The goal of this study was to explore the feasibility of integrating the use of DESIs for cancer screening in primary care practices serving patients from diverse backgrounds and learn more about the potential barriers and facilitator…
Living in the "land of no"? Consumer perceptions of healthy lifestyle portrayals in direct-to-consumer advertisements of prescription drugs
Shared decision making: Really putting patients at the centre of healthcare
Although many clinicians feel they already use shared decision making, research shows a perception-reality gap. A M Stiggelbout and colleagues discuss why it is important and highlight some best practices.
Shared Decision Making: A Model for Clinical Practice
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is …
Barriers and facilitators to routine distribution of patient decision support interventions: A preliminary study in community‐based primary care settings
Background A growing body of literature documents the value of decision support interventions (DESIs) in facilitating patient participation in preference sensitive decision making, but little is known about their implementation in routine care. Objective This study explored barriers and facilitators to prescribing DESIs in primary care. Setting and participants Four community‐based primary care practices across Los Angeles County serving diverse …
Beyond barriers: Fundamental ‘disconnects’ underlying the treatment of breast cancer patients' sexual health
Sexual health concerns represent one of the most frequently experienced and longest-lasting effects of breast cancer treatment, but research suggests that service providers rarely discuss sexual health with their patients. Existing research examining barriers to addressing patients' sexual health concerns has focused on discrete characteristics of the provider-patient interaction without considering the broader context in which these interactions…
An exploratory mixed‐methods crossover study comparing DVD ‐ vs. Web‐based patient decision support in three conditions: The importance of patient perspectives
BACKGROUND: The last 15 years have witnessed considerable progress in the development of decision support interventions (DESIs). However, fundamental questions about design and format of delivery remain. METHODS: An exploratory, randomized mixed-method crossover study was conducted to compare a DVD- and Web-based DESI. Randomized participants used either the Web or the DVD first, followed by the alternative format. Participants completed a questi…
Physicians' perceptions of shared decision‐making behaviours: A qualitative study demonstrating the continued chasm between aspirations and clinical practice
BACKGROUND: Shared Decision Making (SDM) is a process of engaging patients in health decisions that involve multiple medically appropriate treatment options. Despite growing public and policy support for patient engagement in health decisions, SDM is not widely practiced in clinical settings. OBJECTIVE: The purpose of our study was to explore clinicians' attitudes, beliefs and perceived social norms about engaging in SDM behaviours. DESIGN: Semi-…
Redefining Risk and Benefit: Understanding the Decision to Undergo Contralateral Prophylactic Mastectomy
Rates of contralateral prophylactic mastectomy (CPM) among unilateral breast cancer patients are rapidly increasing; however, there are little data documenting the decision-making process of patients with no known BRCA mutations, who elect this more aggressive treatment. We conducted semistructured interviews with nine newly diagnosed patients who elected CPM over other surgical options. Using grounded theory, we analyzed interview data to identi…
Predicting prostate cancer treatment choices: The role of numeracy, time discounting, and risk attitudes
Prostate cancer is the most common cancer among males in the United States, and there is lack of consensus as to whether active surveillance or radical prostatectomy is the best course of treatment. In this study, we examined the role of numeracy, time discounting, and risk taking on decision-making about prostate cancer treatment-in 279 men over age 50 without a prior prostate cancer diagnosis. Results showed that active surveillance was the mos…
Racial and Ethnic Disparities in Diabetes Prevention Outcomes: Insights from the Prediabetes Informed Decisions and Education Study
Background: To achieve health equity, interventions should yield similar effectiveness across all patient subgroups. However, the adoption of diabetes prevention strategies and successful weight loss in "real-world" Diabetes Prevention Program (DPP) translational studies have varied by race and ethnicity. We examined racial and ethnic differences in diabetes prevention outcomes among study participants from the Prediabetes Informed Decisions and …
Active surveillance and trajectories of decision-making among patients with low-risk prostate cancer
Objectives Prostate cancer is the most common cancer among men in the United States. This study examines factors associated with active surveillance (AS) uptake, timing of treatment decision making, and whether timing affects quality of life. Methods We used data from a population-based observational study of 512 patients aged 40–79 diagnosed with low-risk prostate cancer from 2016 to 2022. Factors associated with AS receipt and treatment decisio…
Medicine (13 works) · Psychology (12 works) · Patient-Provider Communication in Healthcare (11 works) · Family medicine (6 works) · Nursing (6 works) · Health Systems, Economic Evaluations, Quality of Life (5 works) · Population (5 works) · Cancer (4 works) · Computer Science (4 works) · Political science (4 works)