Communication about Sexual Health in Breast Cancer: What Can We Learn from Patients' Self-Report and Clinic Dialogue?

PATIENT EDUCATION AND COUNSELING

卷:103

Article

Reese, Jennifer Barsky^1,2  Sorice, Kristen A.¹  Zimmaro, Lauren A.¹  Lepore, Stephen J.^1,2  Beach, Mary Catherine³ 

[1] Fox Chase Canc Ctr, Canc Prevent & Control Program, 7701 Burholme Ave, Philadelphia, PA 19111 USA

[2] Temple Univ, Coll Publ Hlth, Dept Social & Behav Sci, Philadelphia, PA 19122 USA

[3] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA

关键词: Sexual Health;    Communication;    Breast Cancer;    Dialogue Analysis;   

DOI  :  10.1016/j.pec.2020.03.029

来源: Elsevier

【 摘 要 】

Objective: Research assessing clinical communication about sexual health is limited. We compared clinical communication about sexual health across patients' self-reports and coded dialogue in breast cancer outpatients. Methods: 134 patients had clinic visits audio-recorded and coded for sexual health communication and completed self-report questionnaires immediately after the visit. Associations between the self-report and dialogue were assessed using Phi coefficient. Agreements (present/absent) and discrepancies (omissions, commissions) about discussed topics were classified and discrepancies analyzed for themes. Results: Sexual health was discussed in 61 of 134 patient visits (46%). Associations were significant (p < .01) but differed by topic (phi = .27-.76).37 women (23%) had >= 1 self-report error. Discrepancies were common (19 omissions, 29 commissions). Patients often omitted communication about sexual concerns when such concerns were not problematic, and interpreted non-specific discussions as including specific topics of concern, even when not explicitly stated. Omissions were more common for women with lower education. Conclusions: Patients' reports of whether sexual health communication occurs does not always align with observed dialogue, and may vary by personal relevance of the topic. Practice Implications: There are limitations in determining the prevalence of clinical communication about sexual health through patient self-report. Explaining sexual health terms might enhance shared understanding. (C) 2020 Elsevier B.V. All rights reserved.

【 授权许可】

Free