Patient and family communication during consultation visits: The effects of a decision aid for treatment decision-making for localized prostate cancer

PATIENT EDUCATION AND COUNSELING

卷:100

Article

Song, Lixin^1,2  Tyler, Christina^1,3  Clayton, Margaret F.⁴  Rodgiriguez-Rassi, Eleanor¹  Hill, Latorya¹  Bai, Jinbing¹  Pruthi, Raj⁵  Bailey, Donald E., Jr.⁶ 

[1] UNC, Sch Nursing, Chapel Hill, NC USA

[2] UNC, Lineberger Comprehens Canc Ctr, Chapel Hill, NC USA

[3] UNC, Off Human Res Eth, Chapel Hill, NC USA

[4] Univ Utah, Coll Nursing, Salt Lake City, UT 84112 USA

[5] UNC, Dept Urol, Sch Med, Chapel Hill, NC USA

[6] Duke Univ, Sch Nursing, Durham, NC USA

关键词: Localized prostate cancer;    Decision-making;    Patient-provider communication;    Decision aid;    Uncertainty;    Intervention;   

DOI  :  10.1016/j.pec.2016.09.012

来源: Elsevier

【 摘 要 】

Objective: To analyze the effects of a decision aid on improving patients' and family members' information giving and question asking during consultations for prostate cancer treatment decisionmaking. Methods: This study is a secondary analysis of archived audio-recorded real-time consultation visits with participants from a randomized clinical trial. Participants were randomly assigned into three groups: TD-intervention targeted patient-only; TS-intervention targeted patients and family members; and control-a handout on staying healthy during treatment. We conducted content analysis using a researcher-developed communication coding system. Using SAS 9.3, we conducted Chi-square/Fisher's exact test to examine whether information giving and question asking among patients and family members varied by groups when discussing different content/topics. Results: Compared with those in the TS and control groups, significantly higher percentages of participants in the TD group demonstrated information giving in discussing topics about diagnosis, treatment options, risks and benefits, and preferences; and engaged in question asking when discussing diagnosis, watchful waiting/active surveillance, risks and benefits, and preferences for treatment impacts. Conclusion: Information support and communication skills training for patients were effective in improving communication during treatment decision-making consultations. Practice implications: Providing information about prostate cancer and communication skills training empower patients and their family members. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free