Provider caring and structuring treatment information to improve cancer patients' recall: Does it help?

PATIENT EDUCATION AND COUNSELING

卷:103

Article

Lehmann, Vicky¹  Labrie, Nanon H. M.^1,2  van Weert, Julia C. M.³  van Dulmen, Sandra^4,5,6  de Haes, Hanneke J. C. J. M.¹  Kersten, Marie Jose⁷  Pieterse, Arwen H.⁸  Smets, Ellen M. A.¹ 

[1] Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Canc Ctr Amsterdam, Dept Med Psychol,Med Ctr, Amsterdam, Netherlands

[2] Vrije Univ Amsterdam, Fac Sci, Athena Inst, Amsterdam, Netherlands

[3] Univ Amsterdam, Amsterdam Sch Commun Res ASCoR, Amsterdam, Netherlands

[4] Nivel Netherlands Inst Hlth Serv Res, Utrecht, Netherlands

[5] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, Dept Primary & Community Care, Nijmegen, Netherlands

[6] Univ South Eastern Norway, Fac Hlth & Social Sci, Drammen, Norway

[7] Univ Amsterdam, Med Ctr, Dept Hematol, LYMMCARE Lymphoma & Myeloma Ctr Amsterdam, Amsterdam, Netherlands

[8] Leiden Univ, Med Ctr, Dept Biomed Data Sci, Med Decis Making, Leiden, Netherlands

关键词: Provider communication;    Information structuring;    Provider caring;    Information recall;    Recognition;    Cancer;    Hematology/oncology;    Analogue patient;    Video-vignettes;   

DOI  :  10.1016/j.pec.2019.07.011

来源: Elsevier

【 摘 要 】

Objectives: Patient recall of medical information is usually poor. Healthcare providers can employ affect-oriented (i.e., showing care) or cognition-oriented communication styles (i.e., structuring information) to enhance recall, but research evidence is limited especially among clinical and/or older patient populations. This video-vignette study manipulated provider caring and information structuring to examine effects on recall and trust among cancer patients/survivors. Methods: In an online survey, 148 participants (M-age = 62) were randomized to one of four video conditions in a two (standard communication vs. enhanced caring) by two (standard vs. enhanced structuring) design, and completed measures of active recall, recognition, and trust. Results: Increased caring or structuring did not enhance active recall or recognition, instead both were higher among younger, female, or highly educated participants. The caring condition induced higher perceived trust in the provider within the whole sample, but trust was significantly correlated with decreased recall (r = -.268) among younger participants. Conclusions: Provider caring can strengthen the patient-provider relationship by enhancing trust. Yet, increased trust may impair recall among younger patients. Structuring treatment information did not enhance recall and recognition, but additional research is needed. Practice implications: Providers may use additional ways of structuring/organizing information to help enhance recall (e.g., written information). (c) 2019 Elsevier B.V. All rights reserved.

【 授权许可】

Free