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Patient-centered communication and prognosis discussions with cancer patients.

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Title: Patient-centered communication and prognosis discussions with cancer patients.
Authors: Shields CG (AUTHOR), Coker CJ (AUTHOR), Poulsen SS (AUTHOR), Doyle JM (AUTHOR), Fiscella K (AUTHOR), Epstein RM (AUTHOR), Griggs JJ (AUTHOR), Shields, Cleveland G1 (AUTHOR), Coker, Casey J (AUTHOR), Poulsen, Shruti S (AUTHOR), Doyle, Jennifer M (AUTHOR), Fiscella, Kevin (AUTHOR), Epstein, Ronald M (AUTHOR), Griggs, Jennifer J (AUTHOR)
Source: Patient Education & Counseling. Dec2009, Vol. 77 Issue 3, p437-442. 6p.
Abstract: Objective: To examine physician communication associated with prognosis discussion with cancer patients.Methods: We conducted a study of physician-patient communication using trained actors. Thirty-nine physicians, including 19 oncologists and 20 family physicians participated in the study. Actors carried two hidden digital recorders to unannounced visits. We coded recordings for eliciting and validating patient concerns, attentive voice tone, and prognosis talk.Results: Actor adherence to role averaged 92% and the suspected detection rate was 14%. In a multiple regression, eliciting and validating patient concerns (beta=.40, C.I.=0.11-0.68) attentiveness (beta=.32, C.I.=0.06-0.58) and being an oncologist vs. a family physician (beta=.33, C.I.=0.33-1.36) accounted for 46% of the variance in prognosis communication.Conclusion: Eliciting and validating patient concerns and attentiveness voice tone is associated with increased discussion of cancer patient prognosis as is physician specialty.Practice Implications: Eliciting and validating patient concerns and attentive voice tone may be markers of physician willingness to discuss emotionally difficult topics. Educating physicians about mindful practice may increase their ability to collect important information and to attend to patient concerns. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Patient-centered communication and prognosis discussions with cancer patients.
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  Data: <searchLink fieldCode="AR" term="%22Shields+CG%22">Shields CG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Coker+CJ%22">Coker CJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poulsen+SS%22">Poulsen SS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Doyle+JM%22">Doyle JM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fiscella+K%22">Fiscella K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein+RM%22">Epstein RM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Griggs+JJ%22">Griggs JJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shields%2C+Cleveland+G%22">Shields, Cleveland G</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Coker%2C+Casey+J%22">Coker, Casey J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poulsen%2C+Shruti+S%22">Poulsen, Shruti S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Doyle%2C+Jennifer+M%22">Doyle, Jennifer M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fiscella%2C+Kevin%22">Fiscella, Kevin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein%2C+Ronald+M%22">Epstein, Ronald M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Griggs%2C+Jennifer+J%22">Griggs, Jennifer J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Dec2009, Vol. 77 Issue 3, p437-442. 6p.
– Name: Abstract
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  Data: <bold>Objective: </bold>To examine physician communication associated with prognosis discussion with cancer patients.<bold>Methods: </bold>We conducted a study of physician-patient communication using trained actors. Thirty-nine physicians, including 19 oncologists and 20 family physicians participated in the study. Actors carried two hidden digital recorders to unannounced visits. We coded recordings for eliciting and validating patient concerns, attentive voice tone, and prognosis talk.<bold>Results: </bold>Actor adherence to role averaged 92% and the suspected detection rate was 14%. In a multiple regression, eliciting and validating patient concerns (beta=.40, C.I.=0.11-0.68) attentiveness (beta=.32, C.I.=0.06-0.58) and being an oncologist vs. a family physician (beta=.33, C.I.=0.33-1.36) accounted for 46% of the variance in prognosis communication.<bold>Conclusion: </bold>Eliciting and validating patient concerns and attentiveness voice tone is associated with increased discussion of cancer patient prognosis as is physician specialty.<bold>Practice Implications: </bold>Eliciting and validating patient concerns and attentive voice tone may be markers of physician willingness to discuss emotionally difficult topics. Educating physicians about mindful practice may increase their ability to collect important information and to attend to patient concerns. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Dec2009
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