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Monitoring the implementation of Consultation Planning, Recording, and Summarizing in a breast care center.

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Title: Monitoring the implementation of Consultation Planning, Recording, and Summarizing in a breast care center.
Authors: Belkora JK (AUTHOR), Loth MK (AUTHOR), Chen DF (AUTHOR), Chen JY (AUTHOR), Volz S (AUTHOR), Esserman LJ (AUTHOR), Belkora, Jeffrey K1 (AUTHOR), Loth, Meredith K (AUTHOR), Chen, Daniel F (AUTHOR), Chen, Jennifer Y (AUTHOR), Volz, Shelley (AUTHOR), Esserman, Laura J (AUTHOR)
Source: Patient Education & Counseling. Dec2008, Vol. 73 Issue 3, p536-543. 8p.
Abstract: Objective: We implemented and monitored a clinical service, Consultation Planning, Recording and Summarizing (CPRS), in which trained facilitators elicit patient questions for doctors, and then audio-record, and summarize the doctor-patient consultations.Methods: We trained 8 schedulers to offer CPRS to breast cancer patients making treatment decisions, and trained 14 premedical interns to provide the service. We surveyed a convenience sample of patients regarding their self-efficacy and decisional conflict. We solicited feedback from physicians, schedulers, and CPRS staff on our implementation of CPRS.Results: 278 patients used CPRS over the 22-month study period, an exploitation rate of 32% compared to our capacity. 37 patients responded to surveys, providing pilot data showing improvements in self-efficacy and decisional conflict. Physicians, schedulers, and premedical interns recommended changes in the program's locations; delivery; products; and screening, recruitment and scheduling processes.Conclusion: Our monitoring of this implementation found elements of success while surfacing recommendations for improvement.Practice Implications: We made changes based on study findings. We moved Consultation Planning to conference rooms or telephone sessions; shortened the documents produced by CPRS staff; diverted slack resources to increase recruitment efforts; and obtained a waiver of consent in order to streamline and improve ongoing evaluation. [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: Monitoring the implementation of Consultation Planning, Recording, and Summarizing in a breast care center.
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  Data: <searchLink fieldCode="AR" term="%22Belkora+JK%22">Belkora JK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Loth+MK%22">Loth MK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen+DF%22">Chen DF</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen+JY%22">Chen JY</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Volz+S%22">Volz S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Esserman+LJ%22">Esserman LJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Belkora%2C+Jeffrey+K%22">Belkora, Jeffrey K</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Loth%2C+Meredith+K%22">Loth, Meredith K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Daniel+F%22">Chen, Daniel F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Jennifer+Y%22">Chen, Jennifer Y</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Volz%2C+Shelley%22">Volz, Shelley</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Esserman%2C+Laura+J%22">Esserman, Laura J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Dec2008, Vol. 73 Issue 3, p536-543. 8p.
– Name: Abstract
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  Data: <bold>Objective: </bold>We implemented and monitored a clinical service, Consultation Planning, Recording and Summarizing (CPRS), in which trained facilitators elicit patient questions for doctors, and then audio-record, and summarize the doctor-patient consultations.<bold>Methods: </bold>We trained 8 schedulers to offer CPRS to breast cancer patients making treatment decisions, and trained 14 premedical interns to provide the service. We surveyed a convenience sample of patients regarding their self-efficacy and decisional conflict. We solicited feedback from physicians, schedulers, and CPRS staff on our implementation of CPRS.<bold>Results: </bold>278 patients used CPRS over the 22-month study period, an exploitation rate of 32% compared to our capacity. 37 patients responded to surveys, providing pilot data showing improvements in self-efficacy and decisional conflict. Physicians, schedulers, and premedical interns recommended changes in the program's locations; delivery; products; and screening, recruitment and scheduling processes.<bold>Conclusion: </bold>Our monitoring of this implementation found elements of success while surfacing recommendations for improvement.<bold>Practice Implications: </bold>We made changes based on study findings. We moved Consultation Planning to conference rooms or telephone sessions; shortened the documents produced by CPRS staff; diverted slack resources to increase recruitment efforts; and obtained a waiver of consent in order to streamline and improve ongoing evaluation. [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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