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Using a quality of life (QoL)-monitor: preliminary results of a randomized trial in Dutch patients with early breast cancer.

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Title: Using a quality of life (QoL)-monitor: preliminary results of a randomized trial in Dutch patients with early breast cancer.
Authors: Lugtenberg, R. T. (AUTHOR), Fischer, M. J. (AUTHOR), de Jongh, F. (AUTHOR), Kobayashi, K. (AUTHOR), Inoue, K. (AUTHOR), Matsuda, A. (AUTHOR), Kubota, K. (AUTHOR), Weijl, N. (AUTHOR), Yamaoka, K. (AUTHOR), Ramai, S. R. S. (AUTHOR), Nortier, J. W. R. (AUTHOR), Putter, H. (AUTHOR), Gelderblom, H. (AUTHOR), Kaptein, A. A. (AUTHOR), Kroep, J. R. (AUTHOR)
Source: Quality of Life Research. Nov2020, Vol. 29 Issue 11, p2961-2975. 15p. 2 Diagrams, 6 Charts, 2 Graphs.
Subjects: Breast cancer, Cancer chemotherapy, Patient satisfaction, Quality of life, Medical personnel, Self-monitoring (Psychology)
Abstract: Purpose: The diagnosis and treatment of cancer negatively affect patients' physical, functional and psychological wellbeing. Patients' needs for care cannot be addressed unless they are recognized by healthcare providers (HCPs). The use of quality of life (QoL) assessments with feedback to HCPs might facilitate the identification and discussion of QoL-topics.Methods: 113 patients with stage I-IIIB breast cancer treated with chemotherapy were included in this randomized controlled trial. Patients were randomly allocated to receive either usual care, or usual care with an intervention consisting of a QoL-monitor assessing QoL, distress and care needs before every chemotherapy cycle visit. Patients completed questionnaires regarding QoL, illness perceptions, self-efficacy, and satisfaction with communication. From the 2nd visit onwards, patients in the intervention arm and their HCPs received a copy of the QoL overview and results were shown in patients' medical files. Audio-recordings and patients' self-reports were used to investigate effects on communication, patient management and patient-wellbeing. A composite score for communication was calculated by summing the number of QoL-topics discussed during each consultation.Results: Use of the QoL-monitor resulted in a higher communication score (0.7 topics increase per visit, p = 0.04), especially regarding the disease-specific and psychosocial issues (p < 0.01). There were no differences in patient management, QoL, illness perceptions or distress. Patients in the experimental arm (n = 60) had higher scores on satisfaction with communication (p < 0.05).Conclusions: Use of a QoL-monitor during chemotherapy in patients with early breast cancer might result in a more frequent discussion of QoL-topics, associated with high levels of patients' satisfaction. [ABSTRACT FROM AUTHOR]
Copyright of Quality of Life Research is the property of Springer Nature 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: Psychology and Behavioral Sciences Collection
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  Data: Using a quality of life (QoL)-monitor: preliminary results of a randomized trial in Dutch patients with early breast cancer.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lugtenberg%2C+R%2E+T%2E%22&quot;&gt;Lugtenberg, R. T.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fischer%2C+M%2E+J%2E%22&quot;&gt;Fischer, M. J.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22de+Jongh%2C+F%2E%22&quot;&gt;de Jongh, F.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kobayashi%2C+K%2E%22&quot;&gt;Kobayashi, K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Inoue%2C+K%2E%22&quot;&gt;Inoue, K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Matsuda%2C+A%2E%22&quot;&gt;Matsuda, A.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kubota%2C+K%2E%22&quot;&gt;Kubota, K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Weijl%2C+N%2E%22&quot;&gt;Weijl, N.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yamaoka%2C+K%2E%22&quot;&gt;Yamaoka, K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ramai%2C+S%2E+R%2E+S%2E%22&quot;&gt;Ramai, S. R. S.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Nortier%2C+J%2E+W%2E+R%2E%22&quot;&gt;Nortier, J. W. R.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Putter%2C+H%2E%22&quot;&gt;Putter, H.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gelderblom%2C+H%2E%22&quot;&gt;Gelderblom, H.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kaptein%2C+A%2E+A%2E%22&quot;&gt;Kaptein, A. A.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kroep%2C+J%2E+R%2E%22&quot;&gt;Kroep, J. R.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Quality+of+Life+Research%22&quot;&gt;Quality of Life Research&lt;/searchLink&gt;. Nov2020, Vol. 29 Issue 11, p2961-2975. 15p. 2 Diagrams, 6 Charts, 2 Graphs.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Breast+cancer%22&quot;&gt;Breast cancer&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+chemotherapy%22&quot;&gt;Cancer chemotherapy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+satisfaction%22&quot;&gt;Patient satisfaction&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Quality+of+life%22&quot;&gt;Quality of life&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+personnel%22&quot;&gt;Medical personnel&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Self-monitoring+%28Psychology%29%22&quot;&gt;Self-monitoring (Psychology)&lt;/searchLink&gt;
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  Label: Abstract
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  Data: &lt;bold&gt;Purpose: &lt;/bold&gt;The diagnosis and treatment of cancer negatively affect patients&#39; physical, functional and psychological wellbeing. Patients&#39; needs for care cannot be addressed unless they are recognized by healthcare providers (HCPs). The use of quality of life (QoL) assessments with feedback to HCPs might facilitate the identification and discussion of QoL-topics.&lt;bold&gt;Methods: &lt;/bold&gt;113 patients with stage I-IIIB breast cancer treated with chemotherapy were included in this randomized controlled trial. Patients were randomly allocated to receive either usual care, or usual care with an intervention consisting of a QoL-monitor assessing QoL, distress and care needs before every chemotherapy cycle visit. Patients completed questionnaires regarding QoL, illness perceptions, self-efficacy, and satisfaction with communication. From the 2nd visit onwards, patients in the intervention arm and their HCPs received a copy of the QoL overview and results were shown in patients&#39; medical files. Audio-recordings and patients&#39; self-reports were used to investigate effects on communication, patient management and patient-wellbeing. A composite score for communication was calculated by summing the number of QoL-topics discussed during each consultation.&lt;bold&gt;Results: &lt;/bold&gt;Use of the QoL-monitor resulted in a higher communication score (0.7 topics increase per visit, p = 0.04), especially regarding the disease-specific and psychosocial issues (p &lt; 0.01). There were no differences in patient management, QoL, illness perceptions or distress. Patients in the experimental arm (n = 60) had higher scores on satisfaction with communication (p &lt; 0.05).&lt;bold&gt;Conclusions: &lt;/bold&gt;Use of a QoL-monitor during chemotherapy in patients with early breast cancer might result in a more frequent discussion of QoL-topics, associated with high levels of patients&#39; satisfaction. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
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