Effects of a Question Prompt Sheet on the Oncologist-Patient Relationship: a Multi-centred Randomised Controlled Trial i
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Effects of a Question Prompt Sheet on the Oncologist-Patient Relationship: a Multi-centred Randomised Controlled Trial in Breast Cancer Chiara Buizza 1 & Alberto Ghilardi 1 & Paola Mazzardi 1 & Domenico Barbera 1 & Veronica Fremondi Alessandro Bottacini 2 & Maria Angela Mazzi 2 & Claudia Goss 2
# American Association for Cancer Education 2019
Abstract This study assessed the effect of a question prompt sheet (QPS) on the oncologist-patient relationship as compared with a question listing (QL). In particular, the differences in difficulties perceived by the oncologist during the consultation and in the patient’s experience of the therapeutic aspects of the relationship were assessed. A total of 324 patients with a recent diagnosis of early stage breast cancer were involved in the study. The results showed that 15.7% of patients were perceived as ‘difficult’ by the oncologists. The proportion of ‘difficult’ patients varied in the two groups: 20.6% in the QPS group versus 11.8% in the QL group. The results also showed that the higher the difficulty perceived by oncologists, the lower the satisfaction of patients for their relationship with the oncologists during the consultation (r = − .135, p = .033). It is likely that the higher level of difficulty perceived by the oncologist in the QPS group may be connected with the pre-prepared list of evidence-based questions. Further research is needed to understand which components of the interventions, relating to the patient, the oncologist or their interaction, really promote patient participation in cancer setting. Trial registration: ClinicalTrials.gov NCT01510964. https://clinicaltrials. gov/ct2/show/NCT01510964. Keywords Question prompt sheet . Breast cancer . Patient satisfaction . Communication . Difficult patients . Relationship
Introduction Active participation and asking questions are important methods of cancer patient interaction during their consultation with the oncologist. Greater patient participation could lead to increased satisfaction of the patient in the relationship with the oncologist, a more active role in the decision-making process and a higher treatment adherence [1]. Many studies have shown that providing a communication tool before an oncology consultation can encourage the supply of information during consultation and can help patients to * Chiara Buizza [email protected] 1
Department of Clinical and Experimental Sciences, Section of Clinical Psychology, University of Brescia, Viale Europa 11, 25123 Brescia, Italy
2
Department of Public Health and Community Medicine, Section of Clinical Psychology, University of Verona, Policlinico G.B. Rossi, Piazzale LA. Scuro 10, 37134 Verona, Italy
improve communication with their oncologists and increase the number of questions asked during consultation [2]. Furthermore, a communication tool can improve satisfaction with the consultation and the recall of information, and reduce patient anxiety as well [3, 4]. Almost all studies that involved the provision of a communication tool mainly focused
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