Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation VisitsReport as inadecuate




Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits - Download this document for free, or read online. Document in PDF available to download.

Objectives: To describe the communication behaviors of patients and physicians and patient par-ticipation in communication about treatment decision-making during consultation visits for local-ized prostate cancer LPCa. Methods: This is a secondary analysis of data from 52 men enrolled in the usual care control group of a randomized trial that focused on decision-making for newly diagnosed men with LPCa. We analyzed the patient-physician communication using the transcribed audio-recordings of real-time treatment consultations and a researcher-developed coding tool, including codes for communication behaviors information giving, seeking, and clarifying- verifying and contents of clinical consultations health histories, survival-mortality, treatment options, treatment impact, and treatment preferences. After qualitative content analysis, we categorized patient participation in communication about treatment-related clinical content, including -none- content not discussed; -low- patient listening only; -moderate- patient providing information or asking questions; and -high- patient providing information and asking questions. Results: Physicians mainly provided information during treatment decision consultations and patients frequently were not active participants in communication. The participation of patients with low and moderate cancer risk typically was: 1 -moderate and high- in discussing health histories; 2 -low- in discussing survival-mortality; 3 -low and moderate- in discussing treatment options; 4 -none and low- in discussing treatment impacts; and 5 -low- in discussing treatment preferences. Conclusions: Findings suggest opportunities for increasing patient participation in communication about treatment decision-making for LPCa during clinical consultations.

KEYWORDS

Localized Prostate Cancer LPCa, Decision-Making, Patient-Provider Communication, Patient Participation, Audio-Recording, Consultation

Cite this paper

Song, L. , Toles, M. , Bai, J. , Nielsen, M. , Bailey, D. , Sleath, B. and Mark, B. 2015 Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits. Health, 7, 1419-1429. doi: 10.4236-health.2015.711156.





Author: Lixin Song1,2*, Mark P. Toles1, Jinbing Bai1, Matthew E. Nielsen2,3, Donald E. Bailey4, Betsy Sleath5, Barbara Mark1

Source: http://www.scirp.org/



DOWNLOAD PDF




Related documents