The involvement of early stage breast cancer patients during oncology consultations in Italy: a multi-centred, randomized controlled trial of a Question Prompt Sheet versus Question Listing
| Autor: | Rolando Nortilli, Claudia Goss, Maria Angela Mazzi, Annamaria Molino, Chiara Buizza, Elena Fiorio, Richard F. Brown, Lucia Vassalli, Alessandro Bottacini, Vito Amoroso, Alberto Ghilardi |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Oncology
information needs Psychological intervention Anxiety Medical Oncology law.invention 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires Adaptation Psychological 030212 general & internal medicine patient involvement Communication Health services research clinical trial General Medicine Middle Aged Checklist Italy Patient Satisfaction 030220 oncology & carcinogenesis oncology Female Health Services Research medicine.symptom Adult medicine.medical_specialty Evidence-based practice Adolescent Breast Neoplasms breast cancer Patient-Centred Medicine 03 medical and health sciences Young Adult Patient satisfaction Internal medicine medicine Humans Patient participation Aged Physician-Patient Relations business.industry Research Clinical trial Patient Participation business |
| Zdroj: | BMJ Open |
| Popis: | ObjectivesTo investigate, prior to an oncology consultation, the use of a pre-prepared list of evidence based questions, Question Prompt Sheet (QPS), compared with a Question List (QL), a patient self-generated list of questions.DesignMulti-centred, randomised controlled trial.SettingSecondary-care patients attending three outpatient oncology clinics in Northern Italy.Participants308 women completed the study. Inclusion criteria were an age between 18 and 75 years, a recent diagnosis of early stage, non-metastatic breast cancer, adequate Italian language skills, no previous oncology visits and no evidence of cognitive impairment.InterventionPatients received the QPS or the QL prior to the consultation, completed it without suggestion or coaching session and delivered back before the visit.The consultations were audio-recorded and analysed for the number and content of questions. Multilevel linear models were used to compare the two groups.Outcome measuresThe primary outcome was the comparison of questions asked between QPS and QL group. Secondary outcomes included satisfaction about questions asked, satisfaction with decision, and level of anxiety.ResultsPatients in the QPS and QL group asked 13 and 16 questions respectively. The difference was not significant (b=1.7, CI –0.3 to 3.6, p=0.10). A mean of 22 questions was selected in the QPS, while a mean of 2 questions was written in the QL. Patients in the QPS group were significantly less satisfied (t=3.60, pConclusionsBoth interventions have similar impact on patients’ participation in terms of question asking during the consultation. Future research is needed in order to explore which components of the interventions are really useful and efficacious.Trial registrationClinicalTrials.govNCT01510964 |
| Databáze: | OpenAIRE |
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