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Song L, Toles MP, Bai J, et al. Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits. Health N Hav. 2015;7(11):1419-1429doi: 10.4236/health.2015.711156.
Song, L., Toles, M. P., Bai, J., Nielsen, M. E., Bailey, D. E., Sleath, B., & Mark, B. (2015). Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits. Health, 7(11), 1419-1429. https://doi.org/10.4236/health.2015.711156
Song, Lixin, et al. "Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits." Health vol. 7,11 (2015): 1419-1429. doi: https://doi.org/10.4236/health.2015.711156
Song L, Toles MP, Bai J, Nielsen ME, Bailey DE, Sleath B, Mark B. Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits. Health N Hav. 2015 Nov;7(11):1419-1429. doi: 10.4236/health.2015.711156. Epub 2015 Nov 11. PMID: 34296220; PMCID: PMC8293682.
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Health N Hav. 2015 Nov;7(11):1419-1429. doi: 10.4236/health.2015.711156. Epub 2015 Nov 11.

Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits.

Health

Lixin Song, Mark P Toles, Jinbing Bai, Matthew E Nielsen, Donald E Bailey, Betsy Sleath, Barbara Mark

Affiliations

  1. School of Nursing, University of North Carolina (UNC), Chapel Hill, USA.
  2. Lineberger Comprehensive Cancer Center, University of North Carolina (UNC), Chapel Hill, USA.
  3. Department of Urology, School of Medicine, University of North Carolina (UNC), Chapel Hill, USA.
  4. School of Nursing, Duke University, Durham, USA.
  5. Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, USA.

PMID: 34296220 PMCID: PMC8293682 DOI: 10.4236/health.2015.711156

Abstract

OBJECTIVES: To describe the communication behaviors of patients and physicians and patient participation in communication about treatment decision-making during consultation visits for localized 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: Audio-Recording; Consultation; Decision-Making; Localized Prostate Cancer (LPCa); Patient Participation; Patient-Provider Communication

Conflict of interest statement

Conflict of Interest Disclosures None.

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