This clinical trial implements a communication intervention to improve patient-oncologist communication in the outpatient medical oncology setting. A communication brochure called the ASQ brochure may help patients prepare for the doctor visit by thinking through the questions that patients and patients' family want to ask the doctor.
Patient-centered communication is critical to providing high-quality care. In patient-provider clinical interactions, providers are responsible for several aspects of patient-centered communication. However, to reach the goal of providing the best possible treatments, patients should also actively participate by asking questions and expressing their concerns. Question prompt lists, simple lists of questions provided to patients before clinic visits to help them prepare for the appointment, have been tested in several medical contexts and patient populations, including among an underserved, minority population in Detroit, and have been shown to contribute to improved outcomes related to better communication quality. Using a RE-AIM framework, this descriptive, mixed methods, single-arm intervention study assesses the implementation of an evidence-based communication intervention (question prompt list), the "ASQ brochure". The ASQ brochure is designed to improve patient-oncologist communication and other outcomes by improving patient self-efficacy for managing patient-physician interactions. Investigators will recruit 225 patients and implement the ASQ brochure at seven Karmanos Cancer Center network sites. Participants are newly diagnosed patients with (Stages I-IV) cancer for which systemic therapy is likely a recommended treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
81
Complete questionnaires
Karmanos Cancer Institute at McLaren Bay Region
Bay City, Michigan, United States
Karmanos Cancer Institute at McLaren Clarkston
Clarkston, Michigan, United States
Karmanos Cancer Institute
Detroit, Michigan, United States
Karmanos Cancer Institute at McLaren Flint
Flint, Michigan, United States
Karmanos Cancer Institute at McLaren Macomb
Mount Clemens, Michigan, United States
Karmanos Cancer Institute at McLaren Central Michigan
Mount Pleasant, Michigan, United States
Karmanos Cancer Institute at McLaren Northern Michigan
Petoskey, Michigan, United States
Karmanos Cancer Institute at McLaren Port Huron
Port Huron, Michigan, United States
Self-efficacy in managing patient-physician interactions
20 items, 5-point Likert scale
Time frame: Baseline (Time 1) to pre-clinic visit (TIme 2) post-clinic visit (TIme 3)
Change in knowledge related to the patient's cancer and treatment
6 investigator-developed questions; 5-point Likert scale (strongly disagree - strongly agree)
Time frame: Baseline (Time 1) to pre-clinic visit (TIme 2) post-clinic visit (TIme 3)
Change in trust in physicians
generally (before) and in a specific physician (after): (5 items20 Likert scale)
Time frame: Baseline (Time 1) to post-clinic visit (Time 3)
Change in distress
Distress thermometer (one item, Likert scale (no distress - extreme distress)
Time frame: Baseline (Time 1) to pre-clinic visit (TIme 2) post-clinic visit (TIme 3)
Perceptions of the Question Prompt List
10 items, 5-point Likert scale
Time frame: Post-meeting (Time 3)
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