Anita Amundsen1, Tone Nordøy2, Kristine Emilie Lingen3, Tore Sørlie4, Svein Bergvik3. 1. University Hospital of North Norway, Oncology Department, Tromsø, Norway. Electronic address: anita.amundsen@unn.no. 2. University Hospital of North Norway, Oncology Department, Tromsø, Norway; Department of Clinical Medicine, UiT, The Arctic University of Norway, Tromsø, Norway. 3. Department of Psychology, UiT, The Arctic University of Norway, Tromsø, Norway. 4. Department of Clinical Medicine, UiT, The Arctic University of Norway, Tromsø, Norway; Department of Mental Health and Addictions, University Hospital of North Norway, Tromsø, Norway.
Abstract
OBJECTIVES: To explore how cancer patients actively participate in consultations by asking questions and expressing emotional cues/concerns and to what extent this is associated with physician shared decision making (SDM) behavior. METHODS: This observational study included audio recordings of 31 primary consultation with patients at the Oncology Outpatient Clinic at the University Hospital of North Norway. The content (topics) and frequency of health related questions from patients/caregivers were registered along with emotional cues and concerns (VR-CoDES) and observed shared decision-making (OPTION). Patient reported outcomes were measured before and one week after the consultation. RESULTS: On average, 17 (SD 15) questions were asked, and 1.9 (SD 1.9) emotional cues and concerns were expressed by patients per consultation. The questions mainly pertained to treatment and practical issues. The mean OPTION score was 12 (SD 7.9) and was neither associated with questions nor emotional cues and concerns from patients. CONCLUSION: Although patients were active by asking questions, observed physician SDM behavior measured by OPTION was low and not associated with patient behavior during consultation. PRACTICE IMPLICATIONS: Further research on patientś influence on physician SDM behavior is needed.
OBJECTIVES: To explore how cancerpatients actively participate in consultations by asking questions and expressing emotional cues/concerns and to what extent this is associated with physician shared decision making (SDM) behavior. METHODS: This observational study included audio recordings of 31 primary consultation with patients at the Oncology Outpatient Clinic at the University Hospital of North Norway. The content (topics) and frequency of health related questions from patients/caregivers were registered along with emotional cues and concerns (VR-CoDES) and observed shared decision-making (OPTION). Patient reported outcomes were measured before and one week after the consultation. RESULTS: On average, 17 (SD 15) questions were asked, and 1.9 (SD 1.9) emotional cues and concerns were expressed by patients per consultation. The questions mainly pertained to treatment and practical issues. The mean OPTION score was 12 (SD 7.9) and was neither associated with questions nor emotional cues and concerns from patients. CONCLUSION: Although patients were active by asking questions, observed physician SDM behavior measured by OPTION was low and not associated with patient behavior during consultation. PRACTICE IMPLICATIONS: Further research on patientś influence on physician SDM behavior is needed.
Authors: N C A van der Velden; M B A van der Kleij; V Lehmann; E M A Smets; J M L Stouthard; I Henselmans; M A Hillen Journal: Int J Environ Res Public Health Date: 2021-05-26 Impact factor: 3.390