Chia-Chun Tang1, Claire Draucker2, Mohamedtaki A Tejani3, Diane Von Ah4. 1. National Taiwan University School of Nursing, No1, Sec 1, Jen-Ai Rd, Taipei, Taiwan, 10051. cckimi72@gmail.com. 2. Angela Barron McBride Endowed Professorship in Mental Health Nursing, Indiana University School of Nursing, 600 Barnhill Drive, NU409W, Indianapolis, IN, 46202, USA. 3. University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642, USA. 4. Department of Community & Health Systems, Indiana University School of Nursing, 600 Barnhill Drive, NU 407, Indianapolis, IN, 46202, USA.
Abstract
PURPOSE: Effective symptom discussion is an essential step to enhance symptom management in patients with advanced pancreatic cancer (APC). However, little is known about how these patients communicate their symptoms during health encounters. The purpose of this study was to develop a typology to describe patterns of interactions between patients with APC, their caregivers, and healthcare providers as regards to symptoms and symptom management. METHODS: Thematic analysis was used to analyze 37 transcripts of audio-recorded, naturally occurring encounters among APC patients, caregivers, and healthcare providers. Transcripts were drawn from the Values and Options in Cancer Care study, a larger randomized controlled communication and decision-making intervention trial, which recruited advanced cancer patients and caregivers across the USA. All transcripts from APC patients that were pre-intervention were analyzed. RESULTS: Eight unique types of interaction patterns among patients, caregivers, and healthcare providers were identified as follows: collaborative interactions, explanatory interactions, agentic interactions, checklist interactions, cross-purpose interactions, empathic interactions, admonishing interactions, and diverging interactions. CONCLUSIONS: Our findings provide a systematic description of a variety of types of interaction patterns regarding symptom discussion among APC patients, caregivers, and healthcare providers. These typologies can be used to facilitate effective communication and symptom management.
RCT Entities:
PURPOSE: Effective symptom discussion is an essential step to enhance symptom management in patients with advanced pancreatic cancer (APC). However, little is known about how these patients communicate their symptoms during health encounters. The purpose of this study was to develop a typology to describe patterns of interactions between patients with APC, their caregivers, and healthcare providers as regards to symptoms and symptom management. METHODS: Thematic analysis was used to analyze 37 transcripts of audio-recorded, naturally occurring encounters among APCpatients, caregivers, and healthcare providers. Transcripts were drawn from the Values and Options in Cancer Care study, a larger randomized controlled communication and decision-making intervention trial, which recruited advanced cancerpatients and caregivers across the USA. All transcripts from APCpatients that were pre-intervention were analyzed. RESULTS: Eight unique types of interaction patterns among patients, caregivers, and healthcare providers were identified as follows: collaborative interactions, explanatory interactions, agentic interactions, checklist interactions, cross-purpose interactions, empathic interactions, admonishing interactions, and diverging interactions. CONCLUSIONS: Our findings provide a systematic description of a variety of types of interaction patterns regarding symptom discussion among APCpatients, caregivers, and healthcare providers. These typologies can be used to facilitate effective communication and symptom management.
Entities:
Keywords:
Advanced pancreatic cancer; Cancer care; Communication; Symptoms; Thematic analysis
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