Timmermans LM, van der Maazen RW, van Spaendonck KP, Leer JW, Kraaimaat FW. Enhancing patient participation by training radiation oncologists. Patient Educ Couns. 2006 Oct;63(1-2):55-63.
(Radiotherapy, The Netherlands)
OBJECTIVE: Several studies have shown that patients' active participation to their medical interaction is beneficial for their information processing and their quality of life. Unfortunately, cancer patients often act rather passively in contact with their oncologists. We investigated whether cancer patients' participation in radiation therapy consultations could be enhanced by specific communicative behaviours of the radiation oncologists (ROs). METHODS: Eight ROs and 160 patients participated; 80 patients in the pre training group and 80 patients in the post training group. The ROs were trained to use specific communicative behaviours that are supposed to encourage patient participation. In the training special attention was paid to communicative requirements in the first minutes of the consultation. The communicative behaviours of the ROs and the cancer patients were measured by the Roter Interaction Analysis System, and compared before and after the RO training. RESULTS: From the start throughout the entire consultation, patients in the post training group participated more in interactions than patients in the pre training group: they discussed more psychosocial issues, expressed more concerns and contributed more to decision-making. CONCLUSION: Cancer patients' participation in the initial radiation oncology consultations can be increased by training of ROs. PRACTICE IMPLICATIONS: The results suggest that doctors working with cancer patients should receive communication training and feedback on a regular base.
Timmermans LM, van der Maazen RW, Leer JW, Kraaimaat FW. Palliative or curative treatment intent affects communication in radiation therapy consultations. Psychooncology. 2006 Aug;15(8):713-25.
(Radiotherapy, Palliative Care, The Netherlands)
Objective: To assess whether communication in radiotherapy consultations is affected by palliative or curative treatment intent. Subjects and methods: The study involved 160 patients and 8 radiation oncologists. Eighty patients visited the radiation oncologist (RO) for palliative treatment and 80 for curative treatment. The consultation prior to radiation treatment was analyzed with the Roter Interaction Analysis System (RIAS). Within three days, patients completed a quality of life questionnaire (EORTC-QLQ-C30).Results: In palliative radiotherapy (PRT) consultations, ROs asked more (closed-ended) biomedical and psychosocial questions and provided more information on prognosis than in consultations for curative radiotherapy (CRT). Patients in both groups provided a great deal of psychosocial information but asked few questions. The ROs expressed more concerns in the PRT consultations, while patients did not. PRT patients received fewer supportive remarks than CRT patients. In both groups, explicit decision-making received little attention. Proxies who accompanied the patients took a more active role in PRT than in CRT consultations.Conclusion: Communication in radiotherapy is affected by treatment intent with respect to the main contents of the consultation.
Resources by Subject Area
Following are abstracts of RIAS studies through 2012, listed by subject area. Click on the subject name below to go directly to that section.
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