Preparing Patients to Communicate with Their Doctors About Clinical Trials as a Treatment Option: Impact of a Novel Video Intervention for Patients with a Blood Cancer and Their Caregivers

Cancer clinical trials (CCTs) are imperative for advancing cancer treatment and providing treatment options for patients; however, many barriers exist to offering and enrolling interested and eligible patients. It is crucial to equip patients and caregivers with communication skills that help them i...

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Bibliographic Details
Published in:Journal of cancer education 2023-10, Vol.38 (5), p.1562-1570
Main Authors: Vasquez, Taylor S., Eggly, Susan, Sae-Hau, Maria, DeMairo, Karen, Figueroa, Lizette, Gambatese, Melissa, Ortiz-Ravick, Laura, Carpenter, Carrie, Sadler, Michele DeBarthe, Weiss, Elisa, Bylund, Carma L.
Format: Article
Language:English
Subjects:
Achievement Gains
Biomedical and Life Sciences
Biomedicine
Blood cancer
Cancer
Cancer Research
Caregivers
Clinical trials
Communication Skills
Intention
Patients
Pharmacology/Toxicology
Physicians
Verbal communication
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Summary:Cancer clinical trials (CCTs) are imperative for advancing cancer treatment and providing treatment options for patients; however, many barriers exist to offering and enrolling interested and eligible patients. It is crucial to equip patients and caregivers with communication skills that help them initiate and navigate conversations about the option of receiving treatment within a CCT. The aim was to assess the acceptability and impact of a novel video training for patients and caregivers that models strategies for patient-provider communication using the PACES method of healthcare communication and provides information about CCTs. The three-module training was implemented among blood cancer patients and caregivers. Using a single-arm pre-post study design, self-report surveys assessed changes in knowledge, confidence in using the PACES method, and perceived importance of, confidence in, and behavioral intention related to talking with doctors about CCTs. The Patient Report of Communication Behavior (PRCB) scale was administered. Among 192 participants, post-intervention knowledge gains were evident ( p < 0.001). Confidence, importance, and likelihood to communicate about CCTs and confidence about using PACES also increased ( p < 0.001); females who had never previously spoken to a provider about CCTs demonstrated greater impact ( p = 0.045) than other genders. PRCB mean scores increased among patients 65+ who had never spoken to a provider about CCTs, with greater change than patients
ISSN:0885-8195
1543-0154
DOI:10.1007/s13187-023-02300-0