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Improving consultations in oncology: the development of a novel consultation aid
Background: The way in which patients receive bad news in a consultation can have a profound effect in terms of anxiety, depression and subsequent adjustment. Despite investment in well-researched communication skills training and availability of decision-making aids, communication problems in oncol...
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| Published in: | British journal of cancer 2014-03, Vol.110 (5), p.1101-1109 |
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| Main Authors: | , , , , |
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| container_end_page | 1109 |
| container_issue | 5 |
| container_start_page | 1101 |
| container_title | British journal of cancer |
| container_volume | 110 |
| creator | Furber, L Murtagh, G M Bonas, S A Bankart, J G Thomas, A L |
| description | Background:
The way in which patients receive bad news in a consultation can have a profound effect in terms of anxiety, depression and subsequent adjustment. Despite investment in well-researched communication skills training and availability of decision-making aids, communication problems in oncology continue to be encountered.
Methods:
We conducted a mixed-methods study in a large UK Cancer Centre to develop a novel consultation aid that could be used jointly by patients and doctors. Consultations were audio-recorded and both the doctors and the patients were interviewed. We used conversation analysis to analyse the consultation encounter and interpretative phenomenological analysis to analyse the interviews. Key themes were generated to inform the design of the aid.
Results:
A total of 16 doctors were recruited into the study along with 77 patients. Detailed analysis from 36 consultations identified key themes (including preparation, information exchange, question-asking and decision making), which were subsequently addressed in the design of the paper-based aid.
Conclusions:
Using detailed analysis and observation of oncology consultations, we have designed a novel consultation aid that can be used jointly by doctors and patients. It is not tumour-site specific and can potentially be utilised by new and follow-up consultations. |
| doi_str_mv | 10.1038/bjc.2013.749 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3950848</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1523399503</sourcerecordid><originalsourceid>FETCH-LOGICAL-c583t-5d7ddfb1a75dde645af96d77e3b2f7c614df04c3e26491252f155e35a15518373</originalsourceid><addsrcrecordid>eNqNkc1rFDEYxoNY7Fq9eZaACB6cNZ-TTA-CFG0LBT3oOWSTzDbLTLImMwv9733rrv0QD57eJO8vT543D0KvKFlSwvWH1cYtGaF8qUT3BC2o5KyhmqmnaEEIUQ3pGDlGz2vdwLYjWj1Dx0xIobVsF-jb5bgteRfTGruc6jxMdoqwwDHhnFwe8vrmFE_XAfuwC0PejiFNOPfY4pTh4NEtbKN_gY56O9Tw8lBP0I8vn7-fXTRXX88vzz5dNU5qPjXSK-_7FbVKeh9aIW3ftV6pwFesV66lwvdEOB5YKzrKJOuplIFLC4VqrvgJ-rjX3c6rMXgHtoodzLbE0ZYbk200jzspXpt13hneSaKFBoF3B4GSf86hTmaM1YVhsCnkuRoqGecdwPw_UCIUZ4p2gL75C93kuST4id8UWBecAfV-T7mSay2hv_NNiblN1UCq5jZVA6kC_vrhrHfwnxgBeHsAbHV26ItNLtZ7TjMYQ1Pgmj1XoZXWoTxw96-HfwGz87l9</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1504183432</pqid></control><display><type>article</type><title>Improving consultations in oncology: the development of a novel consultation aid</title><source>Open Access: PubMed Central</source><creator>Furber, L ; Murtagh, G M ; Bonas, S A ; Bankart, J G ; Thomas, A L</creator><creatorcontrib>Furber, L ; Murtagh, G M ; Bonas, S A ; Bankart, J G ; Thomas, A L</creatorcontrib><description>Background:
The way in which patients receive bad news in a consultation can have a profound effect in terms of anxiety, depression and subsequent adjustment. Despite investment in well-researched communication skills training and availability of decision-making aids, communication problems in oncology continue to be encountered.
Methods:
We conducted a mixed-methods study in a large UK Cancer Centre to develop a novel consultation aid that could be used jointly by patients and doctors. Consultations were audio-recorded and both the doctors and the patients were interviewed. We used conversation analysis to analyse the consultation encounter and interpretative phenomenological analysis to analyse the interviews. Key themes were generated to inform the design of the aid.
Results:
A total of 16 doctors were recruited into the study along with 77 patients. Detailed analysis from 36 consultations identified key themes (including preparation, information exchange, question-asking and decision making), which were subsequently addressed in the design of the paper-based aid.
Conclusions:
Using detailed analysis and observation of oncology consultations, we have designed a novel consultation aid that can be used jointly by doctors and patients. It is not tumour-site specific and can potentially be utilised by new and follow-up consultations.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2013.749</identifier><identifier>PMID: 24548856</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/67/1059 ; 692/700 ; Anxiety ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Cancer ; Cancer Research ; Clinical Study ; Communication ; Decision Making ; Design ; Drug Resistance ; Epidemiology ; Female ; Humans ; Male ; Medical Oncology - methods ; Medical Oncology - standards ; Medical sciences ; Middle Aged ; Molecular Medicine ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Oncology ; Patient satisfaction ; Physician-Patient Relations ; Physicians ; Referral and Consultation - organization & administration ; Referral and Consultation - standards ; Skill development ; Skills ; Tumors</subject><ispartof>British journal of cancer, 2014-03, Vol.110 (5), p.1101-1109</ispartof><rights>The Author(s) 2014</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Mar 4, 2014</rights><rights>Copyright © 2014 Cancer Research UK 2014 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c583t-5d7ddfb1a75dde645af96d77e3b2f7c614df04c3e26491252f155e35a15518373</citedby><cites>FETCH-LOGICAL-c583t-5d7ddfb1a75dde645af96d77e3b2f7c614df04c3e26491252f155e35a15518373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950848/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950848/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28250381$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24548856$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Furber, L</creatorcontrib><creatorcontrib>Murtagh, G M</creatorcontrib><creatorcontrib>Bonas, S A</creatorcontrib><creatorcontrib>Bankart, J G</creatorcontrib><creatorcontrib>Thomas, A L</creatorcontrib><title>Improving consultations in oncology: the development of a novel consultation aid</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background:
The way in which patients receive bad news in a consultation can have a profound effect in terms of anxiety, depression and subsequent adjustment. Despite investment in well-researched communication skills training and availability of decision-making aids, communication problems in oncology continue to be encountered.
Methods:
We conducted a mixed-methods study in a large UK Cancer Centre to develop a novel consultation aid that could be used jointly by patients and doctors. Consultations were audio-recorded and both the doctors and the patients were interviewed. We used conversation analysis to analyse the consultation encounter and interpretative phenomenological analysis to analyse the interviews. Key themes were generated to inform the design of the aid.
Results:
A total of 16 doctors were recruited into the study along with 77 patients. Detailed analysis from 36 consultations identified key themes (including preparation, information exchange, question-asking and decision making), which were subsequently addressed in the design of the paper-based aid.
Conclusions:
Using detailed analysis and observation of oncology consultations, we have designed a novel consultation aid that can be used jointly by doctors and patients. It is not tumour-site specific and can potentially be utilised by new and follow-up consultations.</description><subject>631/67/1059</subject><subject>692/700</subject><subject>Anxiety</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Clinical Study</subject><subject>Communication</subject><subject>Decision Making</subject><subject>Design</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical Oncology - methods</subject><subject>Medical Oncology - standards</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molecular Medicine</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Oncology</subject><subject>Patient satisfaction</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Referral and Consultation - organization & administration</subject><subject>Referral and Consultation - standards</subject><subject>Skill development</subject><subject>Skills</subject><subject>Tumors</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkc1rFDEYxoNY7Fq9eZaACB6cNZ-TTA-CFG0LBT3oOWSTzDbLTLImMwv9733rrv0QD57eJO8vT543D0KvKFlSwvWH1cYtGaF8qUT3BC2o5KyhmqmnaEEIUQ3pGDlGz2vdwLYjWj1Dx0xIobVsF-jb5bgteRfTGruc6jxMdoqwwDHhnFwe8vrmFE_XAfuwC0PejiFNOPfY4pTh4NEtbKN_gY56O9Tw8lBP0I8vn7-fXTRXX88vzz5dNU5qPjXSK-_7FbVKeh9aIW3ftV6pwFesV66lwvdEOB5YKzrKJOuplIFLC4VqrvgJ-rjX3c6rMXgHtoodzLbE0ZYbk200jzspXpt13hneSaKFBoF3B4GSf86hTmaM1YVhsCnkuRoqGecdwPw_UCIUZ4p2gL75C93kuST4id8UWBecAfV-T7mSay2hv_NNiblN1UCq5jZVA6kC_vrhrHfwnxgBeHsAbHV26ItNLtZ7TjMYQ1Pgmj1XoZXWoTxw96-HfwGz87l9</recordid><startdate>20140304</startdate><enddate>20140304</enddate><creator>Furber, L</creator><creator>Murtagh, G M</creator><creator>Bonas, S A</creator><creator>Bankart, J G</creator><creator>Thomas, A L</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20140304</creationdate><title>Improving consultations in oncology: the development of a novel consultation aid</title><author>Furber, L ; Murtagh, G M ; Bonas, S A ; Bankart, J G ; Thomas, A L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c583t-5d7ddfb1a75dde645af96d77e3b2f7c614df04c3e26491252f155e35a15518373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>631/67/1059</topic><topic>692/700</topic><topic>Anxiety</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>Clinical Study</topic><topic>Communication</topic><topic>Decision Making</topic><topic>Design</topic><topic>Drug Resistance</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical Oncology - methods</topic><topic>Medical Oncology - standards</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Molecular Medicine</topic><topic>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</topic><topic>Oncology</topic><topic>Patient satisfaction</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Referral and Consultation - organization & administration</topic><topic>Referral and Consultation - standards</topic><topic>Skill development</topic><topic>Skills</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Furber, L</creatorcontrib><creatorcontrib>Murtagh, G M</creatorcontrib><creatorcontrib>Bonas, S A</creatorcontrib><creatorcontrib>Bankart, J G</creatorcontrib><creatorcontrib>Thomas, A L</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Furber, L</au><au>Murtagh, G M</au><au>Bonas, S A</au><au>Bankart, J G</au><au>Thomas, A L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving consultations in oncology: the development of a novel consultation aid</atitle><jtitle>British journal of cancer</jtitle><stitle>Br J Cancer</stitle><addtitle>Br J Cancer</addtitle><date>2014-03-04</date><risdate>2014</risdate><volume>110</volume><issue>5</issue><spage>1101</spage><epage>1109</epage><pages>1101-1109</pages><issn>0007-0920</issn><eissn>1532-1827</eissn><coden>BJCAAI</coden><abstract>Background:
The way in which patients receive bad news in a consultation can have a profound effect in terms of anxiety, depression and subsequent adjustment. Despite investment in well-researched communication skills training and availability of decision-making aids, communication problems in oncology continue to be encountered.
Methods:
We conducted a mixed-methods study in a large UK Cancer Centre to develop a novel consultation aid that could be used jointly by patients and doctors. Consultations were audio-recorded and both the doctors and the patients were interviewed. We used conversation analysis to analyse the consultation encounter and interpretative phenomenological analysis to analyse the interviews. Key themes were generated to inform the design of the aid.
Results:
A total of 16 doctors were recruited into the study along with 77 patients. Detailed analysis from 36 consultations identified key themes (including preparation, information exchange, question-asking and decision making), which were subsequently addressed in the design of the paper-based aid.
Conclusions:
Using detailed analysis and observation of oncology consultations, we have designed a novel consultation aid that can be used jointly by doctors and patients. It is not tumour-site specific and can potentially be utilised by new and follow-up consultations.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>24548856</pmid><doi>10.1038/bjc.2013.749</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of cancer, 2014-03, Vol.110 (5), p.1101-1109 |
| issn | 0007-0920 1532-1827 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3950848 |
| source | Open Access: PubMed Central |
| subjects | 631/67/1059 692/700 Anxiety Biological and medical sciences Biomedical and Life Sciences Biomedicine Cancer Cancer Research Clinical Study Communication Decision Making Design Drug Resistance Epidemiology Female Humans Male Medical Oncology - methods Medical Oncology - standards Medical sciences Middle Aged Molecular Medicine Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Oncology Patient satisfaction Physician-Patient Relations Physicians Referral and Consultation - organization & administration Referral and Consultation - standards Skill development Skills Tumors |
| title | Improving consultations in oncology: the development of a novel consultation aid |
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