Development and pilot testing of a communication aid to assist clinicians to communicate with women diagnosed with ductal carcinoma in situ (DCIS)
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The literature highlights the confusion amongst women diagnosed with ductal carcinoma in situ (DCIS) about aspects of their disease and treatment and the wide variation in how doctors communicate about DCIS. The DCIS communication aid (CA) was developed to assist clinicians to communicate with women diagnosed with DCIS and to improve women's understanding about their disease, prognosis and treatment options. This study aimed to assess patient and clinician perceptions of the CA.
The CA included information and diagrams about key aspects of the diagnosis, prognosis, treatment and support. It was designed to be used in clinical consultations and taken home after the consultation. Australian women with DCIS (n=18) participated in structured interviews and clinicians (n=7), including surgeons and radiation oncologists, completed surveys to assess their perceptions of the CA. Main outcome measures included satisfaction with the content, design and diagrams in the CA, and perceptions of the benefits of the CA and its impact on doctor–patient communication.
All clinicians and women with DCIS reported that the CA would assist communication and help women understand their diagnosis.
This is the first intervention designed to decrease the confusion amongst women with DCIS and improve doctor–patient communication in this area. This study highlights that interventions such as the DCIS communication aid may be a valuable resource for clinicians and women with DCIS. This study also highlights key communication challenges relating to DCIS.
KeywordsDuctal carcinoma in situ (DCIS) Communication aid Doctor–patient communication Knowledge Patient-centred care Treatment decision making
The authors wish to express their appreciation to the women with DCIS and clinicians, in particular Associate Professor Geoff Delaney, who were involved in this study. Source of funding: National Breast and Ovarian Cancer Centre (NBOCC), Sydney, Australia.
Conflicts of interest
- 7.Bijker N, Meihnen P, Johannes LP, Peterse JB, Van Hoorebeeck IV, Julien JP, Gennaro M, Rouanet P, Avril A, Fentiman IS, Bartelink H, Rutgers EJ (2006) Breast-conserving treatment with or without radiotherapy in ductal carcinoma in situ: ten-year results of European Organisation for Research and Treatment of Cancer randomized phase III trial 10853—a study by the EORTC Breast Cancer Cooperative Group and EORTC Radiotherapy Group. J Clin Oncol 24:3381–3387PubMedCrossRefGoogle Scholar
- 8.Tang P, Hajdu SI, Lyman GH (2007) Ductal carcinoma in situ: a review of recent advances. Obstet Gynecol 19:63–67Google Scholar
- 10.De Morgan S, Redman S, D’Este C, Rogers K (2010) Knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS). Patient Educ Couns doi: 10.1016/j.pec.2010.07.002
- 13.van Gestel YRBM, Voogd AC, Vingerhoets AJJM, Mols F, Nieuwenhuijzen GAP, van Driel OJ, van Berlo CLH, van de Poll-Franse LV (2007) A comparison of quality of life, disease impact and risk perception in women with invasive breast cancer and ductal carcinoma in situ. Eur J Cancer 47:549–556Google Scholar
- 17.Lobb EA, Butow PH, Moore A, Barratt A, Tucker K, Gaff C, Kirk J, Dudding T, Butt D (2006) Development of a communication aid to facilitate risk communication in consultations with unaffected women from high risk breast cancer families: A pilot study. J Genet Couns 15:393–405PubMedCrossRefGoogle Scholar
- 18.Fleisher L, Buzaglo J, Collins M, Millard J, Miller SM, Egleston BL, Solarino N, Trinastic J, Cegala DJ, Benson AB, Schulman KA, Weinfurt KP, Sulmasy D, Diefenbach MA, Meropol NJ (2008) Using health communication best practices to develop a web-based provider–patient communication aid: The CONNECTTM study. Patient Educ Counsel 71:378–387CrossRefGoogle Scholar
- 19.O'Connor AM, Bennett CL, Stacey D, Barry M, Col NF, Eden KB, EntwistleVA, Fiset V, Holmes-Rovner M, Khangura S, Llewellyn-Thomas H, Rovner D (2009) Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, Issue 3. Art. No.: CD001431. doi: 10.1002/14651858.CD001431.pub2
- 25.Patton MQ (2001) Qualitative research and evaluation methods, 2nd edn. Sage Publications, Thousand OaksGoogle Scholar