Changing communication needs and preferences across the cancer care trajectory: insights from the patient perspective
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In this program of research, we sought to expand our understanding of how cancer patients' communication needs and preferences change across the course of their illness trajectory. To address known limitations in the empirical knowledge base, we designed a study capitalizing on representative patient reports as they occurred within time and across experience obtaining care for this disease.
We used a longitudinal cohort design informed by interpretive description methodology to follow 125 patients over a multi-year period as they reflected on their ongoing experiences with cancer care communication.
In relation to each phase of their cancer care trajectory, patients identified tension points and contextual challenges impinging on what they felt constituted helpful and unhelpful patient–provider communication.
Findings from this study create a dynamic portrait of how we can better inform communication approaches and interventions through interpretations of population knowledge and individual experience.
KeywordsCommunication Cancer experience Physician–patient relationship Psychosocial oncology Patient-reported outcomes
This study was supported by grants from the Canadian Institutes of Health Research (#134487) and the Canadian Cancer Society Research Institute (#020376).
Conflict of interest
The authors confirm that they have no financial relationship with the organization that sponsored the research. They also confirm that they have full control of all primary data and agree to allow the journal to review their data if requested.
- 3.Epstein RM, Street RL (2007) Patient-centered communication in cancer care: promoting healing and reducing suffering. NIH Publication No. 07–6225. http://outcomes.cancer.gov/areas/pcc/communication/pcc_monograph.pdf
- 24.Hotson K (2003) Can lack of communication kill? Can Family Physician 49:492–495Google Scholar
- 32.Fellowes D, Wilkinson S, Moore P (2004) Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database Syst Rev Issue 2, Art No: CD003751. DOI: 10.1002/14651858.CD003751.pub2
- 33.Moore P, Rivera Mercado S, Grez Artiwques M, Lawrie T (2013) Communication skills training for healthcare professionals working with people who have cancer Cochrane Database Syst Rev DOI: 10.1002/14651858.CD003751.pub3
- 37.Thorne SE (2008) Interpretive description. Left Coast Press, Walnut Creek, CAGoogle Scholar
- 41.Thorne SE, Taylor K, Stephens J, Kim-Sing C, Hislop T (2013) Of guinea pigs and gratitude: the difficult discourse of clinical trials from the cancer patient perspective Eur J Cancer Care 22(5):663–672Google Scholar
- 44.Hoerger M, Epstein RM, Winters P, Fiscella K, Duberstein PR, Gramling R, Butow PN, Mohile S, Kaesberg P, Tang W, Plumb S, Walczak A, Back AL, Tandredi D, Venuti A, Cipri C, Escalera G, Ferro C, Gaudion DBH, Leatherwood B, Lewis L, Robinson M, Sullivan P, Kravitz RL (2013) Values and opinions in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers. BMC Cancer 13:188PubMedCentralPubMedCrossRefGoogle Scholar