ClinicalTrials.gov number NCT 00857103.
Effects of an interactive tailored patient assessment on patient–clinician communication in cancer care
Article first published online: 15 SEP 2011
Copyright © 2011 John Wiley & Sons, Ltd.
Volume 22, Issue 1, pages 89–96, January 2013
How to Cite
Heyn, L., Finset, A., Eide, H. and Ruland, C. M. (2013), Effects of an interactive tailored patient assessment on patient–clinician communication in cancer care. Psycho-Oncology, 22: 89–96. doi: 10.1002/pon.2064
- Issue published online: 4 JAN 2013
- Article first published online: 15 SEP 2011
- Manuscript Revised: 10 AUG 2011
- Manuscript Accepted: 10 AUG 2011
- Manuscript Received: 1 APR 2011
- Research Council of Norway. Grant Number: 177500/V50
- interactive tailored patient assessment (ITPA);
- patient–clinician communication;
- cancer patients;
- patients' active participation;
To test the effect of Choice, an interactive tailored patient assessment (ITPA) tool on the number and types of symptoms addressed during consultations with cancer patients, cancer patients' active participation during consultation with clinicians, and clinicians' responses.
A total of 193 consultations were audio taped and coded with the task-oriented part of Roter Interactive Assessment System. In addition, we recorded the initiator of each coded utterance (clinician or patient) as defined by Verona Coding Definitions of Emotional Sequences and indicated the symptoms addressed in a list of all symptoms within the Choice ITPA. Of the 193 consultations, 99 were standard consultations that served as a control group. In the 94 intervention group consultations, patients utilized the Choice ITPA prior to the consultation, and the assessment summary was available to both patients and clinicians. We compared the two groups in both multilevel and multivariate analyses.
We found significantly more symptoms addressed in the intervention group as compared with the control group. We also found that the patients asked more questions in the intervention group, indicating that they were more active participants when utilizing Choice. The clinicians also provided more information in the intervention group.
The Choice ITPA was successful in making cancer patients more active participants in the consultation with their clinician. Copyright © 2011 John Wiley & Sons, Ltd.