Enhancing patient participation in oncology consultations: a best evidence synthesis of patient-targeted interventions
Article first published online: 14 MAY 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 5, pages 961–977, May 2013
How to Cite
Henselmans, I., de Haes, H. C. J. M. and Smets, E. M. A. (2013), Enhancing patient participation in oncology consultations: a best evidence synthesis of patient-targeted interventions. Psycho-Oncology, 22: 961–977. doi: 10.1002/pon.3099
- Issue published online: 6 MAY 2013
- Article first published online: 14 MAY 2012
- Manuscript Accepted: 6 APR 2012
- Manuscript Revised: 16 MAR 2012
- Manuscript Received: 3 JAN 2012
- Dutch Cancer Society. Grant Number: UVA 2009–4439
- systematic review;
- patient–provider communication;
- patient participation, patient-centred care
Because of the complexity of cancer consultations, the contribution of patients is often limited. This systematic review examined the characteristics and effectiveness of patient-targeted interventions that aim to enhance cancer patients' participation in the consultation.
Relevant studies were selected by a search of databases until mid-2010 (Pubmed, PsycINFO and CINAHL), citations in relevant reviews as well as backward/forward citations. A Best Evidence Synthesis was performed, taking into account the quality of studies.
A total of 52 publications were included, describing 46 studies and 30 unique interventions. One-third was delivered through either written or multimedia material, two-thirds face to face. Most originated from English-speaking countries. Half targeted heterogeneous cancer populations, one-third targeted women with breast cancer. Half focussed on initial treatment-planning consultations. Overall, there was evidence for an effect on observed patient participation. There was no evidence for an effect on patient or doctor satisfaction and insufficient evidence for an effect on psychological well-being, physical well-being and consultation duration. The findings turned out to be largely independent of study quality.
Effect of the interventions could only be demonstrated for immediate outcomes, that is, behaviour observed in the consultation. Implications for future research are discussed, including attention for gaps in the literature as well as the choice of outcome measures. Copyright © 2012 John Wiley & Sons, Ltd.