Skip to main content
Top
Published in: The Patient - Patient-Centered Outcomes Research 1/2017

01-02-2017 | Original Research Article

Engaging Patient Advocates and Other Stakeholders to Design Measures of Patient-Centered Communication in Cancer Care

Authors: Katherine Treiman, Lauren McCormack, Murrey Olmsted, Nancy Roach, Bryce B. Reeve, Christa E. Martens, Rebecca R. Moultrie, Hanna Sanoff

Published in: The Patient - Patient-Centered Outcomes Research | Issue 1/2017

Login to get access

Abstract

Background

Patient-centered communication (PCC) is an essential component of patient-centered care and contributes to patient satisfaction, health-related quality of life, and other important patient outcomes.

Objective

The aim of this study was to develop and test survey questions to assess patients’ experiences with PCC in cancer care.

Methods

We used a conceptual model developed by the National Cancer Institute as our framework. The survey questions align with the six core functions of PCC defined in the model: Exchanging Information, Managing Uncertainty, Enabling Patient Self-Management, Fostering Healing Relationships, Making Decisions, and Responding to Emotions. The study focused on colorectal cancer patients. We conducted two rounds of cognitive interviewing to evaluate patients’ ability to understand and provide valid answers to the PCC questions. Interviews were conducted in Maryland and North Carolina in 2014. We involved a patient advocacy group, Fight Colorectal Cancer, and a multidisciplinary panel of stakeholders throughout the measurement development process to ensure that the survey questions capture aspects of PCC that are important to patients and meet the needs of potential end users, including researchers, healthcare organizations, and health professionals.

Results

Patient and other stakeholder input informed revisions of draft survey questions, including changes to survey instructions, frame of reference for questions, response scales, and language.

Conclusion

This study demonstrated the feasibility and value of engaging patients and other stakeholders in a measurement development study. The Patient-Centered Outcomes Research Institute (PCORI) conceptual model of patient-centered outcomes research provides a useful guide for patient engagement in research. Research funders should call for meaningful roles for patients and other stakeholders in health research, including in the development of patient-centered outcomes.
Literature
1.
go back to reference Epstein RM, Street RL Jr. Patient-centered communication in cancer care: promoting healing and reducing suffering. Bethesda: National Cancer Institute; 2007. NIH publication no. 07-6225. Epstein RM, Street RL Jr. Patient-centered communication in cancer care: promoting healing and reducing suffering. Bethesda: National Cancer Institute; 2007. NIH publication no. 07-6225.
2.
go back to reference Arora NK. Interacting with cancer patients: the significance of physicians’ communication behavior. Soc Sci Med. 2003;57(5):791–806.CrossRefPubMed Arora NK. Interacting with cancer patients: the significance of physicians’ communication behavior. Soc Sci Med. 2003;57(5):791–806.CrossRefPubMed
3.
go back to reference Andersen MR, Urban N. Involvement in decision-making and breast cancer survivor quality of life. Ann Behav Med. 1999;21(3):201–9.CrossRefPubMed Andersen MR, Urban N. Involvement in decision-making and breast cancer survivor quality of life. Ann Behav Med. 1999;21(3):201–9.CrossRefPubMed
4.
go back to reference Street RL Jr, Voigt B. Patient participation in deciding breast cancer treatment and subsequent quality of life. Med Decis Making. 1997;17(3):298–306.CrossRefPubMed Street RL Jr, Voigt B. Patient participation in deciding breast cancer treatment and subsequent quality of life. Med Decis Making. 1997;17(3):298–306.CrossRefPubMed
5.
go back to reference Street RL Jr, Makoul G, Arora NK, Epstein RM. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Educ Couns. 2009;74(3):295–301.CrossRefPubMed Street RL Jr, Makoul G, Arora NK, Epstein RM. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Educ Couns. 2009;74(3):295–301.CrossRefPubMed
6.
go back to reference Fallowfield LJ, Hall A, Maguire P, Baum M, A’Hern RP. Psychological effects of being offered choice of surgery for breast cancer. BMJ. 1994;309(6952):448.CrossRefPubMedPubMedCentral Fallowfield LJ, Hall A, Maguire P, Baum M, A’Hern RP. Psychological effects of being offered choice of surgery for breast cancer. BMJ. 1994;309(6952):448.CrossRefPubMedPubMedCentral
7.
8.
go back to reference Fogarty LA, Curbow BA, Wingard JR, McDonnell K, Somerfield MR. Can 40 seconds of compassion reduce patient anxiety? J Clin Oncol. 1999;17(1):371–9.PubMed Fogarty LA, Curbow BA, Wingard JR, McDonnell K, Somerfield MR. Can 40 seconds of compassion reduce patient anxiety? J Clin Oncol. 1999;17(1):371–9.PubMed
9.
go back to reference Roberts CS, Cox CE, Reintgen DS, Baile WF, Gibertini M. Influence of physician communication on newly diagnosed breast patients’ psychologic adjustment and decision-making. Cancer. 1994;74(1 Suppl):336–41.CrossRefPubMed Roberts CS, Cox CE, Reintgen DS, Baile WF, Gibertini M. Influence of physician communication on newly diagnosed breast patients’ psychologic adjustment and decision-making. Cancer. 1994;74(1 Suppl):336–41.CrossRefPubMed
10.
go back to reference Takayama T, Yamazaki Y, Katsumata N. Relationship between outpatients’ perceptions of physicians’ communication styles and patients’ anxiety levels in a Japanese oncology setting. Soc Sci Med. 2001;53(10):1335–50.CrossRefPubMed Takayama T, Yamazaki Y, Katsumata N. Relationship between outpatients’ perceptions of physicians’ communication styles and patients’ anxiety levels in a Japanese oncology setting. Soc Sci Med. 2001;53(10):1335–50.CrossRefPubMed
11.
go back to reference Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med. 1999;49(5):651–61.CrossRefPubMed Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med. 1999;49(5):651–61.CrossRefPubMed
12.
go back to reference Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care. 1989;27(3 Suppl):S110–27.CrossRefPubMed Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care. 1989;27(3 Suppl):S110–27.CrossRefPubMed
13.
go back to reference Lewin SA, Skea ZC, Entwistle V, Zwarenstein M, Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev. 2001;4:CD003267. Lewin SA, Skea ZC, Entwistle V, Zwarenstein M, Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev. 2001;4:CD003267.
14.
go back to reference Baile WF, Lenzi R, Parker PA, Buckman R, Cohen L. Oncologists’ attitudes toward and practices in giving bad news: an exploratory study. J Clin Oncol. 2002;20(8):2189–96.CrossRefPubMed Baile WF, Lenzi R, Parker PA, Buckman R, Cohen L. Oncologists’ attitudes toward and practices in giving bad news: an exploratory study. J Clin Oncol. 2002;20(8):2189–96.CrossRefPubMed
15.
go back to reference Parker PA, Baile WF, de Moor C, Lenzi R, Kudelka AP, Cohen L. Breaking bad news about cancer: patients’ preferences for communication. J Clin Oncol. 2001;19(7):2049–56.PubMed Parker PA, Baile WF, de Moor C, Lenzi R, Kudelka AP, Cohen L. Breaking bad news about cancer: patients’ preferences for communication. J Clin Oncol. 2001;19(7):2049–56.PubMed
16.
go back to reference Back AL, Arnold RM, Baile WF, Fryer-Edwards KA, Alexander SC, Barley GE, et al. Efficacy of communication skills training for giving bad news and discussing transitions to palliative care. Arch Intern Med. 2007;167(5):453–60.CrossRefPubMed Back AL, Arnold RM, Baile WF, Fryer-Edwards KA, Alexander SC, Barley GE, et al. Efficacy of communication skills training for giving bad news and discussing transitions to palliative care. Arch Intern Med. 2007;167(5):453–60.CrossRefPubMed
17.
go back to reference Epstein RM, Alper BS, Quill TE. Communicating evidence for participatory decision making. JAMA. 2004;291(19):2359–66.CrossRefPubMed Epstein RM, Alper BS, Quill TE. Communicating evidence for participatory decision making. JAMA. 2004;291(19):2359–66.CrossRefPubMed
18.
go back to reference Babrow AS, Kline KN. From “reducing” to “coping with” uncertainty: reconceptualizing the central challenge in breast self-exams. Soc Sci Med. 2000;51(12):1805–16.CrossRefPubMed Babrow AS, Kline KN. From “reducing” to “coping with” uncertainty: reconceptualizing the central challenge in breast self-exams. Soc Sci Med. 2000;51(12):1805–16.CrossRefPubMed
19.
go back to reference Bailey DE, Mishel MH, Belyea M, Stewart JL, Mohler J. Uncertainty intervention for watchful waiting in prostate cancer. Cancer Nurs. 2004;27(5):339–46.CrossRefPubMed Bailey DE, Mishel MH, Belyea M, Stewart JL, Mohler J. Uncertainty intervention for watchful waiting in prostate cancer. Cancer Nurs. 2004;27(5):339–46.CrossRefPubMed
20.
go back to reference McCormack L, Treiman K, Olmsted M, et al. Advancing measurement of patient-centered communication in cancer care: final project report. Research Triangle Park: RTI International; 2011. McCormack L, Treiman K, Olmsted M, et al. Advancing measurement of patient-centered communication in cancer care: final project report. Research Triangle Park: RTI International; 2011.
21.
go back to reference Fleurence R, Selby JV, Odom-Walker K, Hunt G, Meltzer D, Slutsky JR, et al. How the Patient-Centered Outcomes Research Institute is engaging patients and others in shaping its research agenda. Health Aff (Millwood). 2013;32(2):393–400.CrossRefPubMed Fleurence R, Selby JV, Odom-Walker K, Hunt G, Meltzer D, Slutsky JR, et al. How the Patient-Centered Outcomes Research Institute is engaging patients and others in shaping its research agenda. Health Aff (Millwood). 2013;32(2):393–400.CrossRefPubMed
22.
go back to reference Frank L, Forsythe L, Ellis L, Schrandt S, Sheridan S, Gerson J, et al. Conceptual and practical foundations of patient engagement in research at the Patient-Centered Outcomes Research Institute. Qual Life Res. 2015;24(5):1033–41.CrossRefPubMedPubMedCentral Frank L, Forsythe L, Ellis L, Schrandt S, Sheridan S, Gerson J, et al. Conceptual and practical foundations of patient engagement in research at the Patient-Centered Outcomes Research Institute. Qual Life Res. 2015;24(5):1033–41.CrossRefPubMedPubMedCentral
23.
go back to reference Tinnetti ME, Basch E. Patients’ responsibility to participate in decision making and research. JAMA. 2013;309(22):2331–2.CrossRef Tinnetti ME, Basch E. Patients’ responsibility to participate in decision making and research. JAMA. 2013;309(22):2331–2.CrossRef
24.
go back to reference Bath J, Wakerman J. Impact of community participation in primary health care: what is the evidence? Aust J Prim Health. 2015;21(1):2–8.CrossRefPubMed Bath J, Wakerman J. Impact of community participation in primary health care: what is the evidence? Aust J Prim Health. 2015;21(1):2–8.CrossRefPubMed
25.
go back to reference Cashman SB, Adeky S, Allen AJ 3rd, Corburn J, Israel BA, Montano J, et al. The power and the promise: working with communities to analyze data, interpret findings, and get to outcomes. Am J Public Health. 2008;98(8):1407–17.CrossRefPubMedPubMedCentral Cashman SB, Adeky S, Allen AJ 3rd, Corburn J, Israel BA, Montano J, et al. The power and the promise: working with communities to analyze data, interpret findings, and get to outcomes. Am J Public Health. 2008;98(8):1407–17.CrossRefPubMedPubMedCentral
26.
go back to reference Viswanathan M, Ammerman A, Eng E, Gartlehner G, Lohr KN, Griffith D, et al. Community-based participatory research: assessing the evidence. Rockville: Evidence Report/Technology Assessment No. 99 (Prepared by RTI-University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016); 2004. AHRQ publication 04-E022-02. Viswanathan M, Ammerman A, Eng E, Gartlehner G, Lohr KN, Griffith D, et al. Community-based participatory research: assessing the evidence. Rockville: Evidence Report/Technology Assessment No. 99 (Prepared by RTI-University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016); 2004. AHRQ publication 04-E022-02.
27.
go back to reference Salimi Y, Shahandeh K, Malekafzali H, Loori N, Kheiltash A, Jamshidi E, et al. Is community-based participatory research (CBPR) useful? A systematic review on papers in a decade. Int J Prev Med. 2012;3(6):386–93.PubMedPubMedCentral Salimi Y, Shahandeh K, Malekafzali H, Loori N, Kheiltash A, Jamshidi E, et al. Is community-based participatory research (CBPR) useful? A systematic review on papers in a decade. Int J Prev Med. 2012;3(6):386–93.PubMedPubMedCentral
28.
go back to reference Tapp H, White L, Steuerwald M, Dulin M. Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care. J Comp Eff Res. 2013;2(4):405–19.CrossRefPubMedPubMedCentral Tapp H, White L, Steuerwald M, Dulin M. Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care. J Comp Eff Res. 2013;2(4):405–19.CrossRefPubMedPubMedCentral
32.
go back to reference Whitlock EP, Lopez SA, Chang S, Helfand M, Eder M, Floyd N. AHRQ series paper 3. Identifying, selecting, and refining topics for comparative effectiveness systematic reviews: AHRQ and the effective health-care program. J Clin Epidemiol. 2010;63(5):491–501.CrossRefPubMed Whitlock EP, Lopez SA, Chang S, Helfand M, Eder M, Floyd N. AHRQ series paper 3. Identifying, selecting, and refining topics for comparative effectiveness systematic reviews: AHRQ and the effective health-care program. J Clin Epidemiol. 2010;63(5):491–501.CrossRefPubMed
34.
go back to reference Staniszewska S, Brett J, Mockford C, Barber R. The GRIPP checklist: strengthening the quality of patient and public involvement reporting in research. Int J Technol Assess Health Care. 2011;27(4):391–9.CrossRefPubMed Staniszewska S, Brett J, Mockford C, Barber R. The GRIPP checklist: strengthening the quality of patient and public involvement reporting in research. Int J Technol Assess Health Care. 2011;27(4):391–9.CrossRefPubMed
37.
go back to reference Willis GB. Cognitive interviewing: a tool for improving questionnaire design. Thousand Oaks: SAGE; 2005.CrossRef Willis GB. Cognitive interviewing: a tool for improving questionnaire design. Thousand Oaks: SAGE; 2005.CrossRef
38.
go back to reference Tourangeau R, Rips LJ, Rasinski K. The psychology of survey response. Cambridge: Cambridge University Press; 2000. Tourangeau R, Rips LJ, Rasinski K. The psychology of survey response. Cambridge: Cambridge University Press; 2000.
39.
go back to reference Dillman D, Smyth J, Christian L. Internet, mail, and mixed-mode surveys: the tailored design method. New York: Wiley; 2009. Dillman D, Smyth J, Christian L. Internet, mail, and mixed-mode surveys: the tailored design method. New York: Wiley; 2009.
Metadata
Title
Engaging Patient Advocates and Other Stakeholders to Design Measures of Patient-Centered Communication in Cancer Care
Authors
Katherine Treiman
Lauren McCormack
Murrey Olmsted
Nancy Roach
Bryce B. Reeve
Christa E. Martens
Rebecca R. Moultrie
Hanna Sanoff
Publication date
01-02-2017
Publisher
Springer International Publishing
Published in
The Patient - Patient-Centered Outcomes Research / Issue 1/2017
Print ISSN: 1178-1653
Electronic ISSN: 1178-1661
DOI
https://doi.org/10.1007/s40271-016-0188-6

Other articles of this Issue 1/2017

The Patient - Patient-Centered Outcomes Research 1/2017 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.