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Published in: BMC Cancer 1/2013

Open Access 01-12-2013 | Study protocol

Values and options 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

Authors: Michael Hoerger, Ronald M Epstein, Paul C Winters, Kevin Fiscella, Paul R Duberstein, Robert Gramling, Phyllis N Butow, Supriya G Mohile, Paul R Kaesberg, Wan Tang, Sandy Plumb, Adam Walczak, Anthony L Back, Daniel Tancredi, Alison Venuti, Camille Cipri, Gisela Escalera, Carol Ferro, Don Gaudion, Beth Hoh, Blair Leatherwood, Linda Lewis, Mark Robinson, Peter Sullivan, Richard L Kravitz

Published in: BMC Cancer | Issue 1/2013

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Abstract

Background

Communication about prognosis and treatment choices is essential for informed decision making in advanced cancer. This article describes an investigation designed to facilitate communication and decision making among oncologists, patients with advanced cancer, and their caregivers.

Methods/design

The Values and Options in Cancer Care (VOICE) Study is a National Cancer Institute sponsored randomized controlled trial conducted in the Rochester/Buffalo, NY and Sacramento, CA regions. A total of 40 oncologists, approximately 400 patients with advanced cancer, and their family/friend caregivers (one per patient, when available) are expected to enroll in the study. Drawing upon ecological theory, the intervention uses a two-pronged approach: oncologists complete a multifaceted tailored educational intervention involving standardized patient instructors (SPIs), and patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions and concerns. Follow-up data will be collected approximately quarterly for up to three years.

Discussion

The intervention is hypothesized to enhance patient-centered communication, quality of care, and patient outcomes. Analyses will examine the effects of the intervention on key elements of physician-patient-caregiver communication (primary outcomes), the physician-patient relationship, shared understanding of prognosis, patient well-being, and health service utilization (secondary outcomes).

Trial registration

Clinical Trials Identifier: NCT01485627
Appendix
Available only for authorised users
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Metadata
Title
Values and options 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
Authors
Michael Hoerger
Ronald M Epstein
Paul C Winters
Kevin Fiscella
Paul R Duberstein
Robert Gramling
Phyllis N Butow
Supriya G Mohile
Paul R Kaesberg
Wan Tang
Sandy Plumb
Adam Walczak
Anthony L Back
Daniel Tancredi
Alison Venuti
Camille Cipri
Gisela Escalera
Carol Ferro
Don Gaudion
Beth Hoh
Blair Leatherwood
Linda Lewis
Mark Robinson
Peter Sullivan
Richard L Kravitz
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2013
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-13-188

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