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Discussion of emotional and social impact of cancer during outpatient oncology consultations

Taylor, S, Harley, C, Campbell, LJ, Bingham, L, Podmore, EJ, Newsham, AC, Selby, PJ, Brown, JM and Velikova, G (2010) Discussion of emotional and social impact of cancer during outpatient oncology consultations. Psycho-Oncology, 20 (3). 242 - 251 . ISSN 1099-1611

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Abstract

Objective: Following publication of national guidelines on detection and management of psychosocial problems in oncology, this study explores frequency of discussion of emotional and social issues in outpatient oncology consultations.Methods: Analysis of baseline data from 212 outpatients participating in a randomized controlled trial. Baseline data included content analysis of audio recordings of consultations, Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire subscale scores, and patient and clinician self-rated preferences and perceptions of communication.Results: Fifty-nine percent patients and 75% clinicians expressed preferences to discuss emotional issues during consultations. Analysis of audio recordings showed that they were discussed in 27% of the consultations, regardless of severity of emotional problems reported by patients (FACT-G Emotional well-being subscale). Fifty percent of clinicians reported discussing emotional issues 'often' or 'almost always', compared with 18% of patients. Forty-four percent patients and 39% clinicians reported that they would discuss social activities, but they were actually discussed in 46% of consultations. Patients predominantly initiated discussion of emotional and social issues (85 and 60% consultations, respectively).Conclusions: Low prevalence of discussion of psychosocial issues cannot be accounted for by patient or clinician communication preferences. If clinicians rely on patients to initiate discussion of psychosocial issues, patients' problems may go unaddressed.

Item Type: Article
Keywords: Adult, Aged, Aged, 80 and over, Communication, Computers, Emotions, Female, Humans, Male, Middle Aged, Neoplasms, Outpatient Clinics, Hospital, Physician-Patient Relations, Pilot Projects, Quality of Life, Questionnaires, Randomized Controlled Trials as Topic, Referral and Consultation, Social Support
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Molecular Medicine (LIMM) (Leeds) > Section of Oncology and Clinical Research (Leeds)
The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Molecular Medicine (LIMM) (Leeds) > Section of Oncology and Clinical Research (Leeds) > Oncolocy/Cancer Research UK Clinical Centre
The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds)
Depositing User: Symplectic Publications
Date Deposited: 17 Oct 2011 15:22
Last Modified: 08 Feb 2013 17:34
Published Version: http://dx.doi.org/10.1002/pon.1730
Status: Published
Publisher: John Wiley & Sons
Identification Number: 10.1002/pon.1730
URI: http://eprints.whiterose.ac.uk/id/eprint/43343

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