Patient-clinician communication among patients with stage I lung cancer

Shannon M. Nugent, Sara E. Golden, Charles Thomas, Mark E. Deffebach, Mithran Sukumar, Paul Schipper, Brandon Tieu, Drew Moghanaki, Juan Wisnivesky, Christopher Slatore

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: Limited data exist about patient-centered communication (PCC) and patient-centered outcomes among patients who undergo surgery or stereotactic body radiation therapy (SBRT) for stage I non-small cell lung cancer (NSCLC). We aimed to examine the relationship between PCC and decision-making processes among NSCLC patients, using baseline data from a prospective, multicenter study. Methods: Patients with stage 1 NSCLC completed a survey prior to treatment initiation. The survey assessed sociodemographic characteristics, treatment decision variables, and patient psychosocial outcomes: health-related quality of life (HRQOL), treatment self-efficacy, decisional conflict, and PCC. Results: Fifty-two percent (n = 85) of 165 individuals planned to receive SBRT. There were no baseline differences detected on patient psychosocial outcomes between those who planned to receive SBRT or surgery. All participants reported high HRQOL (M = 72.5, SD = 21.3) out of 100, where higher scores indicate better functioning; high self-efficacy (M = 1.5, SD = 0.5) out of 6, where lower numbers indicate higher self-efficacy; minimal decisional conflict (M = 15.2, SD = 12.7) out of 100, where higher scores indicate higher decisional conflict; and high levels of patient-centered communication (M = 2.4, SD = 0.8) out of 7 where higher scores indicate worse communication. Linear regression analyses adjusting for sociodemographic and clinical variables showed that higher quality PCC was associated with higher self-efficacy (β = 0.17, p = 0.03) and lower decisional conflict (β = 0.42, p < 0.001). Conclusions: Higher quality PCC was associated with higher self-efficacy and lower decisional conflict. Self-efficacy and decisional conflict may influence subsequent health outcomes. Therefore, our findings may inform future research and clinical programs that focus on communication strategies to improve these outcomes.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalSupportive Care in Cancer
DOIs
StateAccepted/In press - Dec 5 2017

Fingerprint

Lung Neoplasms
Communication
Self Efficacy
Non-Small Cell Lung Carcinoma
Radiotherapy
Quality of Life
Multicenter Studies
Conflict (Psychology)
Linear Models
Decision Making
Regression Analysis
Prospective Studies
Health
Therapeutics

Keywords

  • Lung cancer
  • Patient-clinician communication
  • Psychosocial outcomes
  • Stereotactic radiation therapy

ASJC Scopus subject areas

  • Oncology

Cite this

Patient-clinician communication among patients with stage I lung cancer. / Nugent, Shannon M.; Golden, Sara E.; Thomas, Charles; Deffebach, Mark E.; Sukumar, Mithran; Schipper, Paul; Tieu, Brandon; Moghanaki, Drew; Wisnivesky, Juan; Slatore, Christopher.

In: Supportive Care in Cancer, 05.12.2017, p. 1-9.

Research output: Contribution to journalArticle

Nugent, Shannon M. ; Golden, Sara E. ; Thomas, Charles ; Deffebach, Mark E. ; Sukumar, Mithran ; Schipper, Paul ; Tieu, Brandon ; Moghanaki, Drew ; Wisnivesky, Juan ; Slatore, Christopher. / Patient-clinician communication among patients with stage I lung cancer. In: Supportive Care in Cancer. 2017 ; pp. 1-9.
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abstract = "Purpose: Limited data exist about patient-centered communication (PCC) and patient-centered outcomes among patients who undergo surgery or stereotactic body radiation therapy (SBRT) for stage I non-small cell lung cancer (NSCLC). We aimed to examine the relationship between PCC and decision-making processes among NSCLC patients, using baseline data from a prospective, multicenter study. Methods: Patients with stage 1 NSCLC completed a survey prior to treatment initiation. The survey assessed sociodemographic characteristics, treatment decision variables, and patient psychosocial outcomes: health-related quality of life (HRQOL), treatment self-efficacy, decisional conflict, and PCC. Results: Fifty-two percent (n = 85) of 165 individuals planned to receive SBRT. There were no baseline differences detected on patient psychosocial outcomes between those who planned to receive SBRT or surgery. All participants reported high HRQOL (M = 72.5, SD = 21.3) out of 100, where higher scores indicate better functioning; high self-efficacy (M = 1.5, SD = 0.5) out of 6, where lower numbers indicate higher self-efficacy; minimal decisional conflict (M = 15.2, SD = 12.7) out of 100, where higher scores indicate higher decisional conflict; and high levels of patient-centered communication (M = 2.4, SD = 0.8) out of 7 where higher scores indicate worse communication. Linear regression analyses adjusting for sociodemographic and clinical variables showed that higher quality PCC was associated with higher self-efficacy (β = 0.17, p = 0.03) and lower decisional conflict (β = 0.42, p < 0.001). Conclusions: Higher quality PCC was associated with higher self-efficacy and lower decisional conflict. Self-efficacy and decisional conflict may influence subsequent health outcomes. Therefore, our findings may inform future research and clinical programs that focus on communication strategies to improve these outcomes.",
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AU - Thomas, Charles

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AU - Schipper, Paul

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