Patient participation in discussing palliative radiotherapy
Cancer patients’ participation in doctor–patient interactions has been shown to be an important factor in the emotional processing of their condition, particularly when only palliative treatments can be offered. In this study, we assessed incurable cancer patients’ participation in initial consultat...
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| Veröffentlicht in: | Patient education and counseling 2005-04, Vol.57 (1), p.53-61 |
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| container_title | Patient education and counseling |
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| creator | Timmermans, Liesbeth M. van der Maazen, Richard W.M. Verhaak, Christianne M. van Roosmalen, Mariëlle S. van Daal, Willem A.J. Kraaimaat, Floris W. |
| description | Cancer patients’ participation in doctor–patient interactions has been shown to be an important factor in the emotional processing of their condition, particularly when only palliative treatments can be offered. In this study, we assessed incurable cancer patients’ participation in initial consultations with their radiation oncologists (ROs). RO stimulation of patient participation and discussions about treatment decisions were also measured. The entire consultation was videotaped and analyzed using the Roter Interaction Analysis System (RIAS). Patients’ participation proved to be low on medical information, but high on discussing their experiences and life circumstances. The ROs stimulated patient participation mainly by providing medical information and giving patients opportunities to tell their stories. Decisions about radiation treatment had previously taken place and were rarely discussed in the consultations studied. The results suggest that patient participation in palliative treatment consultations might be improved for facilitating patients’ emotional processing of the incurable nature of their cancer. |
| doi_str_mv | 10.1016/j.pec.2004.03.016 |
| format | Article |
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In this study, we assessed incurable cancer patients’ participation in initial consultations with their radiation oncologists (ROs). RO stimulation of patient participation and discussions about treatment decisions were also measured. The entire consultation was videotaped and analyzed using the Roter Interaction Analysis System (RIAS). Patients’ participation proved to be low on medical information, but high on discussing their experiences and life circumstances. The ROs stimulated patient participation mainly by providing medical information and giving patients opportunities to tell their stories. Decisions about radiation treatment had previously taken place and were rarely discussed in the consultations studied. The results suggest that patient participation in palliative treatment consultations might be improved for facilitating patients’ emotional processing of the incurable nature of their cancer.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2004.03.016</identifier><identifier>PMID: 15797153</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Aged ; Communication ; Decision Making ; Doctor–patient communication ; Emotions ; Female ; Humans ; Informed Consent - psychology ; Male ; Medical Futility ; Middle Aged ; Netherlands ; Nursing ; Palliative Care - methods ; Palliative Care - psychology ; Palliative radiotherapy ; Patient Education as Topic ; Patient participation ; Patient Participation - methods ; Patient Participation - psychology ; Physician-Patient Relations ; Pilot Projects ; Prognosis ; Radiation Oncology ; Radiotherapy - psychology ; RIAS ; Surveys and Questionnaires ; Tape Recording ; Truth Disclosure</subject><ispartof>Patient education and counseling, 2005-04, Vol.57 (1), p.53-61</ispartof><rights>2004 Elsevier Ireland Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c351t-d61eaff8b516661f74721c309f995c5c803e52da95b1022c9e7e41c0e59d7d663</citedby><cites>FETCH-LOGICAL-c351t-d61eaff8b516661f74721c309f995c5c803e52da95b1022c9e7e41c0e59d7d663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0738399104001399$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15797153$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Timmermans, Liesbeth M.</creatorcontrib><creatorcontrib>van der Maazen, Richard W.M.</creatorcontrib><creatorcontrib>Verhaak, Christianne M.</creatorcontrib><creatorcontrib>van Roosmalen, Mariëlle S.</creatorcontrib><creatorcontrib>van Daal, Willem A.J.</creatorcontrib><creatorcontrib>Kraaimaat, Floris W.</creatorcontrib><title>Patient participation in discussing palliative radiotherapy</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>Cancer patients’ participation in doctor–patient interactions has been shown to be an important factor in the emotional processing of their condition, particularly when only palliative treatments can be offered. In this study, we assessed incurable cancer patients’ participation in initial consultations with their radiation oncologists (ROs). RO stimulation of patient participation and discussions about treatment decisions were also measured. The entire consultation was videotaped and analyzed using the Roter Interaction Analysis System (RIAS). Patients’ participation proved to be low on medical information, but high on discussing their experiences and life circumstances. The ROs stimulated patient participation mainly by providing medical information and giving patients opportunities to tell their stories. Decisions about radiation treatment had previously taken place and were rarely discussed in the consultations studied. The results suggest that patient participation in palliative treatment consultations might be improved for facilitating patients’ emotional processing of the incurable nature of their cancer.</description><subject>Adult</subject><subject>Aged</subject><subject>Communication</subject><subject>Decision Making</subject><subject>Doctor–patient communication</subject><subject>Emotions</subject><subject>Female</subject><subject>Humans</subject><subject>Informed Consent - psychology</subject><subject>Male</subject><subject>Medical Futility</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Nursing</subject><subject>Palliative Care - methods</subject><subject>Palliative Care - psychology</subject><subject>Palliative radiotherapy</subject><subject>Patient Education as Topic</subject><subject>Patient participation</subject><subject>Patient Participation - methods</subject><subject>Patient Participation - psychology</subject><subject>Physician-Patient Relations</subject><subject>Pilot Projects</subject><subject>Prognosis</subject><subject>Radiation Oncology</subject><subject>Radiotherapy - psychology</subject><subject>RIAS</subject><subject>Surveys and Questionnaires</subject><subject>Tape Recording</subject><subject>Truth Disclosure</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9PwzAMxSMEYmPwAbignri1xE2TLNoJIf5Jk-AA5yhLXMjUtSVpJ-3bk2mTuHGy7Pf8ZP8IuQZaAAVxty56tEVJaVVQVqTJCZnCXLKcA6tOyZRKNs-ZUjAhFzGuKaVCVHBOJsClksDZlCzezeCxHbLehMFb36e2azPfZs5HO8bo26-kNY1PwhazYJzvhm8Mpt9dkrPaNBGvjnVGPp8ePx5e8uXb8-vD_TK3jMOQOwFo6nq-4iCEgFpWsgTLqKqV4pbbOWXIS2cUXwEtS6tQYgWWIldOOiHYjNwecvvQ_YwYB71Jt2HTmBa7MWohuQBJIRnhYLShizFgrfvgNybsNFC9J6bXOhHTe2KaMp0maefmGD6uNuj-No6IkmFxMGB6cesx6GgTMYvOB7SDdp3_J_4XdA97ww</recordid><startdate>20050401</startdate><enddate>20050401</enddate><creator>Timmermans, Liesbeth M.</creator><creator>van der Maazen, Richard W.M.</creator><creator>Verhaak, Christianne M.</creator><creator>van Roosmalen, Mariëlle S.</creator><creator>van Daal, Willem A.J.</creator><creator>Kraaimaat, Floris W.</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050401</creationdate><title>Patient participation in discussing palliative radiotherapy</title><author>Timmermans, Liesbeth M. ; van der Maazen, Richard W.M. ; Verhaak, Christianne M. ; van Roosmalen, Mariëlle S. ; van Daal, Willem A.J. ; Kraaimaat, Floris W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351t-d61eaff8b516661f74721c309f995c5c803e52da95b1022c9e7e41c0e59d7d663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Communication</topic><topic>Decision Making</topic><topic>Doctor–patient communication</topic><topic>Emotions</topic><topic>Female</topic><topic>Humans</topic><topic>Informed Consent - psychology</topic><topic>Male</topic><topic>Medical Futility</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Nursing</topic><topic>Palliative Care - methods</topic><topic>Palliative Care - psychology</topic><topic>Palliative radiotherapy</topic><topic>Patient Education as Topic</topic><topic>Patient participation</topic><topic>Patient Participation - methods</topic><topic>Patient Participation - psychology</topic><topic>Physician-Patient Relations</topic><topic>Pilot Projects</topic><topic>Prognosis</topic><topic>Radiation Oncology</topic><topic>Radiotherapy - psychology</topic><topic>RIAS</topic><topic>Surveys and Questionnaires</topic><topic>Tape Recording</topic><topic>Truth Disclosure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Timmermans, Liesbeth M.</creatorcontrib><creatorcontrib>van der Maazen, Richard W.M.</creatorcontrib><creatorcontrib>Verhaak, Christianne M.</creatorcontrib><creatorcontrib>van Roosmalen, Mariëlle S.</creatorcontrib><creatorcontrib>van Daal, Willem A.J.</creatorcontrib><creatorcontrib>Kraaimaat, Floris W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Timmermans, Liesbeth M.</au><au>van der Maazen, Richard W.M.</au><au>Verhaak, Christianne M.</au><au>van Roosmalen, Mariëlle S.</au><au>van Daal, Willem A.J.</au><au>Kraaimaat, Floris W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient participation in discussing palliative radiotherapy</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2005-04-01</date><risdate>2005</risdate><volume>57</volume><issue>1</issue><spage>53</spage><epage>61</epage><pages>53-61</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>Cancer patients’ participation in doctor–patient interactions has been shown to be an important factor in the emotional processing of their condition, particularly when only palliative treatments can be offered. In this study, we assessed incurable cancer patients’ participation in initial consultations with their radiation oncologists (ROs). RO stimulation of patient participation and discussions about treatment decisions were also measured. The entire consultation was videotaped and analyzed using the Roter Interaction Analysis System (RIAS). Patients’ participation proved to be low on medical information, but high on discussing their experiences and life circumstances. The ROs stimulated patient participation mainly by providing medical information and giving patients opportunities to tell their stories. Decisions about radiation treatment had previously taken place and were rarely discussed in the consultations studied. 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| ispartof | Patient education and counseling, 2005-04, Vol.57 (1), p.53-61 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Communication Decision Making Doctor–patient communication Emotions Female Humans Informed Consent - psychology Male Medical Futility Middle Aged Netherlands Nursing Palliative Care - methods Palliative Care - psychology Palliative radiotherapy Patient Education as Topic Patient participation Patient Participation - methods Patient Participation - psychology Physician-Patient Relations Pilot Projects Prognosis Radiation Oncology Radiotherapy - psychology RIAS Surveys and Questionnaires Tape Recording Truth Disclosure |
| title | Patient participation in discussing palliative radiotherapy |
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