Breast Cancer
Conditions
Keywords
Communication, Internet, Physician, Patient, 08-079
Brief summary
The purpose of this study is to learn about how patients who have looked up cancer-related information on the internet talk with their doctors. We are interested in these conversations even if the patients do not think they will talk about the information with their doctor during their visit. We will audio record doctor-patient visits and listen to these recordings to learn about how patients who have looked up cancer-related internet information talk to their doctors and how their doctors talk to them. We will also give patients questionnaires before and after their appointments to learn about what they think about communicating with their doctors.
Interventions
BEHAVIORALquestionnaires
Patients in Category 1 are those who report before the visit that they intend to discuss cancer-related internet information and report after the visit that they did discuss such information. The coding of these patients' consultations with their physicians and analysis of their pre- and post-consultation questionnaires will address Aims 1 and 2.
BEHAVIORALaudio recordings , questionnaires
Patients in Category 2 are those who report before the visit that they intend to discuss cancer-related internet information, but report after the visit that they did not discuss such information. This category is important as our previous research indicates that sometimes patients do not discuss information because they feel there is not enough time or because the information is irrelevant or repetitive. These patients' audio recordings will be checked to verify that there was no internet information discussion. These audio recordings will not be coded. However, assessment of these patients' questionnaires will aid in addressing Aim 3 and may provide some pilot data on why patients who initially intend to discuss internet information do not.
BEHAVIORALaudio recorded questionnaires
Patients in Category 3 are those who report before the visit that they do not intend to discuss cancer-related internet information and do not discuss it. Assessment of these patients' questionnaires will aid in addressing Aim 3. These audio recordings will not be coded. It is important, however, that these consultations be audio recorded for two reasons: First, it allows the physician to remain blinded to the intent of the patient to discuss internet information. Second, it provides a method of verifying that the patient really did not discuss internet information. Although not expected, it is possible for a patient to go into a consultation without intending to discuss internet information, but does end up discussing it. We will note if this occurs.
Sponsors
National Institutes of Health (NIH)
National Cancer Institute (NCI)
Memorial Sloan Kettering Cancer Center
Study design
Observational model
CASE_CROSSOVER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Subject Inclusion Criteria for Patients * Female * Diagnosis of breast cancer * Pre-surgery (\*for breast surgeon patients only) * Report that they have read breast cancer-related internet information since their diagnosis with breast cancer. * Provide informed consent Subject Inclusion Criteria Physicians * Breast surgeon or breast medical oncologist * Agree to participate in study and one of 10 selected participants * Provide inform consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| patients in Category 1 (those who have been recorded discussing internet information with their physician) are pt satisfaction & pt anxiety. PT satisfaction with the consultation is an outcome assessed only at the end of the consultation. | conclusion of the study |
| To examine the effect of physician responses to cancer-related internet information on patient satisfaction and anxiety. (Category 1 patients). | conclusion of study |
Secondary
| Measure | Time frame |
|---|---|
| To identify cancer patients' reasons for not discussing cancer-related internet information with their physicians. (Category 2 and 3 patients). | conclusion of study |
Countries
United States
Outcome results
None listed