Advanced Cancer
Conditions
Keywords
Supportive Care, treatment options, doctor's compassion
Brief summary
The goal of this study is to learn what types of conversations patients prefer to have with their doctor about treatment options and how patients view their doctor's compassion.
Detailed description
If participant agree to take part in the study, basic information will be collected (such as date of birth, date of diagnosis, sex, and religion). Participant will also complete questionnaires about any symptoms they may be having, how hopeful they are, how they are accepting the disease, their trust in the medical profession, and how they like information to be delivered to them. After completing the questionnaires, they will be randomly assigned (as the roll of dice) to one of 4 groups. Regardless of which group they are in, they will watch 2 short videos that show actors portraying a doctor and patient having a conversation about treatment options in a clinical setting. Both videos will discuss the same material, but the order of the videos and the actors in the videos will be different for each group. Both videos are about 4 minutes long. After watching each video, the participant will complete 3 questionnaires about the doctor in the video. It should take about 38 minutes to watch both videos and to complete all of the questionnaires. After they have watched both videos, they will be asked to choose which doctor they preferred and to briefly explain the reasons why they chose that doctor. Length of Study: Participant will be off study after they have completed the last questionnaire.
Interventions
Watch two short videos with a 4-minute interval between the two of them, estimate 8 minutes to watch both the videos.
One set of surveys before first video and one set after each video played, estimate total of 30 minutes for all surveys.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Diagnosis of advanced cancer, defined as locally advanced, recurrent or metastatic disease 2. Patients treated as outpatients by the Supportive and Palliative Care team. 3. Age \>/= 18 years-old 4. English speaking 5. Normal cognitive status as determined by the interviewer based on the ability to understand the nature of the study and consent process.
Exclusion criteria
1\) Patients suffering from a severe psychiatric disorder or condition that would significantly interfere with study participation, as determined by the Principal Investigator or by the attending palliative care physician.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant's Rating of Physician's Compassion | Approximately 38 minutes for video viewing and surveys. | Physician compassion tested using compassion data from the first video viewed by each patient as assessed by a Physician Compassion Assessment survey. Patient's rating of physician's compassion by using a 5-item tool consisting of five 0-10 numerical rating scales assessing five dimensions: warm-cold, pleasant-unpleasant, compassionate-distant, sensitive insensitive, caring-uncaring. The sum of the five scales will give a final score representing physician's compassion with a 0 to 50 scale. |
Countries
United States