Promoting consultation recording practice in oncology: identification of critical implementation factors and determination of patient benefit

Thomas F. Hack; J. Dean Ruether; Lorna M. Weir; Debjani Grenier; Lesley F. Degner

doi:10.1002/pon.3135

journal article Jul 23, 2012

Promoting consultation recording practice in oncology: identification of critical implementation factors and determination of patient benefit

Thomas F. Hack

J. Dean Ruether Lorna M. Weir Debjani Grenier Lesley F. Degner

Psycho-Oncology Vol. 22 No. 6 pp. 1273-1282 · Wiley

View at Publisher Save 10.1002/pon.3135

Abstract

AbstractObjectiveThe objectives of this implementation study were to (i) address the evidentiary, contextual, and facilitative mechanisms that serve to retard or promote the transfer and uptake of consultation recording use in oncology practice and (ii) follow patients during the first few days following receipt of the consultation recording to document, from the patient's perspective, the benefits realized from listening to the recording.MethodsNine medical and nine radiation oncologists from cancer centers in three Canadian cities (Calgary, Vancouver, and Winnipeg) recorded their primary consultations for 228 patients newly diagnosed with breast (n = 174) or prostate cancer (n = 54). The Digital Recording Use Semi‐Structured Interview was conducted at 2 days and 1 week postconsultation. Each oncologist was provided a feedback letter summarizing the consultation recording benefits reported by their patients.ResultsSixty‐nine percent of patients listened to at least a portion of the recording within the first week following the consultation. Consultation recording favorableness ratings were high: 93.6% rated the intervention between 75 and 100 on a 100‐point scale. Four main areas of benefit were reported: (i) anxiety reduction; (ii) enhanced retention of information; (iii) better informed decision making; and (iv) improved communication with family members. Eight fundamental components of successful implementation of consultation recording practice were identified.ConclusionsFurther randomized trials are recommended, using standardized measures of the patient‐reported benefit outcomes reported herein, to strengthen the evidence base for consultation recording use in oncology practice. Copyright © 2012 John Wiley & Sons, Ltd.

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Details

Published: Jul 23, 2012
Vol/Issue: 22(6)
Pages: 1273-1282
License: View

Authors

T

Thomas F. Hack

Faculty of Nursing University of Manitoba Winnipeg MB Canada; CancerCare Manitoba Winnipeg MB Canada; Asper Clinical Research Institute St. Boniface Research Centre Winnipeg MB Canada

J

J. Dean Ruether

Tom Baker Cancer Centre Calgary AB Canada; Faculty of Medicine University of Calgary AB Canada

L

Lorna M. Weir

British Columbia Cancer Agency Vancouver BC Canada; Faculty of Medicine University of British Columbia BC Canada

D

Debjani Grenier

CancerCare Manitoba Winnipeg MB Canada; Department of Internal Medicine University of Manitoba Winnipeg MB Canada

L

Lesley F. Degner

Faculty of Nursing University of Manitoba Winnipeg MB Canada

Cite This Article

Thomas F. Hack, J. Dean Ruether, Lorna M. Weir, et al. (2012). Promoting consultation recording practice in oncology: identification of critical implementation factors and determination of patient benefit. Psycho-Oncology, 22(6), 1273-1282. https://doi.org/10.1002/pon.3135

Promoting consultation recording practice in oncology: identification of critical implementation factors and determination of patient benefit

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