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. 2009 Dec;77(3):384-90.
doi: 10.1016/j.pec.2009.09.008. Epub 2009 Oct 7.

Patient-clinician information engagement increases treatment decision satisfaction among cancer patients through feeling of being informed

Lourdes S Martinez  1 , J Sanford Schwartz, Derek Freres, Taressa Fraze, Robert C Hornik
Affiliations

Patient-clinician information engagement increases treatment decision satisfaction among cancer patients through feeling of being informed

Lourdes S Martinez et al. Patient Educ Couns. 2009 Dec.

Abstract

Objective: Examine how patient-clinician information engagement (PCIE) may operate through feeling informed to influence patients' treatment decision satisfaction (TDS).

Methods: Randomly drawn sample (N=2013) from Pennsylvania Cancer Registry, comprised of breast, prostate and colon cancer patients completed mail surveys in the Fall of 2006 (response rate=64%) and Fall of 2007. Of 2013 baseline respondents, 85% agreed to participate in follow-up survey (N=1703). Of those who agreed, 76% (N=1293) completed follow-up surveys. The sample was split between males and females. The majority of participants were White, over the age of 50, married, and with a high school degree. Most reported having been diagnosed with in situ and local cancer.

Results: PCIE was related to concurrent TDS (beta=.06) and feeling informed (beta=.15), after confounder adjustments. A mediation analysis was consistent with PCIE affecting TDS through feeling informed. Baseline PCIE predicted feeling informed (beta=.04) measured 1 year later, after adjustments for baseline feeling informed and other confounders. Feeling informed was related to concurrent TDS (beta=.35) after confounder adjustment and follow-up TDS (beta=.13) after baseline TDS and confounder adjustment.

Conclusion: Results suggest PCIE affects TDS in part through patients' feeling informed.

Practice implications: PCIE may be important in determining patients' level of feeling informed and TDS.

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Figures

Figure I
Figure I
Proposed Model of Mediation Effects
See this image and copyright information in PMC

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