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Multicenter Study
. 2011 Dec;128(6):e1544-51.
doi: 10.1542/peds.2010-3542. Epub 2011 Nov 7.

Parent participation and physician-parent communication during informed consent in child leukemia

Melissa Cousino  1 , Rebecca Hazen, Amy Yamokoski, Victoria Miller, Stephen Zyzanski, Dennis Drotar, Eric Kodish; Multi-site Intervention Study to Improve Consent Research Team
Collaborators, Affiliations
Multicenter Study

Parent participation and physician-parent communication during informed consent in child leukemia

Melissa Cousino et al. Pediatrics. 2011 Dec.

Abstract

Objective: In this study we evaluated the effectiveness of a physician-directed intervention at enhancing positive physician behaviors and communication strategies during informed consent conferences (ICCs) for pediatric acute leukemia clinical trials.

Patients and methods: Physicians at 2 large pediatric hospitals were recruited to participate in a physician-directed intervention (PDI), which included 1 full-day seminar and successive half-day booster sessions. ICCs were then observed, audiotaped, coded, and analyzed to evaluate the effectiveness of the intervention. Data also were collected at 2 control sites. Between 2003 and 2007, 59 ICCs were observed and analyzed.

Results: Significant group differences were found in physician rapport-building behaviors. Physicians in the PDI + booster session group engaged in greater rapport-building than did physicians in the PDI group who did not attend booster sessions and physicians in the control group. No group differences were detected for physician partnership-building. In addition, parents in the PDI + booster session group engaged in more general communication and study-related communication, and mothers in the PDI groups asked significantly more questions per minute than did mothers in the control group.

Conclusions: These results provide support for the effectiveness of the PDI at enhancing positive physician behaviors. Booster-session attendance is a critical component of physician-directed interventions to improve parental participation and physician-parent communication during ICCs.

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Figures

FIGURE 1
FIGURE 1
PAGIC model: a sequenced approach aimed at improving the delivery of information and communication during ICCs.
See this image and copyright information in PMC

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