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. 2012 Aug;88(2):311-7.
doi: 10.1016/j.pec.2012.02.009. Epub 2012 Mar 4.

Testing the utility of a cancer clinical trial specific Question Prompt List (QPL-CT) during oncology consultations

Richard F Brown  1 , Carma L Bylund, Yuelin Li, Shawna Edgerson, Phyllis Butow
Affiliations

Testing the utility of a cancer clinical trial specific Question Prompt List (QPL-CT) during oncology consultations

Richard F Brown et al. Patient Educ Couns. 2012 Aug.

Abstract

Objective: A Question Prompt List (QPL) is a proven, simple intervention to aid patients to be active participants in consultations with their physicians by asking questions. We aimed to further develop and test the efficacy of a targeted QPL for clinical trials (QPL-CT).

Methods: Breast, Lung and Genitourinary cancer patients who were facing a discussion about a therapeutic clinical trial completed short pre- and post-consultation questionnaires and used the QPL-CT in their discussions with their oncologists.

Results: 30 participants were recruited from 6 oncologists. All QPL-CT questions were selected by at least one-third of participants. Participants mostly wanted and asked questions about personal trial benefit. Oncologists provided information about personal benefit to varying degrees, thus patients did not ask some questions. Patients were still left with some unasked and unanswered questions.

Conclusion: The QPL-CT has potential as a simple, inexpensive intervention to aid such communication. Further investigation is needed to demonstrate the efficacy of the QPL-CT in improving cancer patient outcomes.

Practice implications: These preliminary finding suggest that important areas of clinical trials are overlooked in clinical consultations. The QPL-CT may be an effective method to encourage oncologists to endorse patient question asking about clinical trials and prompt patient questions.

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References

    1. Brown R, Butow PN, Tattersall MHN. Promoting patient participation in the cancer consultation: evaluation of a prompt sheet and coaching in question-asking. British Journal of Cancer. 1999;80(1/2):242–248. - PMC - PubMed
    1. Brown RF, Butow P, Dunn S, Tattersall MH. Promoting patient participation and shortening cancer consultations: A randomized trial. British Journal of Cancer. 2001;85:1273–1279. - PMC - PubMed
    1. Butow PN, Dunn SM, Tattersall MHN, Jones QJ. Patient involvement in the cancer consultation; evaluation of a question prompt sheet. Annals of Oncology. 1994;5:199– 204. - PubMed
    1. Kaplan SH, Greenfield S, Gandek B, Rogers WH, Ware JE. Characteristics of physicians with participatory decision making styles. Annals of Internal Medicine. 1996;124:497– 504. - PubMed
    1. Epstein RM, Street RL. Vol NIH Publication No 07–6225. Bethesda MD: National Cancer Institute; 2007. Patient-Centered Communication in Cancer Care:Promoting Healing and Reducing Suffering.

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