Prospective randomised clinical trial of providing patients with audiotape recordings of their oesophagogastric cancer consultations

Patient Educ Couns. 2008 Aug;72(2):218-22. doi: 10.1016/j.pec.2008.04.004. Epub 2008 May 29.

Abstract

Objective: To evaluate audiotape-recorded consultations at which a new diagnosis of oesophageal or gastric cancer was given to patients with reference to information retention, psychological outcome and socio-economic deprivation.

Methods: Fifty-eight patients were randomised to receive audiotaped consultations or not. Thirty-one patients received tapes (12 oesophageal and 19 gastric cancers) and were compared with 27 control patients (12 oesophageal and 15 gastric cancers). All patients were re-interviewed and completed a hospital anxiety and depression (HAD) questionnaire. Socio-economic deprivation scores were calculated using National Indices of Multiple Deprivation.

Results: Patients randomised to receive tapes were more likely to retain information (31 patients) than control patients (18 patients, p=0.001). Median (range) HAD scores were similar in both groups of patients [HAD A tape 6 (0-21) vs. no tape 5 (2-14), HAD D tape 3 (0-23) vs. 4 (0-10), respectively]. Deprivation correlated significantly with higher HAD A scores in control patients (p=0.039) but was not associated with information retention (p=0.667).

Conclusion: Taped consultations were associated with significantly better information retention without adverse psychological outcomes. Providing an audiotape may reduce the effect of socio-economic deprivation on patient anxiety.

Practice implications: Audiotaping, or its equivalent, would be a valuable tool in the multidisciplinary approach to cancers of the upper gastrointestinal tract.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anxiety / psychology
  • Chi-Square Distribution
  • Communication
  • Depression / psychology
  • Educational Measurement
  • Esophageal Neoplasms / diagnosis
  • Esophageal Neoplasms / psychology*
  • Esophageal Neoplasms / therapy
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Mental Recall
  • Middle Aged
  • Patient Education as Topic / methods*
  • Patient Satisfaction
  • Physician-Patient Relations
  • Prospective Studies
  • Referral and Consultation* / organization & administration
  • Socioeconomic Factors
  • Statistics, Nonparametric
  • Stomach Neoplasms / diagnosis
  • Stomach Neoplasms / psychology*
  • Stomach Neoplasms / therapy
  • Surveys and Questionnaires
  • Tape Recording / methods*
  • Wales