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

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

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms*
  • Colorectal Neoplasms*
  • Communication*
  • Decision Making*
  • Female
  • Health Education
  • Health Knowledge, Attitudes, Practice
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Physician-Patient Relations*
  • Pilot Projects
  • Prostatic Neoplasms*
  • Registries