Development of the Multi-Dimensional Analysis of Patient Outcome Predictions (MD.POP) during medical encounters

Ménard, Catherine; Libert, Yves; Canivet, Delphine; Achte, Laetitia Van; Farvacques, Christine; Liénard, Aurore; Merckaert, Isabelle; Reynaert, Christine; Slachmuylder, Jean-Louis; Durieux, Jean‐François; Klastersky, Jean; Razavi, Darius

doi:10.1016/j.pec.2017.07.004

Cited by 3 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To measure how physicians address TOs during the decisionmaking encounter with the SP, we used the Multi-Dimensional analysis of Patient Outcome Predictions (MD.POP), a validated interaction analysis system for examining how physicians discuss precisely and exclusively a patient's future outcomes during medical encounters [36]. The MD.POP enables verbal expressions that address patient outcomes during medical encounters to be identified, coded, and scored manually.…”

Section: Multi-dimensional Analysis Of Patient Outcome Predictions (Mmentioning

confidence: 99%

“…The definition of these MD.POP dimensions and their categories are provided in Table 1 with examples. A reliability analysis was performed for 20 of the decisionmaking encounters that were coded by two trained raters who achieved excellent reliability (k = 0.83; agreement ! 96 %) [36]. The The probability of the outcome Certain Outcome with a certain probability Uncertain Outcome with an uncertain probability Unknown Outcome with an unknown probability POP Form…”

Section: Multi-dimensional Analysis Of Patient Outcome Predictions (Mmentioning

confidence: 99%

“…The outcome probability is expressed in words remaining encounter transcripts were rated separately by four trained psychologists who had undergone a 20 h intensive training from the two trained raters to code and rate the encounters with the MD.POP, as recommended [36]. These four additional raters were psychologists.…”

Section: Multi-dimensional Analysis Of Patient Outcome Predictions (Mmentioning

confidence: 99%

See 2 more Smart Citations

How does physicians’ decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study

Libert

Peternelj

Canivet

et al. 2020

Patient Education and Counseling

Self Cite

View full text Add to dashboard Cite

This descriptive study assesses how physicians' decisional conflict influences their ability to address treatment outcomes (TOs) in a decision-making encounter with an advanced-stage cancer simulated patient (SP). Methods: Physicians (N = 138) performed a decision-making encounter with the SP trained to ask for TOs information. The physicians' decisional conflict regarding patients' cancer treatments in general was assessed with the General Decisional Conflict Scale (Gen-DCS). The physicians' decisional conflict regarding the SP's cancer treatments was assessed with the Specific Decisional Conflict Scale (Spe-DCS). Physicians' ability to address TOs during the encounter was assessed with an interaction analysis system: the Multi-Dimensional Analysis of Patient Outcome Predictions (MD.POP). Weekly time spent with cancer patients was assessed with a questionnaire. Results: Physicians' Spe-DCS (β =-.21 ; p = .014) and weekly time spent with cancer patients (β = .22 ; p = .008) predicted the number of TOs addressed during the encounter. Spe-DCS scores predicted nearly all MD.POP dimensions (r =-.18 ; p = .040 to r =-.30 to p < .001) whereas Gen-DCS scores predicted nearly none MD.POP dimensions. Conclusion: Physicians' specific decisional conflict interferes with their ability to address TOs in a decision-making encounter with an advanced-stage cancer SP.

show abstract

Section: Multi-dimensional Analysis Of Patient Outcome Predictions (Mmentioning

confidence: 99%

Section: Multi-dimensional Analysis Of Patient Outcome Predictions (Mmentioning

confidence: 99%

Section: Multi-dimensional Analysis Of Patient Outcome Predictions (Mmentioning

confidence: 99%

See 1 more Smart Citation

How does physicians’ decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study

Libert

Peternelj

Canivet

et al. 2020

Patient Education and Counseling

Self Cite

View full text Add to dashboard Cite

show abstract

Communication soignant-soigné : généralités

Delvaux¹,

Merckaert²,

Razavi³

et al. 2019

Psycho-Oncologie De l'Adulte

View full text Add to dashboard Cite

Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients

et al. 2017

Self Cite

View full text Add to dashboard Cite

BackgroundAlthough previous studies have reported the efficacy of communication skills training (CST) programs, specific training addressing communication about uncertainty and hope in oncology has not yet been studied. This paper describes the study protocol of a randomized controlled trial assessing the efficacy of a CST program aimed at improving physician ability to communicate about uncertainty and hope in encounters with cancer patients.Methods/designPhysician participants will be randomly assigned in groups (n = 3/group) to a 30-h CST program (experimental group) or to a waiting list (control group). The training program will include learner-centered, skills-focused, practice-oriented techniques. Training efficacy is assessed in the context of an encounter with a simulated advanced stage cancer patient at baseline and after the CST for the experimental group, and after four months for the waiting-list group. Efficacy assessments will include communicational, psychological and physiological measures. Group-by-time effects will be analyzed using a generalized estimating equation (GEE). A power analysis indicated that a sample size of 60 (30 experimental and 30 control) participants will be sufficient to detect effects.DiscussionThe current study will aid in the development of effective CST programs to improve physician ability to communicate about uncertainty and hope in encounters with cancer patients.Trial registrationUS Clinical Trials Register NCT02836197.

show abstract

Development of the Multi-Dimensional Analysis of Patient Outcome Predictions (MD.POP) during medical encounters

Cited by 3 publications

References 27 publications

How does physicians’ decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study

How does physicians’ decisional conflict influence their ability to address treatment outcomes in a decision-making encounter with an advanced-stage cancer simulated patient? A descriptive study

Communication soignant-soigné : généralités

Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients

Contact Info

Product

Resources

About