Can I Look at My List? An Evaluation of a ‘Prompt Sheet’ Within an Oncology Outpatient Clinic

Glynne-Jones, R.; Ostler, PJ; Lumley-Graybow, S.; Chait, Ian; Hughes, Rod; Grainger, James K.; Leverton, Ted

doi:10.1016/j.clon.2006.01.005

Cited by 36 publications

(30 citation statements)

References 10 publications

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“…A low‐cost intervention that may improve hypertension management may involve the use of question prompt sheets designed to ensure that patients have their informational needs met during the clinical encounter. These prompt sheets are being designed and evaluated in other chronic disease populations 21,22 . Finally, in our study, adherent and nonadherent hypertensive adults were similar with regard to socioeconomic status, perceived health, education, and other sociodemographic indicators.…”

Section: Discussionmentioning

confidence: 59%

Taking Less Than Prescribed: Medication Nonadherence and Provider‐Patient Relationships in Lower‐Income, Rural Minority Adults With Hypertension

Martin

Kohler

Kim

et al. 2010

J of Clinical Hypertension

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Control of hypertension remains poor, and lack of adherence to medication is considered a primary reason. Few studies have examined the reasons for medication nonadherence in African American, lower-income, rural adults receiving medications at no personal cost. Moreover, our understanding of how the provider-patient relationship influences adherence in this population is limited. In this study, the authors (1) examined reasons for taking less medication than prescribed and (2) examined the association between provider-patient variables and medication adherence. A total of 434 participants (94.8% African American) were included. The most frequently endorsed reasons for taking less medication than prescribed were not having blood pressure medicine when it was time to take a dose (36%), running out of medicine (35%), bothered by side effects (29%), and a change in one’s daily routine (27%). Nonadherent individuals were significantly more likely to report discomfort with asking the health provider questions (74% vs 63%), were more likely to report that health care visits were stressful (25% vs 16%), and exhibited more depressive symptoms (58% vs 45%). Adherent patients had lower blood pressure (systolic: 133±15.8 mm Hg vs 138±17.6 mm Hg, P value=.002; diastolic: 80±9.8 mm Hg vs 83±11 mm Hg, P value=.003) than individuals who were less adherent. Clinicians providing care to rural, poor hypertensive patients should routinely assess self-management behaviors, logistical barriers, and emotional health. Creating clinical encounters that minimize the stressful nature of the visit and encourage patient question-asking behavior may also be important for the optimal management of hypertension.

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Section: Discussionmentioning

confidence: 59%

Taking Less Than Prescribed: Medication Nonadherence and Provider‐Patient Relationships in Lower‐Income, Rural Minority Adults With Hypertension

Martin

Kohler

Kim

et al. 2010

J of Clinical Hypertension

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“…While most had their questions answered, this often occurred through the natural course of the long consultation, and not because the patients actively questioned the physician. Question prompt sheets have been found to help patients manage their communication with physicians,[47–49] but this strategy ignores the physicians’ contribution to the course of the visit [22, 50] and the impact of physician dominance on the encounter. [51] Patients’ recommendations for consulting physicians focused on issues of patient-centered care, including the need to empathically provide individually-meaningful prognosis information rather than generalized statistics.…”

Section: Discussionmentioning

confidence: 99%

Patients’ reflections on communication in the second-opinion hematology–oncology consultation

Goldman

Sullivan

Back

et al. 2009

Patient Education and Counseling

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OBJECTIVE-The nature of communication between patients and their second-opinion hematology consultants may be very different in these one-time consultations than for those that are within long-term relationships. This study explored patients' perceptions of their second-opinion hematology oncology consultation to investigate physician-patient communication in malignant disease at a critical juncture in cancer patients' care and decision-making.METHODS-In-depth telephone interviews with a subset of 20 patients from a larger study, following their subspecialty hematology consultations.RESULTS-Most patients wanted to contribute to the consultation agenda, but were unable to do so. Patients sought expert and honest advice delivered with empathy, though most did not expect the consultant to directly address their emotions. They wanted the physician to apply his/her knowledge to the specifics of their individual cases, and were disappointed and distrustful when physicians cited only general prognostic statistics. In contrast, physicians' consideration of the unique elements of patients' cases, and demonstrations of empathy and respect made patients' feel positively about the encounter, regardless of the prognosis.Corresponding author contact information: Roberta E. Goldman, PhD, Memorial Hospital of Rhode Island, Center for Primary Care and Prevention, 111 Brewster Street, Pawtucket, RI 02860, USA, Tel: 401-729-2924, Fax: 401-729-2494, roberta_goldman@mhri.org and roberta_goldman@dfci.harvard.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

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“…Patients may be encouraged by their doctor to ask questions, eventually preparing a list before the visit (Kidd et al 2004) or selecting the questions from a list of all possible queries available before meeting the doctor (prompt sheet) (Butow et al 1994;Brown et al 1999Brown et al , 2001Bruera et al 2003;Glynne-Jones et al 2006;Clayton et al 2003Clayton et al , 2007. Moreover, Elwyn and colleagues (2004) showed the efficacy of an intervention specifically developed to teach clinicians the basic skills and abilities needed to implement a collaborative approach.…”

Section: From Theory To Practice: Findings From Research On Doctor-pamentioning

confidence: 99%

Communication in Cognitive Behavioral Therapy

Rimondini¹

2011

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Can I Look at My List? An Evaluation of a ‘Prompt Sheet’ Within an Oncology Outpatient Clinic

Cited by 36 publications

References 10 publications

Taking Less Than Prescribed: Medication Nonadherence and Provider‐Patient Relationships in Lower‐Income, Rural Minority Adults With Hypertension

Taking Less Than Prescribed: Medication Nonadherence and Provider‐Patient Relationships in Lower‐Income, Rural Minority Adults With Hypertension

Patients’ reflections on communication in the second-opinion hematology–oncology consultation

Communication in Cognitive Behavioral Therapy

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