Partner involvement in treatment-related decision making in triadic clinical consultations – A systematic review of qualitative and quantitative studies

Factors influencing family involvement in treatment decision-making for older patients with cancer: A scoping review

“…The aim of this scoping review is to offer deeper understanding of factors influencing family involvement in the treatment decisionmaking of older patients with cancer. Although a number of previous reviews have investigated family involvement in medical consultations and decision-making [8,9], to our knowledge this is the first review focusing on factors that influence family involvement specifically in the care of older patients with cancer. It includes older patients with different types of cancer, in different stages and facing different types of treatment decisions.…”

“…2) representing patient characteristics, family member characteristics, family system characteristics, cultural influences and physicians' roles. Previous conducted studies targeting different patient groups have also found evidence that factors related to the patient, the family and the physician influence family involvement in decision-making, and some have added related factors, relational characteristics and decisional characteristics to this context [8][9][10][45][46][47].…”

“…For the development of family-centered strategies, research into deeper concepts such as factors influencing family involvement in treatment decision-making is needed [3,8]. Research concerning shared decision-making shows limited attention to the engagement of families, the relationships between patients and family members and the impact these relationships have on the decisionmaking process [8][9][10]. Therefore, the objective of this scoping review is to provide a broad overview of factors that influence family involvement in treatment decision-making, specifically targeted at older patients with cancer in order to inform clinical practice and future research.…”

Using Applied Conversation Analysis in Patient Education

“…Finally, The Handbook of Conversation Analysis provides overviews of the core topics examined in CA, along with how CA has been applied in different institutional contexts (Sidnell & Stivers, 2013). Most studies of patient education rely on post-consultation interviews, which require the patient to recall and articulate how their interactions proceeded previously (Bracher et al, 2020;Rodin et al, 2009;Roter & Hall, 2006). Indeed, a patient's recollection of events is valuable in-so-much as those memories shade how well they recount an event-but they are only a piece of the puzzle-and lack perfect recall of the actual experience.…”

“…Research examining patient education has proliferated alongside the emergence of patient-centered care over the last half-century (Gerteis et al, 1993; Mead & Bower, 2000). These studies primarily leverage interviews with patients following consults (Bracher et al, 2020; Rodin et al, 2009; Roter & Hall, 2006). As a result, most (75%–90%) studies on patient education do not account for real-time talk (Georgopoulou et al, 2018; Peterson et al, 2016) and few (1%) involve family members or caregivers (Troy et al, 2019).…”