Physician–patient–companion communication and decision-making: A systematic review of triadic medical consultations

Laidsaar-Powell, Rebekah; Butow, Phyllis; Bu, Stella; Charles, Cathy; Gafni, Amiram; Lam, Wendy Wing Tak; Jansen, Jesse; McCaffery, Kirsten; Shepherd, Heather L.; Tattersall, Martin H. N.; Juraskova, Ilona

doi:10.1016/j.pec.2012.11.007

Cited by 321 publications

(355 citation statements)

References 51 publications

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“…It has been rigorously developed, informed by our own program of research [4,13,33]; as well as a comprehensive review of other relevant empirical, conceptual, ethical, and legal publications, and iterative feedback from an advisory group of experts in ethics, medical oncology, psychology, and theory development. These strong empirical foundations underpinning the TRIO Framework enhance the validity and clinical relevance of the TRIO Framework, with several empirical examples derived from our interview [4] and consultation transcript [13] studies used to test the Framework's effectiveness in depicting the real behaviours and dynamics occurring during triadic DM.…”

Section: Discussionmentioning

confidence: 99%

“…Mapping the selected data sources (Phase 1) was achieved through conducting a systematic review of empirical studies examining clinician-patient-family caregiver communication and DM [33] as well as reviewing relevant conceptual, ethical, and legal perspectives on family caregiver involvement in DM [34]. Relevant data from qualitative interviews with oncology clinicians, patients, and family caregivers [4] and interaction analyses of triadic consultation audiotapes [13], were also appraised.…”

Section: Phases 1-2mentioning

confidence: 99%

See 1 more Smart Citation

The TRIO Framework: Conceptual insights into family caregiver involvement and influence throughout cancer treatment decision-making

Laidsaar-Powell

Butow

Charles

et al. 2017

Patient Education and Counseling

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Dedication:This paper is dedicated to the memory of our colleague, the late Professor Cathy Charles, who made a major contribution to the TRIO conceptual framework.2 Highlights  Empirically-grounded conceptual Framework of DM with a corresponding graphical aid  Focuses on the form and extent of family caregiver involvement in/influence over DM  Presents six conceptual insights derived from empirical evidence and DM theory  May serve as a useful guide for future empirical, ethical and/or theoretical work AbstractObjective: Family caregivers are regularly involved in cancer consultations and treatment decisionmaking (DM). Yet there is limited conceptual description of caregiver influence/involvement in DM.To address this, an empirically-grounded conceptual framework of triadic DM (TRIO Framework) and corresponding graphical aid (TRIO Triangle) were developed.Methods: Jabareen's model for conceptual framework development informed multiple phases of development/validation, incorporation of empirical research and theory, and iterative revisions by an expert advisory group. Results:Findings coalesced into six empirically-grounded conceptual insights: i) Caregiver influence over a decision is variable amongst different groups; ii) Caregiver influence is variable within the one triad over time; iii) Caregivers are involved in various ways in the wider DM process; iv) DM is not only amongst three, but can occur among wider social networks; v) Many factors may affect the form and extent of caregiver involvement in DM; vi) Caregiver influence over, and involvement in, DM is linked to their everyday involvement in illness care/management. Conclusion:The TRIO Framework/Triangle may serve as a useful guide for future empirical, ethical and/or theoretical work.Practice Implications: This Framework can deepen clinicians's and researcher's understanding of the diverse and varying scope of caregiver involvement and influence in DM.

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Section: Discussionmentioning

confidence: 99%

Section: Phases 1-2mentioning

confidence: 99%

The TRIO Framework: Conceptual insights into family caregiver involvement and influence throughout cancer treatment decision-making

Laidsaar-Powell

Butow

Charles

et al. 2017

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…In keeping with the conclusion of a recent review, the doctor may also need explicitly to discuss the desired level of involvement and roles of the companion in the consultation when a seizure witness (or other companion) accompanies the patient [38]. In order to optimise the diagnostic potential of information available from patients, doctors may want to consider initially talking to patients on their own before asking seizure witnesses to join the consultation.…”

Section: Practice Implicationsmentioning

confidence: 99%

The role of companions in outpatient seizure clinic interactions: A pilot study

Robson

Drew

Reuber

2016

Epilepsy & Behavior

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“…Recognizing the unrelenting sociocognitive demands on all parties at the point-of-care, interventions have been mounted to improve disease management and decision-making. 14 Whether directed at physicians (coaching, retreats) and/or patients and caregivers (coaching, question prompt lists, decision aids, interactive multimedia computer programs), these interventions presume that some patterns of interaction at the pointof-care are better than others.…”

Section: On-the-job Training For Allmentioning

confidence: 99%

Family Caregivers and Physicians Caring for Cancer Patients: On-the-Job Training for All

Duberstein

2014

J GEN INTERN MED

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Physician–patient–companion communication and decision-making: A systematic review of triadic medical consultations

Cited by 321 publications

References 51 publications

The TRIO Framework: Conceptual insights into family caregiver involvement and influence throughout cancer treatment decision-making

The TRIO Framework: Conceptual insights into family caregiver involvement and influence throughout cancer treatment decision-making

The role of companions in outpatient seizure clinic interactions: A pilot study

Family Caregivers and Physicians Caring for Cancer Patients: On-the-Job Training for All

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