Psychological distress among cancer patients and informed consent

Montgomery, Charles; Lydon, Anna; Lloyd, Keith

doi:10.1016/s0022-3999(98)00089-0

Cited by 74 publications

(54 citation statements)

References 19 publications

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“…In addition, there is a danger of information overload and with variations in doctors' communication skills this may result in an inadequate understanding and failure to provide informed consent. A number of studies have shown that patients sign consent forms without fully understanding what they are signing, what they have been told or what the procedure entails 4,6,7 . Informed consent requires that patients be given sufficient and appropriate information including a clear description of treatment techniques and risk of side effects 8 .…”

Section: Introductionmentioning

confidence: 99%

The use of video information in obtaining consent for female sterilisation: a randomised study

Mason¹

2003

BJOG: An International Journal of Obstetrics and Gynaecology

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Hypothesis Providing additional information by video in addition to the standard consultation in women requesting sterilisation increases patients' knowledge about the procedure with no change in anxiety levels. Design Randomised control trial in 6 weeks.Population Women requesting sterilisation (n ¼ 31).Setting Gynaecology clinics in two teaching hospitals.Methods Comparison of providing additional information by video in addition to the standard consultation with the standard consultation. Main outcome measures Patients' knowledge of sterilisation, anxiety levels and acceptance of the video approach. Results Women receiving video information as well as the standard consultation had significantly higher knowledge scores compared with women only receiving the conventional consultation. Women undergoing a conventional consultation (no video) in a nurse-led dedicated sterilisation clinic had significantly higher knowledge scores than women having their consultation in a general gynaecological clinic. There were no differences in anxiety levels between the groups. Information giving by video was acceptable to the majority of women. Conclusion Videos are a reliable and consistent method of delivering information to women requesting female sterilisation.

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Section: Introductionmentioning

confidence: 99%

The use of video information in obtaining consent for female sterilisation: a randomised study

Mason¹

2003

BJOG: An International Journal of Obstetrics and Gynaecology

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“…In one study of patients undergoing radiation therapy for cancer, 22% could not recall signing a consent form, and one quarter were unable to list common side-effects of radiation therapy. 450 Despite problems with achieving genuinely informed consent, improved communications will reduce the frequency of ill-informed consent (Level III-3).…”

Section: Clinical Practice Guidelines For the Psychosocial Care Of Admentioning

confidence: 99%

Broken doctor–patient relationships: why won't they listen?

Jefford

Zalcberg

2014

Medical Journal of Australia

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Every user of this rescinded publication acknowledges that the information contained in it may not be accurate, complete or of relevance to the user's purposes. The user undertakes the responsibility for assessing the accuracy, completeness and relevance of the contents of this rescinded publication, including seeking independent verification of information sought to be relied upon for the user's purposes.Every user of this rescinded publication is responsible for ensuring that each printed version contains this disclaimer notice, including the date of recision and the date of downloading the archived Internet version. This work is copyright.Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from National Breast Cancer Centre. Requests and enquiries concerning reproduction and rights should be addressed to the Copyright Office, National Breast Cancer Centre, Locked Bag 16, Camperdown NSW 1450, Australia.Website:www.nbcc.org.au Email: directorate@nbcc.org.au These guidelines were approved by the National Health and Medical Research Council at its 147th Session on 10 April 2003, under section 14A of the National Health and Medical Research Council Act 1992.Approval for the guidelines by NHMRC is granted for a period not exceeding five years, at which date the approval expires.The NHMRC expects that all guidelines will be reviewed no less than once every five years. Readers should check with the National Breast Cancer Centre for any reviews or updates of these guidelines. RESCINDEDThe strategic intent of the NHMRC is to provide leadership and work with other relevant organisations to improve the health of all Australians by:• fostering and supporting a high quality and internationally recognised research base; • providing evidence based advice; • applying research evidence to health issues thus translating research into better health practice and outcomes; and • promoting informed debate on health and medical research, health ethics and related issues.This document is a general guide to appropriate practice, to be followed subject to the clinician's judgement and the patient's preference in each individual case.The guidelines are designed to provide information to assist decision-making and are based on the best evidence available at the time of publication. C O N T E N T S L I S T O F TA B L E S L I S T O F F I G U R E S F O R E W O R DOptimal care of the patient with cancer incorporates effective physical and psychological care.There are currently several clinical practice guidelines available documenting evidence-based information and treatment recommendations for the physical care of people with cancer, many of which are also available in consumer versions. Some of these treatment guidelines include chapters devoted to psychosocial care.People with cancer suffer significant emotional morbidity. In addition to the distress, fear and grief consequent upon diagnosis, up to 30% experience clinically significant anxiety disorde...

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“…In Montgomery's study, 25% of patients could not recall being told side effects during the consent process for radiotherapy; 28% were unhappy with the amount of information offered prior to the procedure. 7 Currently, there are no studies which assess whether the breast biopsy patient receives adequate information during informed consent.…”

Section: Background and Preliminary Investigations Informed Consentmentioning

confidence: 99%

Education and Outreach for Breast Imaging and Breast Cancer Patients

Farria¹

2002

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington. VA 22202-4302, and During the past year, we obtained IRB approval from the DOD to begin data collection in December, 2001. However, the practice of the Breast Health Center, where the study was planned, had changed. Because randomization of patients according to core biopsy scheduling was no longer, we had a series of meetings with the Breast Health Center and Siteman Cancer Center administrators. At these discussions, we decided to revise the protocol. The revised protocol is submitted. Patients will still be randomized into different groups based on the informed consent process, but the timing of the core biopsy would not be manipulated. We still plan to collect observational data on this variable, however. Currently, we are seeking IRB approval of the revised protocol. Once this protocol is approved by the IRB's of both Washington University and DOD, we can begin data collection. The revision of the protocol has led to significant delays in the second phase of this project.

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Psychological distress among cancer patients and informed consent

Cited by 74 publications

References 19 publications

The use of video information in obtaining consent for female sterilisation: a randomised study

The use of video information in obtaining consent for female sterilisation: a randomised study

Broken doctor–patient relationships: why won't they listen?

Education and Outreach for Breast Imaging and Breast Cancer Patients

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