The characteristics and effectiveness of Question Prompt List interventions in oncology: a systematic review of the literature

Brandes, Kim; Linn, Annemiek J.; Butow, Phyllis; Weert, Julia C.M. van

doi:10.1002/pon.3637

Cited by 174 publications

(197 citation statements)

References 41 publications

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“…Acting on these findings, it was decided to include QPL use in the physician course curriculum. We are confident that this favored adherence to this recommendation also because the most recent evidence in the field suggests that the effects of QPLs are greater if training is offered to professionals on addressing them during the consultation and encourage patients to use them [35].…”

Section: Discussionmentioning

confidence: 86%

Feasibility of a quality improvement strategy integrating psychosocial care into 28 medical cancer centers (HuCare project)

Passalacqua

Annunziata

Borreani

et al. 2015

Support Care Cancer

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Section: Discussionmentioning

confidence: 86%

Feasibility of a quality improvement strategy integrating psychosocial care into 28 medical cancer centers (HuCare project)

Passalacqua

Annunziata

Borreani

et al. 2015

Support Care Cancer

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“…We also assessed acceptability by determining the effect of the intervention on interaction length because significantly increasing interaction length might reduce feasibility in clinical settings. Findings from prior studies evaluating the effect of QPLs on interaction length have been mixed, with most suggesting no significant effects[35, 37, 86]. Thus, we expected neither format to significantly increase interaction length.…”

Section: Introductionmentioning

confidence: 86%

“…The intervention was a question prompt list (QPL), a list of questions related to a medical condition that patients might want to ask their physician during clinic visits. QPLs are designed as a simple, inexpensive way to help patients gain more information about their diagnosis and treatment and enhance patient-provider communication[35–38]. Although QPLs have been used successfully in several oncology settings[31,39,40], they have not, as far as we know, been evaluated in the context of racially-discordant oncology interactions.…”

Section: Introductionmentioning

confidence: 99%

Randomized trial of a question prompt list to increase patient active participation during interactions with black patients and their oncologists

Eggly

Hamel

Foster

et al. 2017

Patient Education and Counseling

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Objective Communication during racially-discordant interactions is often of poor quality and may contribute to racial treatment disparities. We evaluated an intervention designed to increase patient active participation and other communication-related outcomes during interactions between Black patients and non-Black oncologists. Methods Participants were 18 non-Black medical oncologists and 114 Black patients at two cancer hospitals in Detroit, Michigan, USA. Before a clinic visit to discuss treatment, patients were randomly assigned to usual care or to one of two question prompt list (QPL) formats: booklet (QPL-Only), or booklet and communication coach (QPL-plus-Coach). Patient-oncologist interactions were video recorded. Patients reported perceptions of the intervention, oncologist communication, role in treatment decisions, and trust in the oncologist. Observers assessed interaction length, patient active participation, and oncologist communication. Results The intervention was viewed positively and did not increase interaction length. The QPL-only format increased patient active participation; the QPL-plus-Coach format decreased patient perceptions of oncologist communication. No other significant effects were found. Conclusion This QPL booklet is acceptable and increases patient active participation in racially-discordant oncology interactions. Future research should investigate whether adding physician-focused interventions might improve other outcomes. Practice Implications This QPL booklet is acceptable and can improve patient active participation in racially-discordant oncology interactions.

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“…Hence, the new consult decision aid should stimulate patient–clinician discussion within the consultation on the options, prompt them to consider other information tailored to the patient’s personal situation, provide the patient opportunities to ask other questions; for example, how does this new medication fit with their other medications and health conditions (e.g., allergies), plus discuss possible side effects and ways they could be managed. A systematic review has indicated that question prompt lists are effective interventions for improving communication and cognitive outcomes [36]. …”

Section: Discussionmentioning

confidence: 99%

Translating Evidence to Facilitate Shared Decision Making: Development and Usability of a Consult Decision Aid Prototype

Stacey

Lyddiatt²,

Giguère

et al. 2016

Patient

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AimThe purpose of this study was to translate evidence from Cochrane Reviews into a format that can be used to facilitate shared decision making during the consultation, namely patient decision aids.MethodsA systematic development process (a) established a stakeholder committee; (b) developed a prototype according to the International Patient Decision Aid Standards; (c) applied the prototype to a Cochrane Review and used an interview-guided survey to evaluate acceptability/usability; (d) created 12 consult decision aids; and (e) used a Delphi process to reach consensus on considerations for creating a consult decision aid.ResultsThe 1-page prototype includes (a) a title specifying the decision; (b) information on the health condition, options, benefits/harms with probabilities; (c) an explicit values clarification exercise; and (d) questions to screen for decisional conflict. Hyperlinks provide additional information on definitions, probabilities presented graphically, and references. Fourteen Cochrane Consumer Network members and Cochrane Editorial Unit staff participated. Thirteen reported that it would help patient/clinician discussions and were willing to use and/or recommend it. Seven indicated the right amount of information, six not enough, and one too much. Changes to the prototype were more links to definitions, more white space, and details on GRADE evidence ratings. Creating 12 consult decision aids took about 4 h each. We identified ten considerations when selecting Cochrane Reviews for creating consult decision aids.ConclusionsUsing a systematic process, we developed a consult decision aid prototype to be populated with evidence from Cochrane Reviews. It was acceptable and easy to apply. Future studies will evaluate implementation of consult decision aids.Electronic supplementary materialThe online version of this article (doi:10.1007/s40271-016-0177-9) contains supplementary material, which is available to authorized users.

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The characteristics and effectiveness of Question Prompt List interventions in oncology: a systematic review of the literature

Abstract: Question Prompt List interventions are effective in improving communication, psychological and cognitive outcomes of cancer patients.

Cited by 174 publications

References 41 publications

Feasibility of a quality improvement strategy integrating psychosocial care into 28 medical cancer centers (HuCare project)

Feasibility of a quality improvement strategy integrating psychosocial care into 28 medical cancer centers (HuCare project)

Randomized trial of a question prompt list to increase patient active participation during interactions with black patients and their oncologists

Translating Evidence to Facilitate Shared Decision Making: Development and Usability of a Consult Decision Aid Prototype

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