The Relationship of Patient–Provider Communication on Quality of Life among African-American and White Cancer Survivors

Li, Chien-Ching; Matthews, Alicia K.; Dossaji, Mazahir; Fullam, Francis

doi:10.1080/10810730.2017.1324540

Cited by 38 publications

(19 citation statements)

References 44 publications

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“…We also observed that black or African Americans had higher HRQOL than whites. Previous studies have found that African Americans have a better psychological HRQOL due to higher levels of spirituality and social support [40,41,42]. In our study, 33.3% of black or African Americans reported that they had an anxiety or depression problem, and 48.6% of whites reported that they had such issues (unpublished data).…”

Section: Discussionsupporting

confidence: 55%

Racial and Income Disparities in Health-Related Quality of Life among Smokers with a Quit Attempt in Louisiana

Kao

Celestin

et al. 2019

Medicina

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Background and objectives: Smoking is associated with a lower health-related quality of life (HRQOL). However, there is little information about the association between HRQOL in relation to race, income, and smoking status. The present study aimed to assess the association between HRQOL and smoking status for those of different races and income levels. Materials and Methods: This study applied a cross-sectional design using data from the 2017 patient survey of the Louisiana Tobacco Control Initiative. We obtained 1108 responses from patients at eight Louisiana public hospitals. The EuroQol (EQ-5D) US index score assessed HRQOL. Smoking status was classified into four groups: never smoked, former smoker, current smoker with a quit attempt, and current smoker without a quit attempt. Multivariate linear regression analyses were used to estimate the HRQOL for black or African Americans and whites. Results: The patients were predominantly black or African American (58.9%) with lower-income (71.2%). Bivariate analyses showed that there were differences in income levels between black or African Americans and whites (p = 0.006). Moreover, black or African Americans (median = 0.80) had a higher mean of HRQOL than whites (median = 0.76). Among lower-income black or African Americans, current smokers with a quit attempt had a lower HRQOL than current smokers (coefficient = −0.12; p < 0.01). Conclusions: Racial and income disparities were evident with regards to HRQOL, with lower-income black or African Americans who were current smokers with a quit attempt having a lower HRQOL. Intervention programs for smoking cessation should target lower-income black or African American smokers who have a prior quit attempt and provide effective cessation services to help them quit smoking and improve their HRQOL.

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Section: Discussionsupporting

confidence: 55%

Racial and Income Disparities in Health-Related Quality of Life among Smokers with a Quit Attempt in Louisiana

Kao

Celestin

et al. 2019

Medicina

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“…In 2016, there were an estimated 15.5 million cancer survivors in the United States, and the number is expected to reach 23.6 million by 2030 . Patient‐provider communication (PPC) plays a critical role in diagnosis, treatment, and prognosis of critical health conditions like cancer . Effective communication among cancer patients, survivors, caregivers, and providers facilitates shared decision making and fosters patient‐centered health outcomes .…”

Section: Introductionmentioning

confidence: 99%

Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review

2020

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Objective: Patient-provider communication is a critical component of cancer care. Digital tools have been applied to facilitate cancer care and patient-provider communication. However, to date, there is no systematic review on this growing body of literature. The objective of this study is to identify the existing digital interventions to improve patient-provider communication among cancer patients and survivors, summarize their characteristics, and synthesize the outcomes of these interventions. Methods: We searched the databases of PubMed, CINAHL, and PsycINFO using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines with the following criteria: (a) empirical studies focusing on digital interventions to facilitate communication between cancer patients or survivors and their health care providers, (b) reporting qualitative or quantitative health outcomes of the cancer patients or survivors after the digital intervention, and (c) English articles published after 2000. Results: The initial literature search generated 1006 articles; only 13 met the inclusion criteria. Most of the studies were conducted among breast, prostate, and lung cancer patients. Ten out of 13 studies used randomized controlled trials to evaluate intervention efficacy. The outcomes assessed included symptoms reporting and management, decision making, distress and quality of life, and utilization of health care. Most studies reported positive outcomes following the interventions. Conclusions: The existing evidence on the number, characteristics, and outcomes of digital interventions to improve patient-provider communication suggests the preliminary efficacy of such interventions. It is essential to develop and implement more evidence-based digital interventions to engage patients, enhance patient-provider communication, and facilitate patient-centered decision making to improve patientcentered health outcomes, especially in underserved communities of cancer patients and survivors. K E Y W O R D S cancer patients, cancer survivors, digital intervention, patient-provider communication, review

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“…Providers who are uninformed on medical cannabis, resistant to its usage, or unwilling to discuss its usage with patients emerged as a barrier to medical cannabis use, which has clinical implications for the patient–provider relationship and access to care. Patient–provider communication has been examined as a factor that can facilitate or impede access to care and has been found to impact treatment outcomes (Li et al, 2017), particularly when it involves discussion of stigmatized topics. Some participants reported that their providers dismissed requests to discuss medical cannabis (i.e., did not explain their positive or dissenting stances on medical cannabis use).…”

Section: Discussionmentioning

confidence: 99%

Self-Efficacy in Researching and Obtaining Medical Cannabis by Patients With Chronic Conditions

et al. 2020

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Background. Due to the increasing availability of medical-grade cannabis for treatment of chronic conditions, we examined how prospective users navigate the process of researching, procuring, and using cannabis. Given the barriers prospective users experience, self-efficacy may be a factor for those who incorporate cannabis into treatment. Aims. The purpose of this study was to identify behaviors associated with self-efficacy in the context of researching, procuring, and using cannabis. We analyzed narratives of patients who obtained legal medical cannabis in the currently complex medical, legal, and social landscape. Method. Data were collected through 30 telephone interviews utilizing a semistructured interview protocol, which were analyzed using inductive coding. The protocol emphasized four topics: (a) symptom management/pain reduction, (b) provider communication about chronic conditions/cannabis, (c) perspectives on medicinal cannabis and stigma, and (d) views on recreational cannabis. Results. Participants demonstrated self-efficacy in three contexts: (a) self-directed experimentation with cannabis strains, dosages, and administration methods; (b) managing care by selecting and educating their providers; and (c) information-seeking and research behaviors. Discussion. High self-efficacy may be an important factor in navigating the medical cannabis process. Results suggest that providers who are not prepared to partner with patients as they seek information about medical cannabis may be replaced by dispensaries and websites with expertise in cannabis but without understanding of patients’ medical conditions and individual needs. Conclusion. Patients with higher self-efficacy may engage in various activities to investigate, procure, experiment with, and incorporate medical cannabis into their condition management outside the purview of their providers.

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The Relationship of Patient–Provider Communication on Quality of Life among African-American and White Cancer Survivors

Cited by 38 publications

References 44 publications

Racial and Income Disparities in Health-Related Quality of Life among Smokers with a Quit Attempt in Louisiana

Racial and Income Disparities in Health-Related Quality of Life among Smokers with a Quit Attempt in Louisiana

Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review

Self-Efficacy in Researching and Obtaining Medical Cannabis by Patients With Chronic Conditions

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