Cancer‐related self‐efficacy following a consultation with an oncologist

Nielsen, Berit Kjærside; Mehlsen, Mimi; Jensen, Anders Bonde; Zachariae, Robert

doi:10.1002/pon.3261

Cited by 21 publications

(30 citation statements)

References 41 publications

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“…In addition, patients with cancer can perceive a loss of control in their lives, which can potentially lead to debilitating psychological effects . Other groups have reported that SDM is correlated with a decrease in various psychologically detrimental symptoms, such as patient anxiety .…”

Section: Discussioncontrasting

confidence: 62%

Shared decision‐making and patient control in radiation oncology: Implications for patient satisfaction

Shabason

Mao

Frankel

et al. 2014

Cancer

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BACKGROUND: Shared decision-making (SDM) has been linked to important health care quality outcomes. However, to the authors' knowledge, the value of SDM has not been thoroughly evaluated in the field of radiation oncology. The objective of the current study was to determine the association between SDM and patient satisfaction during radiotherapy (RT). The authors also explored patient desire for and perception of control during RT, and how these factors relate to patient satisfaction, anxiety, depression, and fatigue. METHODS: A cross-sectional survey of 305 patients undergoing definitive RT was conducted. Patients self-reported measured variables during the last week of RT. Relationships between variables were evaluated using chi-square analyses. RESULTS: Among study participants, 31.3% of patients experienced SDM, 32.3% perceived control in treatment decisions, and 76.2% reported feeling very satisfied with their care. Patient satisfaction was associated with perceived SDM (84.4% vs 71.4%; P <.02) and patient-perceived control (89.7% vs 69.2%; P <.001). Furthermore, the perception of having control in treatment decisions was associated with increased satisfaction regardless of whether the patient desired control. Increased anxiety (44.0% vs 20.0%; P <.02), depression (44.0% vs 15.0%; P <.01), and fatigue (68.0% vs 32.9%; P <.01) were reported in patients who desired but did not perceive control over their treatments, compared with those who both desired and perceived control. CONCLUSIONS: The findings of the current study emphasize the value of SDM and patient-perceived control during RT, particularly as it relates to patient satisfaction and psychological distress. Regardless of a patient's desire for control, it is important to engage patients in the decision-making process.

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Section: Discussioncontrasting

confidence: 62%

Shared decision‐making and patient control in radiation oncology: Implications for patient satisfaction

Shabason

Mao

Frankel

et al. 2014

Cancer

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“…Three of these found that the CBI predicted future stress or QoL outcomes [11, 13, 40]. Three studies did not find any correlation/predictor effect of coping efficacy with cancer [15, 18, 42], one found an improvement of the variable after a medical consult (mammogram) [41], one did not show/provided any information [23]. …”

Section: Resultsmentioning

confidence: 99%

A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life

et al. 2017

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Self-efficacy for coping with cancer is a specific construct that refers to behaviors that occur in the course of dealing with a cancer diagnosis, cancer treatments, and transitioning to survivorship. One of the more widely used measures of self-efficacy for coping strategies with cancer is the Cancer Behavior Inventory. The following general questions provide a framework for this research: 1. Is self-efficacy for coping with cancer related to distress and quality of life of a cancer patient?. 2. Do self-efficacy for coping with cancer and the target psychological outcomes (i.e., distress and quality of life) change in longitudinal studies, with or without intervention? One-hundred eighty studies cited the different versions of the Cancer Behavior Inventory and 47 used the scale. Result showed an inverse relationship between self-efficacy for coping with cancer and distress, and a positive relationship between self-efficacy for coping with cancer and Quality of Life, both with a large effect size. The strong relationship of self-efficacy and outcomes, resulted of the specificity of the instrument, which targets specific coping strategies that are closely aligned with positive outcomes in adjusting to cancer. However, the results are consistent with the theory, which states that compared to those with low efficacy, highly efficacious people demonstrate less anxiety and better adjustment in stressful situations and consistent with prior results in which self-efficacy is positively related to quality of life.

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“…anxiety or depression), and has been found to correlate highly with the total distress score of the longer version (r = 0.93) [24]. POMS-11 was used before and after the consultation to evaluate the immediate impact of the encounter on the patients' levels of distress.…”

Section: Questionnairesmentioning

confidence: 99%

“…2) Current level of emotional distress was assessed with the 11-item brief version of The Profile of Mood States (POMS), which has been used in previous studies [24] [25] [26]. POMS is a well-validated measure often used to measure changes in emotional state after interventions for cancer patients [27] [28] [29].…”

Section: Questionnairesmentioning

confidence: 99%

Doctor, Ease My Mind! Associations between Cancer Patients’ Emotional Distress and Their Perception of Patient-Centeredness during Oncology Consultations

Nielsen¹,

Mehlsen²,

Jensen³

et al. 2017

OJN

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Objective: To investigate whether perceived patient-centered communication during oncology consultations relates to patient satisfaction and degree of emotional distress following the medical encounter. Methods: 226 cancer patients attending an oncology outpatient clinic completed questionnaires before and after a consultation including the Physician-Patient Relationship Inventory, the brief Profile of Mood States, and the Information satisfaction questionnaire. Results: Patients who perceived the communication during the consultations to be highly patient-centered were more likely to be maximally satisfied with information provided by the oncologist. Additionally, adjusting for pre-consultation distress, as well as sociodemographic, clinical, and consultation-related variables, patients who perceived the oncologist to communicate in a highly patient-centered manner, experienced lower levels of emotional distress after the consultation. Conclusion: Patient-centered communication may be an important quality in oncology as an approach to positively influence patient outcomes, including emotional distress. However, the findings in the present study of an effect of PCC on patient satisfaction and emotional distress are modest, and no firm conclusions can thus be drawn. Practice Implications: Oncology settings may benefit from the positive effects of patient-centered care and physicians should acknowledge the potential of their own relational competence in order to facilitate patient-centered communication.

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Cancer‐related self‐efficacy following a consultation with an oncologist

Cited by 21 publications

References 41 publications

Shared decision‐making and patient control in radiation oncology: Implications for patient satisfaction

Shared decision‐making and patient control in radiation oncology: Implications for patient satisfaction

A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life

Doctor, Ease My Mind! Associations between Cancer Patients’ Emotional Distress and Their Perception of Patient-Centeredness during Oncology Consultations

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