Improving information to Italian cancer patients: results of a randomized study

Lorenzo, Francesco De; Ballatori, Enzo; Costanzo, Francesco Di; Giacalone, Annalisa; Ruggeri, Benedetta; Tirelli, Umberto

doi:10.1093/annonc/mdh190

Cited by 39 publications

(24 citation statements)

References 14 publications

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“…Lee and Chun (2007) wrote that an empowerment intervention could be effective in improving quality of life of people with chronic disease (25). Moreover, results of this study were consistent with the results of Golchin (23), Sadat (26) and Lorenzo's studies (27). Therefore, applying the above-mentioned method for nurses is considered a new outlook in issue of training patients and family.…”

Section: Discussionsupporting

confidence: 85%

“…More detailed study of quality of life's aspects reflected that quality of life of patients in the case group had better mean values in physical, mental and social aspects after the intervention compared with the control group and, consequently, patients experienced less problems compared with the control group. Lorenzo's study on patients with cancer indicated that using group training by the method of lectures and written materials and videos increased all aspects of quality of life in the test group compared with the control group (27). These results were consistent with the findings of Iconomou et al (28).…”

Section: Discussionsupporting

confidence: 76%

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The Effect of Family-Centered Empowerment Model on the Quality of Life of Patients with Leukemia

Davarpanah

Fayazi

Shariati

et al. 2016

Jundishapur J Chronic Dis Care

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Background: Leukemia is a common cancer among adults with growing prevalence in Iran. This disease affects different aspects of the patient, especially their quality of life. One of the methods to promote hygiene and health and, consequently, quality of life is to empower the family of the patient. Objectives: The effect of family-based empowerment on quality of life in patients with leukemia was studied in this research. Methods: This study was a clinical trial conducted on 46 adult patients with leukemia together with 46 of their family members in 2015. Eligible patients were selected by the available method and randomly placed in two groups of test and control. Tools for gathering data included a demographic questionnaire about the patient and their family member and a specified questionnaire about the quality of life of patients with cancer. Family-based empowerment intervention was held for research samples in the test group based on its quadruple steps (perceived threat, self-efficiency promotion, increase of self-esteem through educational participation, and assessment) in six 90-minute sessions and a second test was conducted a month and half after the intervention. Data were analyzed using the SPSS 20 statistical software. Results: Results of chi-square test reflected that both groups of test and control were similar in terms of demographic information (P > 0.5). Moreover, statistical independent T-test did not show a significant difference in aspects of quality of life in test and control groups before the intervention (P = 0.98) while this test showed a significant difference in both groups after the intervention (P = 0.00), except for the spiritual aspect (p=0.2). Paired T-test indicated a significant increase in aspects of quality of life in the test group after the intervention (p=0.00) while this test reflected a reverse significant difference in general aspect of quality of life in the control group (P = 0.006). Conclusions:In general, results of this research showed that implementing family-based empowerment pattern has been effective for increasing quality of life in patients with leukemia.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 76%

The Effect of Family-Centered Empowerment Model on the Quality of Life of Patients with Leukemia

Davarpanah

Fayazi

Shariati

et al. 2016

Jundishapur J Chronic Dis Care

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“…In Southern European countries, the area of physician-patient communication has been examined in terms of physicians' attitudes toward truthtelling with cancer patients (Arraras et al, 1995;Ferraz Gonc¸alves and Castro, 2001;Gil et al, 2000;, patients' awareness of their disease (Morasso et al, 1997;Mystadikou et al, 1996) and patients' desire for information during communication with their doctors (De Lorenzo et al, 2004;Pimentel et al, 1999). In contrast, no study in these countries has assessed the area of cancer physicians' communications skills, physicians' psychosocial orientation and the relationship between these two variables.…”

Section: Introductionmentioning

confidence: 99%

Physician-patient communication among Southern European cancer physicians: The influence of psychosocial orientation and burnout

et al. 2005

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SUMMARYPhysician-patient communication is a critical factor for comprehensive care in oncology. Although a number of studies have been carried out in Northern Europe and the US on this subject, no data are available in Southern European countries. As a part of a multicenter Southern European Psycho-Oncology study (SEPOS), the present investigation was conducted to examine communication skills and related variables (i.e. psychosocial orientation, and burnout) among 125 physicians from Italy, Portugal, and Spain. The Self-Confidence in Communication Skills (SCCS) scale was given to assess physicians' perception of their communication skills and the Expected Outcome of Communication (EOC) scale was administered to examine the physicians' expectations about the effects of communicating with their patients. Doctors' psychosocial orientation was measured by using the Physician Belief Scale (PBS) and burnout was measured by using the Maslach Burnout Inventory (MBI). Although the physicians reported receiving minimal training in communication during their education, they tended to perceive themselves as skilled in patient communication, apart from some areas (e.g. dealing with denial, managing uncertainty, assessing anxiety and depression, and promoting patient-family openness). Low psychosocial orientation and burnout symptoms (i.e. emotional exhaustion, depersonalization, and poor personal accomplishment in their job) were associated with lower confidence in communication skills and higher expectations of a negative outcome, following physician-patient communication. The results suggest that there is a need for training cancer physicians in communication and for increasing a more definite psychosocially oriented approach in cancer care in Mediterranean countries.

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“…1 im Überblick dargestellt. Übereinstimmend zeigen randomisierte und kontrollierte Studien, dass eine umfassende Information über die Erkrankung und Behandlung zu einer Ver− besserung der Lebensqualität der Patienten führt [43,44]. Die Arbeitsgruppe von Razavi [16, 45 ± 47] [57,58].…”

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Die Bedeutung der Arzt-Patient-Kommunikation für die psychische Belastung und die Inanspruchnahme von Unterstützungsangeboten bei Krebspatienten

Lehmann

Koch

Mehnert

2008

Psychother Psych Med

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A poor doctor-patient-communication in cancer care has negative effects on psychological well being and causes high economic costs. This review analyses the current literature on the impact of communication on distress, satisfaction and utilization of psychosocial services among cancer patients with regard to patients' communication preferences. Crucial to a successful communication seems to be the match of patients' preferences and actual physician's behaviour. However, preferences depend on various factors and can change during the illness trajectory. As preferences often remain unconsidered in everyday practice, they should be assessed repeatedly. For the lack of theoretical foundation, future research should be designed according to theoretical assumptions. In this respect we developed and suggest a model on the impact of patients' preferences on physician-patient-communication, knowledge and use of psychosocial treatment offers that particularly considers psychosocial distress of cancer patients.

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Improving information to Italian cancer patients: results of a randomized study

Abstract: The information patients receive from the oncologist was rated the highest, as long as they were devoted enough time. Booklets and videotapes can partially overcome the lack of oral information given by medical doctors. A better informed patient does help the oncologist save time.

Cited by 39 publications

References 14 publications

The Effect of Family-Centered Empowerment Model on the Quality of Life of Patients with Leukemia

The Effect of Family-Centered Empowerment Model on the Quality of Life of Patients with Leukemia

Physician-patient communication among Southern European cancer physicians: The influence of psychosocial orientation and burnout

Die Bedeutung der Arzt-Patient-Kommunikation für die psychische Belastung und die Inanspruchnahme von Unterstützungsangeboten bei Krebspatienten

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