Managing uncertainty and responding to difficult emotions: Cancer patients’ perspectives on clinician response during the COVID-19 pandemic

Street, Richard L.; Treiman, Katherine; Wu, Qiwei; Kranzler, Elissa C.; Moultrie, Rebecca; Mack, Nicole; Garcia, Reese

doi:10.1016/j.pec.2022.03.029

Cited by 9 publications

(6 citation statements)

References 75 publications

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“…We observed that sub-optimal PCC was associated with poor psychological distress, which aligned with previous findings among cancer survivors during COVID-19 28 . This may highlight the role of PCC as a potential channel to address psychological distress 28 . However, notably, more optimal PCC was associated with chronic depression in our study.…”

Section: Discussionsupporting

confidence: 90%

“…Additionally, chronic medical conditions have not been assessed for potential associations with poor mental health previously among cancer survivors during COVID-19 25 . Moreover, during the pandemic, PCC was significantly associated with cancer survivors’ mental health 28 , and online patient-provider communication (OPPC) became an essential channel to address psychological distress 29 – 31 . However, no studies have investigated the associations of PCC and OPPC with mental health accounting for sociodemographic and clinical factors.…”

Section: Introductionmentioning

confidence: 99%

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Impact of COVID-19, cancer survivorship and patient-provider communication on mental health in the US Difference-In-Difference

Kim,

Linos,

Dove

et al. 2023

npj Mental Health Res

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Poor mental health has been found to be more prevalent among those with cancer and is considered a public health crisis since COVID-19. This study assessed the impact of COVID-19 and cancer survivorship on mental health and investigated factors, including online patient-provider communications (OPPC; email/internet/tablet/smartphone), associated with poor mental health prior to and during the early COVID-19. Nationally representative Health Information National Trends Survey data during 2017–2020 (n = 15,871) was used. While the prevalence of poor mental health was high (40–42%), Difference-In-Difference analyses revealed that cancer survivorship and COVID-19 were not associated with poor mental health. However, individuals that used OPPC had 40% higher odds of poor mental health. Low socioeconomic status (low education/income), younger age (18–64 years), and female birth gender were also associated with poor mental health. Findings highlight the persistence of long-standing mental health inequities and identify that OPPC users might be those who need mental health support.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19, cancer survivorship and patient-provider communication on mental health in the US Difference-In-Difference

Kim,

Linos,

Dove

et al. 2023

npj Mental Health Res

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“…Physician's responsiveness to patients' emotions during communication was signi cantly associated with cancer survivors' poor mental health status during COVID [17], which is important because COVID negatively impacted cancer survivors' mental health, leading to the increased prevalence of depression and anxiety in this population [18][19][20][21]. However, no studies have examined suboptimal PCC among cancer survivors during COVID on a population level despite its potential role in psychosocial distress management.…”

Section: Introductionmentioning

confidence: 99%

Cancer Survivors with Sub-Optimal Patient-Centered Communication Prior to and During the Early COVID Pandemic

Kim

Fairman

Dove

et al. 2023

Preprint

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Purpose Patient-Centered Communication (PCC) is an essential element of patient-centered cancer care. However, our knowledge of recent PCC performance among cancer survivors is limited. Therefore, this study aimed to assess the prevalence of optimal PCC and characterize the sociodemographic and clinical factors associated with optimal PCC in recent years, including during the initial SARS/COVID-19 (COVID) epidemic. Methods This study used nationally representative cross-survey data (Health Information National Trends Survey, 2017 to 2020) among cancer survivors (n = 2,579). We calculated the prevalence of optimal PCC of each domain (%) and the overall PCC prevalence (mean score) by time (pre-COVID, 2017-19 vs. COVID, 2020). Multivariable-adjusted weighted logistic regression models were developed to estimate the odds ratio (OR) and 95% confidence intervals (95% CI) of optimal PCC for each domain, as well as the overall outcome. Results The prevalence of optimal PCC decreased in most domains during COVID compared to pre-COVID up to 7.3% (managing uncertainty). Cancer survivors who reported psychological distress (ORs = 0.45–0.67 little interest or nervousness), did not have a usual source of care (ORs = 1.77–2.34), or were male (ORs = 1.40–1.78) were less likely to have optimal PCC in most domains as well as the overall PCC assessments. Conclusions We identified subgroups of vulnerable cancer survivors with sub-optimal PCC during COVID.

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“…The restricted in-person patient-provider interactions due to Stay At Home Order might have hindered optimal PCC during this time. In addition to this actual limitation of providers' communicational capacity (e.g., closed health care facility, lack of health providers), patients' perceived distance from providers due to the interaction-discouraged atmosphere during this unique time might have been also at play in preventing optimal PCC performance 13 , 15 , 17 . A study reported that physicians’ responsiveness to patients during conversations to help address uncertain and difficult emotions was associated with better health and coping and less psychological distress during COVID-19 [17] , highlighting the importance of PCC.…”

Section: Introductionmentioning

confidence: 99%

Cancer survivors with sub-optimal patient-centered communication before and during the early COVID-19 pandemic

Kim

Fairman

Dove

et al. 2023

Patient Education and Counseling

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Managing uncertainty and responding to difficult emotions: Cancer patients’ perspectives on clinician response during the COVID-19 pandemic

Cited by 9 publications

References 75 publications

Impact of COVID-19, cancer survivorship and patient-provider communication on mental health in the US Difference-In-Difference

Impact of COVID-19, cancer survivorship and patient-provider communication on mental health in the US Difference-In-Difference

Cancer Survivors with Sub-Optimal Patient-Centered Communication Prior to and During the Early COVID Pandemic

Cancer survivors with sub-optimal patient-centered communication before and during the early COVID-19 pandemic

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