Physicians privilege responding to emotional cues in oncologic consultations: A study utilizing Verona Coding Definitions of Emotional Sequences

Romeiro, Fernanda Bittencourt; Felizardo, Deivid de Franceschi; Castro, Elisa Kern de; Figueiredo-Braga, Margarida

doi:10.1177/1359105320909862

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…Healthcare providers provided space to talk about approximately half of all cues and concerns (54%). These results are consistent with those of other qualitative observational studies [26,27], although space was provided less frequently (approximately 40%) in an observational study among cancer survivors in Brazil [28]. A possible explanation for this difference is that we coded unpleasant and bothersome symptoms as part of the patients' cues and concerns.…”

Section: Comparison To Existing Literaturesupporting

confidence: 88%

“…The VR-CoDES have been previously used to identify cues and concerns in patients with other types of cancer, who may experience different types of problems during follow-up than those experienced by colon cancer patients [26][27][28]. The questions, cues, and concerns identified in this study largely overlapped those described in quantitative research [5][6][7].…”

Section: Comparison To Existing Literaturementioning

confidence: 87%

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Addressing colon cancer patients’ needs during follow-up consultations at the outpatient clinic: a multicenter qualitative observational study

Vos

Duineveld

Miltenburg

et al. 2022

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Purpose To describe colon cancer patients’ needs and how healthcare providers respond to these needs during routine follow-up consultations in hospital. Methods A multicenter qualitative observational study, consisting of follow-up consultations by surgeons and specialized oncology nurses. Consultations were analyzed according to Verona Coding Definitions of Emotional Sequences. Patients’ questions, cues, and concerns were derived from the data and categorized into supportive care domains. Responses of healthcare providers were defined as providing or reducing space for disclosure. Patient satisfaction with care was measured with a short questionnaire. Results Consultations with 30 patients were observed. Questions typically centered around the health system and information domain (i.e., follow-up schedule and test results; 92%). Cues and concerns were mostly associated with the physical and daily living domain (i.e., experiencing symptoms and difficulties resuming daily routine; 43%), followed by health system and information (i.e., miscommunication or lack of clarity about follow-up; 28%), and psychological domain (i.e., fear of recurrence and complications; 28%). Problems in the sexuality domain hardly ever arose (0%). Healthcare providers provided space to talk about half of the cues and concerns (54%). Responses to cancer-related versus unrelated problems were similar. Overall, the patients were satisfied with the information and communication received. Conclusions Colon cancer patients express various needs during consultations. Healthcare providers respond to different types of needs in a similar fashion. We encourage clinicians to discuss all supportive care domains, including sexuality, and provide space for further disclosure. General practitioners are trained to provide holistic care and could play a greater role.

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Section: Comparison To Existing Literaturesupporting

confidence: 88%

Section: Comparison To Existing Literaturementioning

confidence: 87%

Addressing colon cancer patients’ needs during follow-up consultations at the outpatient clinic: a multicenter qualitative observational study

Vos

Duineveld

Miltenburg

et al. 2022

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“…Patients with cancer express more cues on underlying the disease than explicit concerns, and physicians often use directive responses, with advice and clinical information, rather than empathetic and affective responses that encourage the patient to express their negative emotions (6)(7)(8)(9) . In consultations, patients express different cues and concerns, and p physicians recognized just a few of these cues (10)(11)(12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

How physicians respond to the emotional expressions of people with cancer

2023

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The aim of study is to examine patient emotional cues to oncologists’ responses and explore the association between the concerns and emotional cues during the consultation and the physicians’ response to them throughout treatment, satisfaction, and the assessment of the patients’ perception of the established communication. Cross-sectional design, involved 12 adults patients undergoing cancer treatment and eight physicians in the study. The twelve video-recorded medical consultations werecoded (349 cues/concern) using the Verona coding definitions of emotional sequences (VR-CoDES). A strong association between explicit with reducing space responses and the physiological symptoms cues (x²=6.029; p=0.014), and related to the repetition cue of the content by the patient (x²=5.599; p=0.018) was observed. Patients expressed fewer non-verbal behaviors (for example, crying, silence, silent pauses), as they had been undergoing treatment for a longer time, therefore, provided with more empathic responses from physicians. The identification of emotions can help physicians to further explore patients’ underlying cues that reveal emotional distress concerning illness and treatment in a less explicit way. There is a need for improvement in the physician’s ability to recognize patients’ concerns and to provide space for patients to have comprehensive health care, considering the severity of cancer disease and its negative emotional impacts for patients.

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The First Encounter with Oncology: Patient Experience and Requisite Trust

Ahluwalia,

Epstein

2024

Psychiatry Update

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Physicians privilege responding to emotional cues in oncologic consultations: A study utilizing Verona Coding Definitions of Emotional Sequences

Cited by 5 publications

References 28 publications

Addressing colon cancer patients’ needs during follow-up consultations at the outpatient clinic: a multicenter qualitative observational study

Addressing colon cancer patients’ needs during follow-up consultations at the outpatient clinic: a multicenter qualitative observational study

How physicians respond to the emotional expressions of people with cancer

The First Encounter with Oncology: Patient Experience and Requisite Trust

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