Sharing vs. caring—The relative impact of sharing decisions versus managing emotions on patient outcomes

Smith, Allan Ben; Juraskova, Ilona; Butow, Phyllis; Miguel, Caroline; Lopez, Anna-Lena; Chang, Sarah; Brown, Richard F.; Bernhard, Jürg

doi:10.1016/j.pec.2010.04.001

Cited by 65 publications

(46 citation statements)

References 34 publications

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“…Although Smith et al [28] found substantial correlations with patient satisfaction, no association was found by Goossenen et al [13] and Butow et al [23]. However, the latter study reported moderate correlations between OPTION and the Satisfaction with Decision Scale four months after the initial consultation.…”

Section: Correlation With Other Measuresmentioning

confidence: 87%

“…Additionally, convergence of observation-based ratings of patient involvement in decision making (original OPTION score) and observation-based ratings of actual patient involvement (e.g., number of questions) should be expected (see Kasper et al in this issue). Another validation approach would include the examination of OPTION scores with regard to meaningful patient outcomes [28]. Moreover, the performance of SDM competencies assessed by OPTION should be tested concurrently by comparing OPTION scores with more general aspects of physician-patient communication from other observation-based measures (e.g., Roter Interaction Analysis System [47], Four Habits Coding Scheme [48], and Medical Interaction System [49]).…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

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The OPTION scale for the assessment of shared decision making (SDM): methodological issues

Nicolai

Moshagen

Eich

et al. 2012

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Section: Correlation With Other Measuresmentioning

confidence: 87%

Section: Conclusion and Recommendationsmentioning

confidence: 99%

The OPTION scale for the assessment of shared decision making (SDM): methodological issues

Nicolai

Moshagen

Eich

et al. 2012

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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“…As highlighted by Smith et al, it is important that doctors focus on both instrumental tasks, such as sharing decisions, and emotion management in consultations [26]. This is the first time evidence has been provided to support that timing, that is, 'when to do what' rather than 'what should be done', has become crucial to clinical practice, which has the potential to influence patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

How head and neck consultants manage patients’ emotional distress during cancer follow-up consultations: a multilevel study

Zhou

Humphris

Ghazali

et al. 2014

Eur Arch Otorhinolaryngol

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Abstract:Objectives: Head and neck cancer (HNC) patients suffer substantial emotional problems. This study aimed to explore how utterance-level variables (source, type and timing of emotional cues) and patient-level variables (e.g. age, gender and emotional wellbeing) relate to consultants' responses (i.e. reducing or providing space) to patient expressions of emotional distress.Methods: Forty-three HNC outpatient follow-up consultations were audio recorded and coded, for patients' expressions of emotional distress and consultants' responses, using the Verona Coding Definitions of Emotional Sequence (VR-CoDES). Multilevel logistic regression modelled the probability of the occurrence of consultant reduce space response as a function of patient distress cue expression, controlling for consultation and patient-related variables.Results: An average of 3.5 cues/concerns (range 1-20) was identified per consultation where 84 out of 152 total cues/concerns were responded by reducing space. Cue type did not impact on response; likewise for the quality of patient emotional wellbeing. However, consultants were more likely to reduce space to cues elicited by patients, as opposed to those initiated by themselves. This reduce space response was more pronounced as the consultation continued. However, about six minutes into the consultation, this effect (i.e. tendency to block patients) started to weaken.Conclusions: Head and neck consultants' responses to negative emotions depended on source and timing of patient emotional expressions. The findings are useful for training programme development to encourage consultants to be more flexible and open in the early stages of the consultation.

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“…PCC may also influence the patients' level of emotional distress; however, the evidence is rather small and inconclusive. Whereas physicians' empathy have been associated with less patient distress in some studies [10] [11] [12], other studies have found that empathy was associated with increased patient distress after their visit [13]. Moreover, other studies found no associations [14] [15].…”

Section: Introductionmentioning

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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Sharing vs. caring—The relative impact of sharing decisions versus managing emotions on patient outcomes

Cited by 65 publications

References 34 publications

The OPTION scale for the assessment of shared decision making (SDM): methodological issues

The OPTION scale for the assessment of shared decision making (SDM): methodological issues

How head and neck consultants manage patients’ emotional distress during cancer follow-up consultations: a multilevel study

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

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