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Question Prompt List to Support Patient-Provider Communication in the Use of the 21-Gene Recurrence Test: Feasibility, Acceptability, and Outcomes.
- Source :
- JCO Oncology Practice; Oct2020, Vol. 16 Issue 10, pe1085-e1097, 110p
- Publication Year :
- 2020
-
Abstract
- PURPOSE The 21-gene recurrence score (RS) assay is used to guide breast cancer treatment decisions but can be poorly understood by patients. We examined the effects of a question prompt list (QPL) on knowledge, distress, and decisional conflict related to genomic testing and treatment in early-stage breast cancer. METHODS We describe the feasibility and acceptability of the QPL and the impact of the QPL on knowledge, distress, and decisional conflict before and after the receipt of the QPL (MEND 2, N = 65). We also compared distress and decisional conflict between women who received the QPL (MEND 2, N = 65) and a comparable group of women who did not receive the QPL who participated in an earlier observational study within the same clinics (MEND 1, N = 136). RESULTS MEND 2 participants indicated high acceptability and feasibility using the QPL. Knowledge increased post-QPL (P < .01) but did not decrease distress. Decisional conflict was lower among women in MEND 2 compared with those in MEND 1 (P < .01), with no statistically significant differences in distress. CONCLUSION The findings suggest that the QPL is feasible, acceptable, can improve knowledge and decrease decisional conflict in the large group of women deciding treatment while integrating RS test results. JCO Oncol Pract 16:e1085-e1097. © 2020 by American Society of Clinical Oncology [ABSTRACT FROM AUTHOR]
- Subjects :
- BREAST tumor treatment
COMMUNICATION
CONFLICT (Psychology)
PSYCHOLOGICAL distress
INTERVIEWING
EVALUATION of medical care
PHYSICIAN-patient relations
GENETIC testing
SOCIAL support
PRE-tests & post-tests
HEALTH literacy
DATA analysis software
DESCRIPTIVE statistics
IMPACT of Event Scale
PATIENT decision making
Subjects
Details
- Language :
- English
- ISSN :
- 26881527
- Volume :
- 16
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- JCO Oncology Practice
- Publication Type :
- Academic Journal
- Accession number :
- 146439288
- Full Text :
- https://doi.org/10.1200/JOP.19.00661