Meghan McDarby, Emily Mroz, Leah E Walsh, Charlotte Malling, Marina Chilov, William E Rosa, Amanda Kastrinos, Kelly M McConnell, Patricia A Parker
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引用次数: 0
Abstract
Background: High quality communication between individuals with cancer and their clinicians is a cornerstone of patient-centered oncology practice. Many communication skills training interventions have been evaluated to support either oncology clinicians or patients. However, there is little information regarding the scope and efficacy of combined communication interventions in oncology, or communication interventions targeting both patients and clinicians.
Aims: To systematically examine randomized controlled trials of combined communication interventions in oncology settings.
Methods: Four databases (Pubmed, Embase, PsycINFO, and Cochrane Central Register of Controlled Trials) were searched using strategies developed by an expert librarian. All years were searched through May 2024. We followed PRISMA guidelines for reporting and used the Risk of Bias 2.0 assessment tool.
Results: The search yielded 3983 records. We assessed 52 full text articles, 13 of which were eligible (8 describing cluster randomized controlled trials, 5 describing individual randomized controlled trials). Results indicate that combined communication interventions may increase patient-centered communication in oncology settings but may be less effective in improving patient care and related outcomes.
Conclusions: Combined communication interventions in oncology settings and the outcomes measured to evaluate them are heterogeneous. This makes it difficult to determine the efficacy of combined communication interventions, the mechanisms by which these interventions improve patient-clinician communication as well as patient care and related outcomes, and which outcomes are most likely to be improved. Future work should clarify key targets of change for combined communication interventions and outcomes expected to be associated with patient-focused and clinician-focused intervention components.
背景:癌症患者与临床医生之间的高质量沟通是以患者为中心的肿瘤学实践的基石。许多沟通技巧培训干预措施已被评估,以支持肿瘤临床医生或患者。然而,关于肿瘤学中联合沟通干预的范围和有效性,或针对患者和临床医生的沟通干预的信息很少。目的:系统地检查肿瘤环境中联合通信干预的随机对照试验。方法:4个数据库(Pubmed、Embase、PsycINFO和Cochrane Central Register of Controlled Trials)采用专家图书馆员制定的策略进行检索。所有年份都被搜索到了2024年5月。我们遵循PRISMA指南进行报告,并使用偏倚风险2.0评估工具。结果:搜索产生了3983条记录。我们评估了52篇全文文章,其中13篇符合条件(8篇描述集群随机对照试验,5篇描述个体随机对照试验)。结果表明,联合沟通干预可能会增加肿瘤环境中以患者为中心的沟通,但可能在改善患者护理和相关结果方面效果较差。结论:肿瘤环境中的联合沟通干预和评估它们的结果是不一致的。这使得很难确定联合沟通干预的有效性,这些干预措施改善医患沟通以及患者护理和相关结果的机制,以及哪些结果最有可能得到改善。未来的工作应该明确联合沟通干预的关键目标,以及预期与以患者为中心和以临床医生为中心的干预成分相关的结果。
期刊介绍:
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.