癌症幸存者中以患者为中心的交流和癌症信息寻求经历：美国一项基于人群的研究

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-02-21 DOI:10.1016/j.pec.2025.108710

Asos Mahmood , Satish Kedia , Deborah O. Ogunsanmi , Umar Kabir , Coree Entwistle

{"title":"癌症幸存者中以患者为中心的交流和癌症信息寻求经历：美国一项基于人群的研究","authors":"Asos Mahmood , Satish Kedia , Deborah O. Ogunsanmi , Umar Kabir , Coree Entwistle","doi":"10.1016/j.pec.2025.108710","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate associations between patient-centered communication (PCC) and two elements of cancer information-seeking experience (i.e., effort and frustration) among cancer survivors.</div></div><div><h3>Methods</h3><div>We utilized secondary data from the U.S. National Cancer Institute’s Health Information National Trends Survey ([HINTS5 cycles 2 (2018) and 4 (2020)], and [HINTS6 (2022)]) for 1346 self-identified cancer survivors (aged ≥18 years) who reported ever seeking cancer information from any source and ≥one healthcare provider visit during the past 12 months. We fit multivariable logistic regression models to compute adjusted odds ratios (aORs) and associated 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Approximately 40 % of cancer survivors reported that it took them significant effort to seek needed cancer information, and 33.8 % felt frustrated doing so. With each unit increase on the PCC score scale, cancer survivors were about 1.5 % and almost 2.0 % less likely to perceive extra effort in seeking cancer information (aOR=0.986; 95 % CI: 0.977, 0.996) or report frustration while doing so (aOR=0.981; 95 % CI: 0.973, 0.990), respectively.</div></div><div><h3>Conclusions</h3><div>The findings demonstrate that better PCC is associated with improved cancer information-seeking experiences.</div></div><div><h3>Practice implications</h3><div>PCC could potentially empower cancer survivors to take a more active role in self-care and decision-making while reducing uncertainty and optimizing cancer information-seeking experiences.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"135 ","pages":"Article 108710"},"PeriodicalIF":2.9000,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Patient-centered communication and cancer information-seeking experiences among cancer survivors: A population-based study in the United States\",\"authors\":\"Asos Mahmood , Satish Kedia , Deborah O. Ogunsanmi , Umar Kabir , Coree Entwistle\",\"doi\":\"10.1016/j.pec.2025.108710\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>To investigate associations between patient-centered communication (PCC) and two elements of cancer information-seeking experience (i.e., effort and frustration) among cancer survivors.</div></div><div><h3>Methods</h3><div>We utilized secondary data from the U.S. National Cancer Institute’s Health Information National Trends Survey ([HINTS5 cycles 2 (2018) and 4 (2020)], and [HINTS6 (2022)]) for 1346 self-identified cancer survivors (aged ≥18 years) who reported ever seeking cancer information from any source and ≥one healthcare provider visit during the past 12 months. We fit multivariable logistic regression models to compute adjusted odds ratios (aORs) and associated 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Approximately 40 % of cancer survivors reported that it took them significant effort to seek needed cancer information, and 33.8 % felt frustrated doing so. With each unit increase on the PCC score scale, cancer survivors were about 1.5 % and almost 2.0 % less likely to perceive extra effort in seeking cancer information (aOR=0.986; 95 % CI: 0.977, 0.996) or report frustration while doing so (aOR=0.981; 95 % CI: 0.973, 0.990), respectively.</div></div><div><h3>Conclusions</h3><div>The findings demonstrate that better PCC is associated with improved cancer information-seeking experiences.</div></div><div><h3>Practice implications</h3><div>PCC could potentially empower cancer survivors to take a more active role in self-care and decision-making while reducing uncertainty and optimizing cancer information-seeking experiences.</div></div>\",\"PeriodicalId\":49714,\"journal\":{\"name\":\"Patient Education and Counseling\",\"volume\":\"135 \",\"pages\":\"Article 108710\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2025-02-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Patient Education and Counseling\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0738399125000771\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient Education and Counseling","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0738399125000771","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

目的探讨癌症幸存者以患者为中心的沟通（PCC）与癌症信息寻求体验的两个要素（即努力和挫折）之间的关系。方法：我们利用来自美国国家癌症研究所健康信息国家趋势调查([HINTS5周期2（2018）和4（2020)]和[HINTS6(2022)]）的二手数据，对1346名自我确认的癌症幸存者（年龄≥18岁）进行调查，这些患者报告在过去12个月内曾从任何来源寻求癌症信息，并访问过≥一次医疗保健提供者。我们拟合多变量logistic回归模型来计算校正优势比（aORs）和相关的95% %置信区间（CIs）。大约40% %的癌症幸存者报告说，他们花了很大的努力来寻求所需的癌症信息，33.8% %的人感到沮丧。随着PCC评分量表的每一个单位的增加，癌症幸存者在寻求癌症信息方面所付出的额外努力减少了约1.5 %和近2.0 % (aOR=0.986；95 % CI: 0.977, 0.996)或报告在这样做时感到沮丧(aOR=0.981；95 % CI: 0.973, 0.990)。结论：研究结果表明，更好的PCC与改善的癌症信息寻求体验相关。实践意义spcc可能潜在地使癌症幸存者在自我护理和决策中发挥更积极的作用，同时减少不确定性并优化癌症信息寻求体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Patient-centered communication and cancer information-seeking experiences among cancer survivors: A population-based study in the United States

Objectives

To investigate associations between patient-centered communication (PCC) and two elements of cancer information-seeking experience (i.e., effort and frustration) among cancer survivors.

Methods

We utilized secondary data from the U.S. National Cancer Institute’s Health Information National Trends Survey ([HINTS5 cycles 2 (2018) and 4 (2020)], and [HINTS6 (2022)]) for 1346 self-identified cancer survivors (aged ≥18 years) who reported ever seeking cancer information from any source and ≥one healthcare provider visit during the past 12 months. We fit multivariable logistic regression models to compute adjusted odds ratios (aORs) and associated 95 % confidence intervals (CIs).

Results

Approximately 40 % of cancer survivors reported that it took them significant effort to seek needed cancer information, and 33.8 % felt frustrated doing so. With each unit increase on the PCC score scale, cancer survivors were about 1.5 % and almost 2.0 % less likely to perceive extra effort in seeking cancer information (aOR=0.986; 95 % CI: 0.977, 0.996) or report frustration while doing so (aOR=0.981; 95 % CI: 0.973, 0.990), respectively.

Conclusions

The findings demonstrate that better PCC is associated with improved cancer information-seeking experiences.

Practice implications

PCC could potentially empower cancer survivors to take a more active role in self-care and decision-making while reducing uncertainty and optimizing cancer information-seeking experiences.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.