Physician-Patient Communication About Breast Cancer-Related Internet Information and Its Effect on Patient Satisfaction and Anxiety

Breast Cancer Clinical Trial

Official title:

Physician-Patient Communication About Breast Cancer-Related Internet Information and Its Effect on Patient Satisfaction and Anxiety

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00712569
• Other study ID #: 08-079
• Secondary ID: NIHNCIR03CA13059
• Status: Completed
• Phase: N/A
• First received: July 7, 2008
• Last updated: February 5, 2015
• Start date: June 2008
• Est. completion date: February 2015

Study information

• Verified date: February 2015
• Source: Memorial Sloan Kettering Cancer Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to learn about how patients who have looked up cancer-related information on the internet talk with their doctors. We are interested in these conversations even if the patients do not think they will talk about the information with their doctor during their visit. We will audio record doctor-patient visits and listen to these recordings to learn about how patients who have looked up cancer-related internet information talk to their doctors and how their doctors talk to them. We will also give patients questionnaires before and after their appointments to learn about what they think about communicating with their doctors.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 85
• Est. completion date: February 2015
• Est. primary completion date: February 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

Subject Inclusion Criteria for Patients

• Female

• Diagnosis of breast cancer

• Pre-surgery (*for breast surgeon patients only)

• Report that they have read breast cancer-related internet information since their diagnosis with breast cancer.

• Provide informed consent

Subject Inclusion Criteria Physicians

• Breast surgeon or breast medical oncologist

• Agree to participate in study and one of 10 selected participants

• Provide inform consent

Exclusion Criteria:

Exclusion Criteria for Patients

• Less than 21 years of age

• Cognitive or physical impairment rendering patients incapable of providing informed consent to participate in the study

• As the measures and coding system are all written in English, subjects who are not fluent in English will be excluded.

Exclusion Criteria for Physicians

Study Design

Observational Model: Case-Crossover, Time Perspective: Prospective

Related Conditions & MeSH terms

• Breast Cancer
• Breast Neoplasms

Intervention

Behavioral:
• questionnaires
Patients in Category 1 are those who report before the visit that they intend to discuss cancer-related internet information and report after the visit that they did discuss such information. The coding of these patients' consultations with their physicians and analysis of their pre- and post-consultation questionnaires will address Aims 1 and 2.
• audio recordings , questionnaires
Patients in Category 2 are those who report before the visit that they intend to discuss cancer-related internet information, but report after the visit that they did not discuss such information. This category is important as our previous research indicates that sometimes patients do not discuss information because they feel there is not enough time or because the information is irrelevant or repetitive. These patients' audio recordings will be checked to verify that there was no internet information discussion. These audio recordings will not be coded. However, assessment of these patients' questionnaires will aid in addressing Aim 3 and may provide some pilot data on why patients who initially intend to discuss internet information do not.
• audio recorded questionnaires
Patients in Category 3 are those who report before the visit that they do not intend to discuss cancer-related internet information and do not discuss it. Assessment of these patients' questionnaires will aid in addressing Aim 3. These audio recordings will not be coded. It is important, however, that these consultations be audio recorded for two reasons: First, it allows the physician to remain blinded to the intent of the patient to discuss internet information. Second, it provides a method of verifying that the patient really did not discuss internet information. Although not expected, it is possible for a patient to go into a consultation without intending to discuss internet information, but does end up discussing it. We will note if this occurs.

Locations

Country	Name	City	State
United States	Memorial Sloan-Kettering Cancer Center at Commack	Commack	New York
United States	Memorial Sloan-Kettering Cancer Center	New York	New York
United States	Memoral Sloan Kettering Cancer Center@Phelps	Sleepy Hollow	New York

Sponsors (3)

Lead Sponsor	Collaborator
Memorial Sloan Kettering Cancer Center	National Cancer Institute (NCI), National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	patients in Category 1 (those who have been recorded discussing internet information with their physician) are pt satisfaction & pt anxiety. PT satisfaction with the consultation is an outcome assessed only at the end of the consultation.		conclusion of the study	No
Primary	To examine the effect of physician responses to cancer-related internet information on patient satisfaction and anxiety. (Category 1 patients).		conclusion of study	No
Secondary	To identify cancer patients' reasons for not discussing cancer-related internet information with their physicians. (Category 2 and 3 patients).		conclusion of study	No

External Links

•   Memorial Sloan-Kettering Cancer Center