Abstract
Objective: This study examined the effect of a theoretically grounded, tailored education-coaching intervention to help patients more effectively discuss their pain-related questions, concerns, and preferences with physicians. Methods: Grounded in social-cognitive and communication theory, a tailored education-coaching (TEC) intervention was developed to help patients learn pain management and communication skills. In a RCT, 148 cancer patients agreed to have their consultations audio-recorded and were assigned to the intervention or a control group. The recordings were used to code for patients' questions, acts of assertiveness, and expressed concerns and to rate the quality of physicians' communication. Results: Patients in the TEC group discussed their pain concerns more than did patients in the control group. More active patients also had more baseline pain and interacted with physicians using participatory decision-making. Ratings of physicians' information about pain were higher when patients talked more about their pain concerns. Conclusions: The study demonstrates the efficacy of a theoretically grounded, coaching intervention to help cancer patients talk about pain control. Practice implications: Coaching interventions can be effective resources for helping cancer patients communicate about their pain concerns if they are theoretically grounded, can be integrated within clinical routines, and lead to improve health outcomes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 42-47 |
| Number of pages | 6 |
| Journal | Patient Education and Counseling |
| Volume | 80 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 2010 |
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Keywords
- Cancer
- Pain
- Patient participation
- Physician-patient communication
ASJC Scopus subject areas
- Medicine(all)
Cite this
Improving physician-patient communication about cancer pain with a tailored education-coaching intervention. / Street, Richard L.; Slee, Christina; Kalauokalani, Donna K.; Dean, Dionne Evans; Tancredi, Daniel J; Kravitz, Richard L.
In: Patient Education and Counseling, Vol. 80, No. 1, 07.2010, p. 42-47.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Improving physician-patient communication about cancer pain with a tailored education-coaching intervention
AU - Street, Richard L.
AU - Slee, Christina
AU - Kalauokalani, Donna K.
AU - Dean, Dionne Evans
AU - Tancredi, Daniel J
AU - Kravitz, Richard L
PY - 2010/7
Y1 - 2010/7
N2 - Objective: This study examined the effect of a theoretically grounded, tailored education-coaching intervention to help patients more effectively discuss their pain-related questions, concerns, and preferences with physicians. Methods: Grounded in social-cognitive and communication theory, a tailored education-coaching (TEC) intervention was developed to help patients learn pain management and communication skills. In a RCT, 148 cancer patients agreed to have their consultations audio-recorded and were assigned to the intervention or a control group. The recordings were used to code for patients' questions, acts of assertiveness, and expressed concerns and to rate the quality of physicians' communication. Results: Patients in the TEC group discussed their pain concerns more than did patients in the control group. More active patients also had more baseline pain and interacted with physicians using participatory decision-making. Ratings of physicians' information about pain were higher when patients talked more about their pain concerns. Conclusions: The study demonstrates the efficacy of a theoretically grounded, coaching intervention to help cancer patients talk about pain control. Practice implications: Coaching interventions can be effective resources for helping cancer patients communicate about their pain concerns if they are theoretically grounded, can be integrated within clinical routines, and lead to improve health outcomes.
AB - Objective: This study examined the effect of a theoretically grounded, tailored education-coaching intervention to help patients more effectively discuss their pain-related questions, concerns, and preferences with physicians. Methods: Grounded in social-cognitive and communication theory, a tailored education-coaching (TEC) intervention was developed to help patients learn pain management and communication skills. In a RCT, 148 cancer patients agreed to have their consultations audio-recorded and were assigned to the intervention or a control group. The recordings were used to code for patients' questions, acts of assertiveness, and expressed concerns and to rate the quality of physicians' communication. Results: Patients in the TEC group discussed their pain concerns more than did patients in the control group. More active patients also had more baseline pain and interacted with physicians using participatory decision-making. Ratings of physicians' information about pain were higher when patients talked more about their pain concerns. Conclusions: The study demonstrates the efficacy of a theoretically grounded, coaching intervention to help cancer patients talk about pain control. Practice implications: Coaching interventions can be effective resources for helping cancer patients communicate about their pain concerns if they are theoretically grounded, can be integrated within clinical routines, and lead to improve health outcomes.
KW - Cancer
KW - Pain
KW - Patient participation
KW - Physician-patient communication
UR - http://www.scopus.com/inward/record.url?scp=77953544309&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77953544309&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2009.10.009
DO - 10.1016/j.pec.2009.10.009
M3 - Article
C2 - 19962845
AN - SCOPUS:77953544309
VL - 80
SP - 42
EP - 47
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 1
ER -