Values and options in cancer care (VOICE): Study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers

Michael Hoerger, Ronald M. Epstein, Paul C. Winters, Kevin Fiscella, Paul R. Duberstein, Robert Gramling, Phyllis N. Butow, Supriya G. Mohile, Paul Kaesberg, Wan Tang, Sandy Plumb, Adam Walczak, Anthony L. Back, Daniel J Tancredi, Alison Venuti, Camille Cipri, Gisela Escalera, Carol Ferro, Don Gaudion, Beth HohBlair Leatherwood, Linda Lewis, Mark Robinson, Peter Sullivan, Richard L Kravitz

Research output: Contribution to journalArticlepeer-review

86 Scopus citations

Abstract

Background: Communication about prognosis and treatment choices is essential for informed decision making in advanced cancer. This article describes an investigation designed to facilitate communication and decision making among oncologists, patients with advanced cancer, and their caregivers.Methods/design: The Values and Options in Cancer Care (VOICE) Study is a National Cancer Institute sponsored randomized controlled trial conducted in the Rochester/Buffalo, NY and Sacramento, CA regions. A total of 40 oncologists, approximately 400 patients with advanced cancer, and their family/friend caregivers (one per patient, when available) are expected to enroll in the study. Drawing upon ecological theory, the intervention uses a two-pronged approach: oncologists complete a multifaceted tailored educational intervention involving standardized patient instructors (SPIs), and patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions and concerns. Follow-up data will be collected approximately quarterly for up to three years.Discussion: The intervention is hypothesized to enhance patient-centered communication, quality of care, and patient outcomes. Analyses will examine the effects of the intervention on key elements of physician-patient-caregiver communication (primary outcomes), the physician-patient relationship, shared understanding of prognosis, patient well-being, and health service utilization (secondary outcomes).Trial registration: Clinical Trials Identifier: NCT01485627.

Original languageEnglish (US)
Article number188
JournalBMC Cancer
Volume13
DOIs
StatePublished - Apr 9 2013

Keywords

  • Cancer
  • Caregivers
  • Communication
  • Decision making
  • End-of-life care
  • Palliative care
  • Patient-centered care
  • Physician-patient relations
  • Quality of life
  • Utilization

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Genetics

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