Addressing patients' information needs: a first evaluation of a question prompt sheet in the pretreatment consultation for patients with esophageal cancer

Dis Esophagus. 2012 Aug;25(6):512-9. doi: 10.1111/j.1442-2050.2011.01274.x. Epub 2011 Nov 4.

Abstract

This study aims to develop and pilot a question prompt sheet to assist esophageal cancer patients to obtain desired information in the consultation in which potentially curative esophagectomy is discussed. Whether a prompt sheet affected patients' question asking, the number and scope of topics discussed, the length of the consultation, and patients' satisfaction is investigated. Patients (n= 30) were randomized either to receive care as usual (control group) or to receive a prompt sheet (intervention group). All patients completed a baseline questionnaire, their consultations were audio-recorded and content-coded, and they received a structured telephone interview 2 days after the consultation to assess satisfaction. Patients provided with the prompt sheet marked a median of 19 questions. They asked significantly more questions as compared with patients in the control group (median of 12 vs. 8 questions). Questions mainly addressed treatment options and procedures. No differences were found with regard to consultation length and patient satisfaction. Our results suggest that providing patients with a simple, easy-to-implement tool such as a question prompt is appreciated and helps patients to ask more questions during the consultation without increasing the length of the consultation.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Access to Information
  • Aged
  • Aged, 80 and over
  • Communication*
  • Esophageal Neoplasms / psychology*
  • Female
  • Health Services Needs and Demand
  • Humans
  • Information Seeking Behavior*
  • Male
  • Middle Aged
  • Patient Education as Topic / methods
  • Patient Participation / methods*
  • Patient Participation / psychology
  • Patient Satisfaction
  • Physician-Patient Relations
  • Pilot Projects
  • Quality of Life