Abstract

Objectives

This study is based on a multi-centered RCT conducted on breast cancer patients during their first consultation with an oncologist. The main aim was to evaluate whether the introduction of a communication tool (i.e., the Question Prompt Sheet or Question Listing), with or without a companion, impacted the number of questions asked by patients during the consultation, and subsequent psychological and relational outcomes.

Methods

The sample consisted of 324 breast cancer patients who were randomly placed into one of the two intervention groups: Question Prompt Sheet or Question Listing. Before and after the consultation, patients completed a set of standardized instruments: Satisfaction with decisions made during the consultation (SWD), Shared Decision Making Questionnaire (SDMQ-9), Patient Enablement Instrument (PEI), Patient Health Questionnaire Depression scale (PHQ-9), General Health Questionnaire (GHQ-12),

Results

The results indicate that the number of questions asked during the consultation was higher when a Question Listing was provided and when the patient was unaccompanied. Unaccompanied patients asked more questions in both groups and had significantly lower scores than accompanied on the GHQ-12 and on the PHQ-9, indicating lower clinical symptomatology.

Conclusions

Results are in contrast with previous literature, indicating that being unaccompanied help patients to interact more with the oncologist. Further studies are needed to evaluate how the presence or not of a companion really impacts breast cancer patients during their first consultation with an oncologist.

Trial registration

ClinicalTrials.gov NCT01510964

中文翻译：

---

在乳腺癌咨询期间，有人陪伴会影响沟通吗？多中心随机对照试验的结果

摘要

目标

本研究基于对乳腺癌患者首次咨询肿瘤科医生期间进行的多中心 RCT。主要目的是评估交流工具（即问题提示表或问题列表）的引入，无论是否有同伴，是否会影响咨询期间患者提出的问题数量，以及随后的心理和关系结果。

方法

样本由 324 名乳腺癌患者组成，他们被随机分为两个干预组之一：问题提示表或问题列表。会诊前后，患者完成了一套标准化的工具：会诊期间做出的决策满意度（SWD）、共享决策问卷（SDMQ-9）、患者支持工具（PEI）、患者健康问卷抑郁量表（PHQ- 9), 一般健康问卷 (GHQ-12),

结果

结果表明，在提供问题列表和患者无人陪伴时，咨询期间提出的问题数量更多。两组中无人陪伴的患者提出的问题更多，并且在 GHQ-12 和 PHQ-9 上的得分明显低于有陪伴的患者，表明临床症状较低。

结论

结果与之前的文献相反，表明无人陪伴有助于患者与肿瘤科医生进行更多互动。需要进一步的研究来评估伴侣的存在与否如何真正影响乳腺癌患者在第一次咨询肿瘤科医生时的影响。

试用注册

ClinicalTrials.gov NCT01510964