A randomized intervention involving family to improve communication in breast cancer care
Abstract We examined the effects of a communication intervention to engage family care partners on patient portal (MyChart) use, illness understanding, satisfaction with cancer care, and symptoms of anxiety in a single-blind randomized trial of patients in treatment for breast cancer. Patient-family...
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Nature Portfolio
2021
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| Acceso en línea: | https://doaj.org/article/27348f3d9c744b538a162f60f57d5131 |
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oai:doaj.org-article:27348f3d9c744b538a162f60f57d51312021-12-02T14:11:05ZA randomized intervention involving family to improve communication in breast cancer care10.1038/s41523-021-00217-92374-4677https://doaj.org/article/27348f3d9c744b538a162f60f57d51312021-02-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00217-9https://doaj.org/toc/2374-4677Abstract We examined the effects of a communication intervention to engage family care partners on patient portal (MyChart) use, illness understanding, satisfaction with cancer care, and symptoms of anxiety in a single-blind randomized trial of patients in treatment for breast cancer. Patient-family dyads were recruited and randomly assigned a self-administered checklist to clarify the care partner role, establish a shared visit agenda, and facilitate MyChart access (n = 63) or usual care (n = 55). Interviews administered at baseline, 3, 9 (primary endpoint), and 12 months assessed anxiety (GAD-2), mean FAMCARE satisfaction, and complete illness understanding (4 of 4 items correct). Time-stamped electronic interactions measured MyChart use. By 9 months, more intervention than control care partners registered for MyChart (77.8 % vs 1.8%; p < 0.001) and logged into the patient’s account (61.2% vs 0% of those registered; p < 0.001), but few sent messages to clinicians (6.1% vs 0%; p = 0.247). More intervention than control patients viewed clinical notes (60.3% vs 32.7%; p = 0.003). No pre-post group differences in patient or care partner symptoms of anxiety, satisfaction, or complete illness understanding were found. Intervention patients whose care partners logged into MyChart were more likely to have complete illness understanding at 9 months (changed 70.0% to 80.0% vs 69.7% to 54.6%; p = 0.03); symptoms of anxiety were numerically lower (16.7% to 6.7% vs 15.2% to 15.2%; p = 0.24) and satisfaction numerically higher (15.8–16.2 vs 18.0–17.4; p = 0.25). A brief, scalable communication intervention led to greater care partner MyChart use and increased illness understanding among patients with more engaged care partners (NCT03283553).Jennifer L. WolffJennifer AufillDiane EchavarriaAmanda L. BlackfordRoisin M. ConnollyJohn H. FettingDanijela JelovacKatie PapathakisCarol RileyVered StearnsNelli ZafmanElissa ThornerHoward P. LevyAmy GuoSydney M. DyAntonio C. WolffNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-9 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
| spellingShingle |
Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Jennifer L. Wolff Jennifer Aufill Diane Echavarria Amanda L. Blackford Roisin M. Connolly John H. Fetting Danijela Jelovac Katie Papathakis Carol Riley Vered Stearns Nelli Zafman Elissa Thorner Howard P. Levy Amy Guo Sydney M. Dy Antonio C. Wolff A randomized intervention involving family to improve communication in breast cancer care |
| description |
Abstract We examined the effects of a communication intervention to engage family care partners on patient portal (MyChart) use, illness understanding, satisfaction with cancer care, and symptoms of anxiety in a single-blind randomized trial of patients in treatment for breast cancer. Patient-family dyads were recruited and randomly assigned a self-administered checklist to clarify the care partner role, establish a shared visit agenda, and facilitate MyChart access (n = 63) or usual care (n = 55). Interviews administered at baseline, 3, 9 (primary endpoint), and 12 months assessed anxiety (GAD-2), mean FAMCARE satisfaction, and complete illness understanding (4 of 4 items correct). Time-stamped electronic interactions measured MyChart use. By 9 months, more intervention than control care partners registered for MyChart (77.8 % vs 1.8%; p < 0.001) and logged into the patient’s account (61.2% vs 0% of those registered; p < 0.001), but few sent messages to clinicians (6.1% vs 0%; p = 0.247). More intervention than control patients viewed clinical notes (60.3% vs 32.7%; p = 0.003). No pre-post group differences in patient or care partner symptoms of anxiety, satisfaction, or complete illness understanding were found. Intervention patients whose care partners logged into MyChart were more likely to have complete illness understanding at 9 months (changed 70.0% to 80.0% vs 69.7% to 54.6%; p = 0.03); symptoms of anxiety were numerically lower (16.7% to 6.7% vs 15.2% to 15.2%; p = 0.24) and satisfaction numerically higher (15.8–16.2 vs 18.0–17.4; p = 0.25). A brief, scalable communication intervention led to greater care partner MyChart use and increased illness understanding among patients with more engaged care partners (NCT03283553). |
| format |
article |
| author |
Jennifer L. Wolff Jennifer Aufill Diane Echavarria Amanda L. Blackford Roisin M. Connolly John H. Fetting Danijela Jelovac Katie Papathakis Carol Riley Vered Stearns Nelli Zafman Elissa Thorner Howard P. Levy Amy Guo Sydney M. Dy Antonio C. Wolff |
| author_facet |
Jennifer L. Wolff Jennifer Aufill Diane Echavarria Amanda L. Blackford Roisin M. Connolly John H. Fetting Danijela Jelovac Katie Papathakis Carol Riley Vered Stearns Nelli Zafman Elissa Thorner Howard P. Levy Amy Guo Sydney M. Dy Antonio C. Wolff |
| author_sort |
Jennifer L. Wolff |
| title |
A randomized intervention involving family to improve communication in breast cancer care |
| title_short |
A randomized intervention involving family to improve communication in breast cancer care |
| title_full |
A randomized intervention involving family to improve communication in breast cancer care |
| title_fullStr |
A randomized intervention involving family to improve communication in breast cancer care |
| title_full_unstemmed |
A randomized intervention involving family to improve communication in breast cancer care |
| title_sort |
randomized intervention involving family to improve communication in breast cancer care |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/27348f3d9c744b538a162f60f57d5131 |
| work_keys_str_mv |
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1718391832302321664 |