A Web-based communication aid for patients with cancer: the CONNECT Study.

Published

Journal Article

BACKGROUND: Cancer patients and their oncologists often report differing perceptions of consultation discussions and discordant expectations regarding treatment outcomes. CONNECT, a computer-based communication aid, was developed to improve communication between patients and oncologists. METHODS: CONNECT includes assessment of patient values, goals, and communication preferences; patient communication skills training; and a preconsultation physician summary report. CONNECT was tested in a 3-arm, prospective, randomized clinical trial. Prior to the initial medical oncology consultation, adult patients with advanced cancer were randomized to the following arms: 1) control; 2) CONNECT with physician summary; or 3) CONNECT without physician summary. Outcomes were assessed with postconsultation surveys. RESULTS: Of 743 patients randomized, 629 completed postconsultation surveys. Patients in the intervention arms (versus control) felt that the CONNECT program made treatment decisions easier to reach (P = .003) and helped them to be more satisfied with these decisions (P < .001). In addition, patients in the intervention arms reported higher levels of satisfaction with physician communication format (P = .026) and discussion regarding support services (P = .029) and quality of life concerns (P = .042). The physician summary did not impact outcomes. Patients with higher levels of education and poorer physical functioning experienced greater benefit from CONNECT. CONCLUSIONS: This prospective randomized clinical trial demonstrates that computer-based communication skills training can positively affect patient satisfaction with communication and decision-making. Measurable patient characteristics may be used to identify subgroups most likely to benefit from an intervention such as CONNECT.

Full Text

Duke Authors

Cited Authors

  • Meropol, NJ; Egleston, BL; Buzaglo, JS; Balshem, A; Benson, AB; Cegala, DJ; Cohen, RB; Collins, M; Diefenbach, MA; Miller, SM; Fleisher, L; Millard, JL; Ross, EA; Schulman, KA; Silver, A; Slater, E; Solarino, N; Sulmasy, DP; Trinastic, J; Weinfurt, KP

Published Date

  • April 1, 2013

Published In

Volume / Issue

  • 119 / 7

Start / End Page

  • 1437 - 1445

PubMed ID

  • 23335150

Pubmed Central ID

  • 23335150

Electronic International Standard Serial Number (EISSN)

  • 1097-0142

Digital Object Identifier (DOI)

  • 10.1002/cncr.27874

Language

  • eng

Conference Location

  • United States