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The elephant in the room: Facilitating conversations about advanced cancer between patients and their spouses.

Publication ,  Conference
Porter, LS; FIsh, L; Uronis, HE; Zafar, Y; Steinhauser, KE
Published in: Journal of Clinical Oncology
October 9, 2016

233 Background: Interventions to enhance couples’ communication about cancer-related issues can lead to benefits for patients, spouses, and their relationships. We recently conducted a pilot study testing a couples communication skills training (CCST) intervention targeted to couples in which one partner had advanced GI cancer, a population who may need particular help addressing difficult and emotionally-laden topics related to life-limiting illness. Results of quantitative analyses suggested that the intervention was effective in improving relationship satisfaction for these couples. The objective of the current study was to analyze intervention session conversation content to identify themes that couples addressed spontaneously, with the ultimate goal of determining whether an intervention that more specifically guides couples to discuss issues related to end of life and the life-limiting nature of the patient’s illness would be acceptable. Methods: 12 couples (10 male and 2 female patients and their spouses) completed the 6 session CCST intervention which provided training in communication skills for sharing thoughts and feelings and making decisions, and gave couples the opportunity to use these skills to discuss cancer-related issues of their choosing. We conducted qualitative content analysis of the 72 audio-recorded sessions, and coded common and recurrent topics raised by patients and spouses. In addition to identifying breadth of topics, we used theme frequency as an initial gauge of theme importance and acceptability. Results: The most common themes identified were prognosis, treatment, emotional intimacy, completion, spouse’s life after the death of the patient, roles, communication, sublimating needs, emotional support, and family. These represent themes previously identified as important to patients at end of life, as well as themes unique to dyads in intimate relationships. Conclusions: These findings support the feasibility of conducting an intervention that combines training in communication skills with guidance for using these skills to discuss topics that are potentially most meaningful to couples facing advanced illness.

Duke Scholars

Published In

Journal of Clinical Oncology

DOI

EISSN

1527-7755

ISSN

0732-183X

Publication Date

October 9, 2016

Volume

34

Issue

26_suppl

Start / End Page

233 / 233

Publisher

American Society of Clinical Oncology (ASCO)

Related Subject Headings

  • Oncology & Carcinogenesis
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Porter, L. S., FIsh, L., Uronis, H. E., Zafar, Y., & Steinhauser, K. E. (2016). The elephant in the room: Facilitating conversations about advanced cancer between patients and their spouses. In Journal of Clinical Oncology (Vol. 34, pp. 233–233). American Society of Clinical Oncology (ASCO). https://doi.org/10.1200/jco.2016.34.26_suppl.233
Porter, Laura S., Laura FIsh, Hope Elizabeth Uronis, Yousuf Zafar, and Karen E. Steinhauser. “The elephant in the room: Facilitating conversations about advanced cancer between patients and their spouses.” In Journal of Clinical Oncology, 34:233–233. American Society of Clinical Oncology (ASCO), 2016. https://doi.org/10.1200/jco.2016.34.26_suppl.233.
Porter LS, FIsh L, Uronis HE, Zafar Y, Steinhauser KE. The elephant in the room: Facilitating conversations about advanced cancer between patients and their spouses. In: Journal of Clinical Oncology. American Society of Clinical Oncology (ASCO); 2016. p. 233–233.
Porter, Laura S., et al. “The elephant in the room: Facilitating conversations about advanced cancer between patients and their spouses.Journal of Clinical Oncology, vol. 34, no. 26_suppl, American Society of Clinical Oncology (ASCO), 2016, pp. 233–233. Crossref, doi:10.1200/jco.2016.34.26_suppl.233.
Porter LS, FIsh L, Uronis HE, Zafar Y, Steinhauser KE. The elephant in the room: Facilitating conversations about advanced cancer between patients and their spouses. Journal of Clinical Oncology. American Society of Clinical Oncology (ASCO); 2016. p. 233–233.

Published In

Journal of Clinical Oncology

DOI

EISSN

1527-7755

ISSN

0732-183X

Publication Date

October 9, 2016

Volume

34

Issue

26_suppl

Start / End Page

233 / 233

Publisher

American Society of Clinical Oncology (ASCO)

Related Subject Headings

  • Oncology & Carcinogenesis
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences