Skip to main content
Journal cover image

A stakeholder-driven approach to improve the informed consent process for palliative chemotherapy.

Publication ,  Journal Article
Enzinger, AC; Wind, JK; Frank, E; McCleary, NJ; Porter, L; Cushing, H; Abbott, C; Cronin, C; Enzinger, PC; Meropol, NJ; Schrag, D
Published in: Patient Educ Couns
August 2017

OBJECTIVE: Patients often anticipate cure from palliative chemotherapy. Better resources are needed to convey its risks and benefits. We describe the stakeholder-driven development and acceptability testing of a prototype video and companion booklet supporting informed consent (IC) for a common palliative chemotherapy regimen. METHODS: Our multidisciplinary team (researchers, advocates, clinicians) employed a multistep process of content development, production, critical evaluation, and iterative revisions. Patient/clinician stakeholders were engaged throughout using stakeholder advisory panels, featuring their voices within the intervention, conducting surveys and qualitative interviews. A national panel of 57 patient advocates, and 25 oncologists from nine US practices critiqued the intervention and rated its clarity, accuracy, balance, tone, and utility. Participants also reported satisfaction with existing chemotherapy IC materials. RESULTS: Few oncologists (5/25, 20%) or advocates (10/22, 45%) were satisfied with existing IC materials. In contrast, most rated our intervention highly, with 89-96% agreeing it would be useful and promote informed decisions. Patient voices were considered a key strength. Every oncologist indicated they would use the intervention regularly. CONCLUSION: Our intervention was acceptable to advocates and oncologists. A randomized trial is evaluating its impact on the chemotherapy IC process. PRACTICE IMPLICATIONS: Stakeholder-driven methods can be valuable for developing patient educational interventions.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Patient Educ Couns

DOI

EISSN

1873-5134

Publication Date

August 2017

Volume

100

Issue

8

Start / End Page

1527 / 1536

Location

Ireland

Related Subject Headings

  • Video Recording
  • Quality Improvement
  • Public Health
  • Prognosis
  • Patient Participation
  • Patient Education as Topic
  • Pamphlets
  • Palliative Care
  • Neoplasms
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Enzinger, A. C., Wind, J. K., Frank, E., McCleary, N. J., Porter, L., Cushing, H., … Schrag, D. (2017). A stakeholder-driven approach to improve the informed consent process for palliative chemotherapy. Patient Educ Couns, 100(8), 1527–1536. https://doi.org/10.1016/j.pec.2017.03.024
Enzinger, Andrea C., Jennifer K. Wind, Elizabeth Frank, Nadine J. McCleary, Laura Porter, Heather Cushing, Caroline Abbott, et al. “A stakeholder-driven approach to improve the informed consent process for palliative chemotherapy.Patient Educ Couns 100, no. 8 (August 2017): 1527–36. https://doi.org/10.1016/j.pec.2017.03.024.
Enzinger AC, Wind JK, Frank E, McCleary NJ, Porter L, Cushing H, et al. A stakeholder-driven approach to improve the informed consent process for palliative chemotherapy. Patient Educ Couns. 2017 Aug;100(8):1527–36.
Enzinger, Andrea C., et al. “A stakeholder-driven approach to improve the informed consent process for palliative chemotherapy.Patient Educ Couns, vol. 100, no. 8, Aug. 2017, pp. 1527–36. Pubmed, doi:10.1016/j.pec.2017.03.024.
Enzinger AC, Wind JK, Frank E, McCleary NJ, Porter L, Cushing H, Abbott C, Cronin C, Enzinger PC, Meropol NJ, Schrag D. A stakeholder-driven approach to improve the informed consent process for palliative chemotherapy. Patient Educ Couns. 2017 Aug;100(8):1527–1536.
Journal cover image

Published In

Patient Educ Couns

DOI

EISSN

1873-5134

Publication Date

August 2017

Volume

100

Issue

8

Start / End Page

1527 / 1536

Location

Ireland

Related Subject Headings

  • Video Recording
  • Quality Improvement
  • Public Health
  • Prognosis
  • Patient Participation
  • Patient Education as Topic
  • Pamphlets
  • Palliative Care
  • Neoplasms
  • Middle Aged