TY - JOUR
T1 - Family companions’ involvement during pre-surgical consent visits for major cancer surgery and its relationship to visit communication and satisfaction
AU - Isenberg, Sarina R.
AU - Aslakson, Rebecca A.
AU - Dionne-Odom, James N.
AU - Clegg Smith, Katherine
AU - Singh, Sarabdeep
AU - Larson, Susan
AU - Bridges, John F.P.
AU - Smith, Thomas J.
AU - Wolff, Jennifer L.
AU - Roter, Debra L.
N1 - Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2018/6
Y1 - 2018/6
N2 - Objective: To examine the association between family companion presence during pre-surgical visits to discuss major cancer surgery and patient-provider communication and satisfaction. Methods: Secondary analysis of 61 pre-surgical visit recordings with eight surgical oncologists at an academic tertiary care hospital using the Roter Interaction Analysis System (RIAS). Surgeons, patients, and companions completed post-visit satisfaction questionnaires. Poisson and logistic regression models assessed differences in communication and satisfaction when companions were present vs. absent. Results: There were 46 visits (75%) in which companions were present, and 15 (25%) in which companions were absent. Companion communication was largely emotional and facilitative, as measured by RIAS. Companion presence was associated with more surgeon talk (IRR 1.29, p = 0.006), and medical information-giving (IRR 1.41, p = 0.001). Companion presence was associated with less disclosure of lifestyle/psychosocial topics by patients (IRR 0.55, p = 0.037). In adjusted analyses, companions’ presence was associated with lower levels of patient-centeredness (IRR 0.77, p 0.004). There were no differences in patient or surgeon satisfaction based on companion presence. Conclusion: Companions’ presence during pre-surgical visits was associated with patient-surgeon communication but was not associated with patient or surgeon satisfaction. Practice implications: Future work is needed to develop interventions to enhance patient-companion-provider interactions in this setting.
AB - Objective: To examine the association between family companion presence during pre-surgical visits to discuss major cancer surgery and patient-provider communication and satisfaction. Methods: Secondary analysis of 61 pre-surgical visit recordings with eight surgical oncologists at an academic tertiary care hospital using the Roter Interaction Analysis System (RIAS). Surgeons, patients, and companions completed post-visit satisfaction questionnaires. Poisson and logistic regression models assessed differences in communication and satisfaction when companions were present vs. absent. Results: There were 46 visits (75%) in which companions were present, and 15 (25%) in which companions were absent. Companion communication was largely emotional and facilitative, as measured by RIAS. Companion presence was associated with more surgeon talk (IRR 1.29, p = 0.006), and medical information-giving (IRR 1.41, p = 0.001). Companion presence was associated with less disclosure of lifestyle/psychosocial topics by patients (IRR 0.55, p = 0.037). In adjusted analyses, companions’ presence was associated with lower levels of patient-centeredness (IRR 0.77, p 0.004). There were no differences in patient or surgeon satisfaction based on companion presence. Conclusion: Companions’ presence during pre-surgical visits was associated with patient-surgeon communication but was not associated with patient or surgeon satisfaction. Practice implications: Future work is needed to develop interventions to enhance patient-companion-provider interactions in this setting.
KW - Cancer
KW - Companion
KW - Family caregiver
KW - Patient-provider communication
KW - Surgery
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U2 - 10.1016/j.pec.2018.01.011
DO - 10.1016/j.pec.2018.01.011
M3 - Article
C2 - 29402574
AN - SCOPUS:85041914480
SN - 0738-3991
VL - 101
SP - 1066
EP - 1074
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 6
ER -