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Questions and emotional expressions from patients and companions while participating in multidisciplinary tumor conferences in breast and gynecological cancer centers

Title data

Schellenberger, Barbara ; Heuser, Christian ; Diekmann, Annika ; Ansmann, Lena ; Krüger, Emily ; Schreiber, Leonie ; Schnettler, Bernt ; Geiser, Franziska ; Schmidt-Wolf, Ingo G. H. ; Ernstmann, Nicole:
Questions and emotional expressions from patients and companions while participating in multidisciplinary tumor conferences in breast and gynecological cancer centers.
In: Patient Education and Counseling. Vol. 105 (2022) Issue 7 . - pp. 2058-2066.
ISSN 1873-5134
DOI: https://doi.org/10.1016/j.pec.2021.12.010

Abstract in another language

Objective: To investigate (a) how many questions and negative emotions (cues/concerns) breast and/or gynecologic cancer patients and companions express during their case discussion in multidisciplinary tumor conferences (MTCs), (b) with which topics the emotions are linked, and (c) which patient- and context-related characteristics determine patients’ communicative behavior.
Methods: This observational study included audio/video recordings of MTCs with patient participation in three breast and gynecological cancer centers. Using the Verona Coding Definitions of Emotional Sequences, patients’ and companions’ questions and negative emotions expressed were analyzed. Multiple regression analyses were used to determine associations between communicative behavior and patient- and context-related characteristics.
Results: We identified 607 questions and 230 cues/concerns expressed by patients/companions in 82 case discussions in MTCs. The number of questions was significantly associated with the hospital. In case discussions with patients who had need for psychological support and who were accompanied, more questions were asked by patients/companions.
Conclusion: The results show that active patient participation does not depend only on patient characteristics, but also on the hospital setting. Practice Implications If cancer centers want to enable patient participation in MTCs, they must define the role of the patient before. Subsequently, conditions must be created to enable this role expectation.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: Breast cancer; Gynecological cancer; Multidisciplinary tumor conference; Multidisciplinary tumor board; Oncology; Patient-centered communication
Institutions of the University: Faculties > Faculty of Cultural Studies > Chair Sociology of Culture and Religion > Chair Sociology of Culture and Religion - Univ.-Prof. Dr. Bernt Schnettler
Faculties
Faculties > Faculty of Cultural Studies
Faculties > Faculty of Cultural Studies > Chair Sociology of Culture and Religion
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 300 Social sciences, sociology and anthropology
Date Deposited: 21 Dec 2021 08:25
Last Modified: 25 Aug 2022 12:38
URI: https://eref.uni-bayreuth.de/id/eprint/68218