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Erschienen in: Supportive Care in Cancer 5/2017

26.12.2016 | Original Article

EORTC QLQ-COMU26: a questionnaire for the assessment of communication between patients and professionals. Phase III of the module development in ten countries

verfasst von: Juan Ignacio Arraras, Lisa M. Wintner, Monika Sztankay, Krzysztof A. Tomaszewski, Dirk Hofmeister, Anna Costantini, Anne Bredart, Teresa Young, Karin Kuljanic, Iwona M. Tomaszewska, Meropi Kontogianni, Wei-Chu Chie, Dagmara Kulis, Eva Greimel, Conducted on behalf of the EORTC Quality of Life Group

Erschienen in: Supportive Care in Cancer | Ausgabe 5/2017

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Abstract

Purpose

Communication between patients and professionals is one major aspect of the support offered to cancer patients. The European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group (QLG) has developed a cancer-specific instrument for the measurement of different issues related to the communication between cancer patients and their health care professionals.

Methods

Questionnaire development followed the EORTC QLG Module Development Guidelines. A provisional questionnaire was pre-tested (phase III) in a multicenter study within ten countries from five cultural areas (Northern and South Europe, UK, Poland and Taiwan). Patients from seven subgroups (before, during and after treatment, for localized and advanced disease each, plus palliative patients) were recruited. Structured interviews were conducted. Qualitative and quantitative analyses have been performed.

Results

One hundred forty patients were interviewed. Nine items were deleted and one shortened. Patients’ comments had a key role in item selection. No item was deleted due to just quantitative criteria. Consistency was observed in patients’ answers across cultural areas. The revised version of the module EORTC QLQ-COMU26 has 26 items, organized in 6 scales and 4 individual items.

Conclusions

The EORTC COMU26 questionnaire can be used in daily clinical practice and research, in various patient groups from different cultures. The next step will be an international field test with a large heterogeneous group of cancer patients.
Literatur
1.
Zurück zum Zitat Moore PM, Rivera Mercado S, Grez Artigues M, Lawrie TA (2013) Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev Mar 28:3 Moore PM, Rivera Mercado S, Grez Artigues M, Lawrie TA (2013) Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev Mar 28:3
2.
Zurück zum Zitat American Society of Clinical Oncology (1998) Cancer care during the last phase of life. J Clin Oncol 16:1986–1996CrossRef American Society of Clinical Oncology (1998) Cancer care during the last phase of life. J Clin Oncol 16:1986–1996CrossRef
3.
Zurück zum Zitat Committeee on Cancer Survivorship, Institute of Medicine (2006) From cancer patient to cancer survivor: lost in transition. National Academics of Sciences, Washington Committeee on Cancer Survivorship, Institute of Medicine (2006) From cancer patient to cancer survivor: lost in transition. National Academics of Sciences, Washington
4.
Zurück zum Zitat Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Washington, DC Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Washington, DC
5.
Zurück zum Zitat De Vries AM, de Roten Y, Meystre C, Passchier J, Despland JN, Stiefel F (2014) Clinician characteristics, communication, and patient outcome in oncology: a systematic review. Psychooncology 23:375–381CrossRefPubMed De Vries AM, de Roten Y, Meystre C, Passchier J, Despland JN, Stiefel F (2014) Clinician characteristics, communication, and patient outcome in oncology: a systematic review. Psychooncology 23:375–381CrossRefPubMed
6.
Zurück zum Zitat Ansmann L, Kowalski C, Ernstmann N, Ommen O, Pfaff H (2012) Patients’ perceived support from physicians and the role of hospital characteristics. Int J Qual Health Care 24:501–508CrossRefPubMed Ansmann L, Kowalski C, Ernstmann N, Ommen O, Pfaff H (2012) Patients’ perceived support from physicians and the role of hospital characteristics. Int J Qual Health Care 24:501–508CrossRefPubMed
8.
Zurück zum Zitat Fallowfield L (2009) The challenge of interacting with patients in oncology. Eur J Cancer 45:445–446CrossRefPubMed Fallowfield L (2009) The challenge of interacting with patients in oncology. Eur J Cancer 45:445–446CrossRefPubMed
9.
Zurück zum Zitat Stewart M, Belle Brown J, Hammerton J, Donner A, Gavin A, Holliday RL, Whelan T, Leslie K, Cohen I, Weston W, Freeman T (2007) Improving communication between doctors and breast cancer patients. Ann Fam Med 5:387–394CrossRefPubMedPubMedCentral Stewart M, Belle Brown J, Hammerton J, Donner A, Gavin A, Holliday RL, Whelan T, Leslie K, Cohen I, Weston W, Freeman T (2007) Improving communication between doctors and breast cancer patients. Ann Fam Med 5:387–394CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Ong LM, Visser MR, Lammes FB, de Haes JC (2000) Doctor-patient communication and cancer patients’ quality of life and satisfaction. Patient Educ Couns 41:145–156CrossRefPubMed Ong LM, Visser MR, Lammes FB, de Haes JC (2000) Doctor-patient communication and cancer patients’ quality of life and satisfaction. Patient Educ Couns 41:145–156CrossRefPubMed
11.
Zurück zum Zitat Neumann M, Wirtz M, Bollschweiler E, Mercer SW, Warm M, Wolf J, Pfaff H (2007) Determinants and patient-reported long-term outcomes of physician empathy in oncology: a structural equation modelling approach. Patien Educ Couns 69:63–75CrossRef Neumann M, Wirtz M, Bollschweiler E, Mercer SW, Warm M, Wolf J, Pfaff H (2007) Determinants and patient-reported long-term outcomes of physician empathy in oncology: a structural equation modelling approach. Patien Educ Couns 69:63–75CrossRef
12.
Zurück zum Zitat Trudel TG, Leduc N, Dumont S (2014) Perceived communication between physicians and breast cancer patients as a predicting factor of patients’ health-related quality of life: a longitudinal analysis. Psychooncology 23:531–538CrossRefPubMed Trudel TG, Leduc N, Dumont S (2014) Perceived communication between physicians and breast cancer patients as a predicting factor of patients’ health-related quality of life: a longitudinal analysis. Psychooncology 23:531–538CrossRefPubMed
13.
Zurück zum Zitat Farin E, Nagl M (2013) The patient-physician relationship in patients with breast cancer: influence on changes in quality of life after rehabilitation. Qual Life Res 22:283–294CrossRefPubMed Farin E, Nagl M (2013) The patient-physician relationship in patients with breast cancer: influence on changes in quality of life after rehabilitation. Qual Life Res 22:283–294CrossRefPubMed
14.
Zurück zum Zitat Fallowfield L, Jenkins V (2004) Communicating sad, bad, and difficult news in medicine. Lancet 363:312–319CrossRefPubMed Fallowfield L, Jenkins V (2004) Communicating sad, bad, and difficult news in medicine. Lancet 363:312–319CrossRefPubMed
15.
Zurück zum Zitat Street RL Jr, Elwyn G, Epstein RM (2012) Patient preferences and healthcare outcomes: an ecological perspective. Expert Rev Pharmacoecon Outcomes Res 12:167–180CrossRefPubMed Street RL Jr, Elwyn G, Epstein RM (2012) Patient preferences and healthcare outcomes: an ecological perspective. Expert Rev Pharmacoecon Outcomes Res 12:167–180CrossRefPubMed
16.
Zurück zum Zitat Carlson LE, Feldman-Stewart D, Tishelman C, Brundage MD, SCRN Communication Team (2005) Patient-professional communication research in cancer: an integrative review of research methods in the context of a conceptual framework. Psychooncology 14:812–828CrossRefPubMed Carlson LE, Feldman-Stewart D, Tishelman C, Brundage MD, SCRN Communication Team (2005) Patient-professional communication research in cancer: an integrative review of research methods in the context of a conceptual framework. Psychooncology 14:812–828CrossRefPubMed
17.
Zurück zum Zitat Feldman-Stewart D, Brundage MD, Tishelman C, SCRN Communication Team (2005) A conceptual framework for patient-professional communication: an application to the cancer context. Psychooncology 14:801–809CrossRefPubMed Feldman-Stewart D, Brundage MD, Tishelman C, SCRN Communication Team (2005) A conceptual framework for patient-professional communication: an application to the cancer context. Psychooncology 14:801–809CrossRefPubMed
18.
Zurück zum Zitat Morgan M (2008) The doctor–patient relationship. In: Scambler G (ed) Sociology as applied to medicine. Saunders/Elsevier, Edinburgh, pp 49–65 Morgan M (2008) The doctor–patient relationship. In: Scambler G (ed) Sociology as applied to medicine. Saunders/Elsevier, Edinburgh, pp 49–65
19.
Zurück zum Zitat Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Washington Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Washington
20.
Zurück zum Zitat Epstein RM, Street RL Jr (2007) Patient-centered communication in cancer care: promoting healing and reducing suffering. National Cancer Institute, Bethesda, MD, USA Epstein RM, Street RL Jr (2007) Patient-centered communication in cancer care: promoting healing and reducing suffering. National Cancer Institute, Bethesda, MD, USA
21.
Zurück zum Zitat Surbone A (2008) Cultural aspects of communication in cancer care. Support Care Cancer 16:235–240CrossRefPubMed Surbone A (2008) Cultural aspects of communication in cancer care. Support Care Cancer 16:235–240CrossRefPubMed
22.
Zurück zum Zitat Epstein RM, Franks P, Fiscella F, Shields CG, Meldrum SC, Kravitz RL, Duberstein PR (2005) Measuring patient-centered communication in patient–physician consultations: theoretical and practical issues. Soc Sci Med 61:1516–1528CrossRefPubMed Epstein RM, Franks P, Fiscella F, Shields CG, Meldrum SC, Kravitz RL, Duberstein PR (2005) Measuring patient-centered communication in patient–physician consultations: theoretical and practical issues. Soc Sci Med 61:1516–1528CrossRefPubMed
23.
Zurück zum Zitat Lawson MT (2002) Nurse practitioner and physician communication styles. Appl Nurs Res 15:60–66CrossRefPubMed Lawson MT (2002) Nurse practitioner and physician communication styles. Appl Nurs Res 15:60–66CrossRefPubMed
24.
Zurück zum Zitat Iasevoli M, Giantin V, Voci A, Valentini E, Zurlo A, Maggi S, Siviero P, Orrù G, Crepaldi G, Pegoraro R, Manzato E (2012) Discussing end-of-life care issues with terminally ill patients and their relatives: comparisons among physicians, nurses and psychologists. Aging Clin Exp Res 24:35–42PubMed Iasevoli M, Giantin V, Voci A, Valentini E, Zurlo A, Maggi S, Siviero P, Orrù G, Crepaldi G, Pegoraro R, Manzato E (2012) Discussing end-of-life care issues with terminally ill patients and their relatives: comparisons among physicians, nurses and psychologists. Aging Clin Exp Res 24:35–42PubMed
25.
Zurück zum Zitat Arraras JI, Greimel E, Sezer O, Chie WC, Bergenmar M, Costantini A, Young T, Vlasic KK, Velikova G (2010) An international validation study of the EORTC QLQ-INFO25 questionnaire: an instrument to assess the information given to cancer patients. Eur J Cancer 46:2726–2738CrossRefPubMed Arraras JI, Greimel E, Sezer O, Chie WC, Bergenmar M, Costantini A, Young T, Vlasic KK, Velikova G (2010) An international validation study of the EORTC QLQ-INFO25 questionnaire: an instrument to assess the information given to cancer patients. Eur J Cancer 46:2726–2738CrossRefPubMed
26.
Zurück zum Zitat Johnson C, Aaronson N, Blazeby J, Bottomley A, Fayers P, Koller M, Kuliś D, Ramage J, Sprangers M, Velikova G, Young T (2011) EORTC Quality of Life Group module development guidelines, fourth edn. EORTC QL Group, Brussels Johnson C, Aaronson N, Blazeby J, Bottomley A, Fayers P, Koller M, Kuliś D, Ramage J, Sprangers M, Velikova G, Young T (2011) EORTC Quality of Life Group module development guidelines, fourth edn. EORTC QL Group, Brussels
27.
Zurück zum Zitat Arraras JI, Kuljanic K, Sztankay M, Wintner LM, Costantini A, Chie WC, Liavaag AH, Greimel E, Bredart A, Arnott M, Young T, Koller M (2015) Initial phases in the development of a European Organisation for Research and Treatment of Cancer communication-specific module. Psychooncology 24:236–240CrossRefPubMed Arraras JI, Kuljanic K, Sztankay M, Wintner LM, Costantini A, Chie WC, Liavaag AH, Greimel E, Bredart A, Arnott M, Young T, Koller M (2015) Initial phases in the development of a European Organisation for Research and Treatment of Cancer communication-specific module. Psychooncology 24:236–240CrossRefPubMed
28.
Zurück zum Zitat Cull A, Sprangers M, Bjordal K, Johnson C, Scott N, BottomleyA (2002) EORTC Quality of Life Group translation procedure, second edn. EORTC, Brussels Cull A, Sprangers M, Bjordal K, Johnson C, Scott N, BottomleyA (2002) EORTC Quality of Life Group translation procedure, second edn. EORTC, Brussels
29.
Zurück zum Zitat Costantini A, Baile WF, Lenzi R, Costantini M, Ziparo V, Marchetti P, Grassi L (2009) Overcoming cultural barriers to giving bad news: feasibility of training to promote truth-telling to cancer patients. J Cancer Educ 24:180–185CrossRefPubMed Costantini A, Baile WF, Lenzi R, Costantini M, Ziparo V, Marchetti P, Grassi L (2009) Overcoming cultural barriers to giving bad news: feasibility of training to promote truth-telling to cancer patients. J Cancer Educ 24:180–185CrossRefPubMed
30.
Zurück zum Zitat Arraras JI, Greimel E, Chie WC, Sezer O, Bergenmar M, Costantini A, Young T, Vlasic KK, Velikova G, European Organisation for Research, Treatment of Cancer Quality of Life Group (2013) Cross-cultural differences in information disclosure evaluated through the EORTC questionnaires. Psychooncology 22:268–275CrossRefPubMed Arraras JI, Greimel E, Chie WC, Sezer O, Bergenmar M, Costantini A, Young T, Vlasic KK, Velikova G, European Organisation for Research, Treatment of Cancer Quality of Life Group (2013) Cross-cultural differences in information disclosure evaluated through the EORTC questionnaires. Psychooncology 22:268–275CrossRefPubMed
31.
Zurück zum Zitat Mazor KM, Beard RL, Alexander GL, Arora NK, Firneno C, Gaglio B, Greene SM, Lemay CA, Robinson BE, Roblin DW, Walsh K, Street RL Jr, Gallagher TH (2013) Patients’ and family members’ views on patient-centered communication during cancer care. Psychooncology 22:2487–2495CrossRefPubMed Mazor KM, Beard RL, Alexander GL, Arora NK, Firneno C, Gaglio B, Greene SM, Lemay CA, Robinson BE, Roblin DW, Walsh K, Street RL Jr, Gallagher TH (2013) Patients’ and family members’ views on patient-centered communication during cancer care. Psychooncology 22:2487–2495CrossRefPubMed
32.
33.
Zurück zum Zitat Arraras JI, Wright S, Greimel E, Holzner B, Kuljanic-Vlasic K, Velikova G, Eisemann M, Visser A, EORTC Quality of Life Group (2004) Development of a questionnaire to evaluate the information needs of cancer patients: the EORTC questionnaire. Patient Educ Coun 54:235–241CrossRef Arraras JI, Wright S, Greimel E, Holzner B, Kuljanic-Vlasic K, Velikova G, Eisemann M, Visser A, EORTC Quality of Life Group (2004) Development of a questionnaire to evaluate the information needs of cancer patients: the EORTC questionnaire. Patient Educ Coun 54:235–241CrossRef
34.
Zurück zum Zitat Tobin GA (2012) Breaking bad news: a phenomenological exploration of Irish nurses’ experiences of caring for patients when a cancer diagnosis is given in an acute care facility (part 1). Cancer Nurs 35:E21–E29CrossRefPubMed Tobin GA (2012) Breaking bad news: a phenomenological exploration of Irish nurses’ experiences of caring for patients when a cancer diagnosis is given in an acute care facility (part 1). Cancer Nurs 35:E21–E29CrossRefPubMed
35.
Zurück zum Zitat Eid A, Petty M, Hutchins L, Thompson R (2009) “Breaking bad news”: standardized patient intervention improves communication skills for hematology-oncology fellows and advanced practice nurses. J Cancer Educ 24:154–159CrossRefPubMed Eid A, Petty M, Hutchins L, Thompson R (2009) “Breaking bad news”: standardized patient intervention improves communication skills for hematology-oncology fellows and advanced practice nurses. J Cancer Educ 24:154–159CrossRefPubMed
36.
Zurück zum Zitat Wuensch A, Tang T, Goelz T, Zhang Y, Stubenrauch S, Song L, Hong Y, Zhang H, Wirsching M, Fritzsche K (2013) Breaking bad news in China—the dilemma of patients’ autonomy and traditional norms. A first communication skills training for Chinese oncologists and caretakers. Psychooncology 22:1192–1195CrossRefPubMed Wuensch A, Tang T, Goelz T, Zhang Y, Stubenrauch S, Song L, Hong Y, Zhang H, Wirsching M, Fritzsche K (2013) Breaking bad news in China—the dilemma of patients’ autonomy and traditional norms. A first communication skills training for Chinese oncologists and caretakers. Psychooncology 22:1192–1195CrossRefPubMed
37.
Zurück zum Zitat Mauri E, Vegni E, Lozza E, Parker PA, Moja EA (2009) An exploratory study on the Italian patients’ preferences regarding how they would like to be told about their cancer. Support Care Cancer 17:1523–1530CrossRefPubMed Mauri E, Vegni E, Lozza E, Parker PA, Moja EA (2009) An exploratory study on the Italian patients’ preferences regarding how they would like to be told about their cancer. Support Care Cancer 17:1523–1530CrossRefPubMed
Metadaten
Titel
EORTC QLQ-COMU26: a questionnaire for the assessment of communication between patients and professionals. Phase III of the module development in ten countries
verfasst von
Juan Ignacio Arraras
Lisa M. Wintner
Monika Sztankay
Krzysztof A. Tomaszewski
Dirk Hofmeister
Anna Costantini
Anne Bredart
Teresa Young
Karin Kuljanic
Iwona M. Tomaszewska
Meropi Kontogianni
Wei-Chu Chie
Dagmara Kulis
Eva Greimel
Conducted on behalf of the EORTC Quality of Life Group
Publikationsdatum
26.12.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 5/2017
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-016-3536-0

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