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Supportive Care in Cancer

Erschienen in:

25.04.2018 | Original Article

Patterns of interactions among patients with advanced pancreatic cancer, their caregivers, and healthcare providers during symptom discussions

verfasst von: Chia-Chun Tang, Claire Draucker, Mohamedtaki A. Tejani, Diane Von Ah

Erschienen in: Supportive Care in Cancer | Ausgabe 10/2018

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Abstract

Purpose

Effective symptom discussion is an essential step to enhance symptom management in patients with advanced pancreatic cancer (APC). However, little is known about how these patients communicate their symptoms during health encounters. The purpose of this study was to develop a typology to describe patterns of interactions between patients with APC, their caregivers, and healthcare providers as regards to symptoms and symptom management.

Methods

Thematic analysis was used to analyze 37 transcripts of audio-recorded, naturally occurring encounters among APC patients, caregivers, and healthcare providers. Transcripts were drawn from the Values and Options in Cancer Care study, a larger randomized controlled communication and decision-making intervention trial, which recruited advanced cancer patients and caregivers across the USA. All transcripts from APC patients that were pre-intervention were analyzed.

Results

Eight unique types of interaction patterns among patients, caregivers, and healthcare providers were identified as follows: collaborative interactions, explanatory interactions, agentic interactions, checklist interactions, cross-purpose interactions, empathic interactions, admonishing interactions, and diverging interactions.

Conclusions

Our findings provide a systematic description of a variety of types of interaction patterns regarding symptom discussion among APC patients, caregivers, and healthcare providers. These typologies can be used to facilitate effective communication and symptom management.

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Titel: Patterns of interactions among patients with advanced pancreatic cancer, their caregivers, and healthcare providers during symptom discussions
verfasst von: Chia-Chun Tang
Claire Draucker
Mohamedtaki A. Tejani
Diane Von Ah
Publikationsdatum: 25.04.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 10/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-018-4202-5

Springer Medizin

Patterns of interactions among patients with advanced pancreatic cancer, their caregivers, and healthcare providers during symptom discussions

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Onkologie

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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