Effectively communicating comprehensive tumor genomic profiling results: Mitigating uncertainty for advanced cancer patients.
Bartley, N
Best, MC
Biesecker, BB
Fisher, A
Goldstein, D
Meiser, B
Thomas, DM
Ballinger, ML
Butow, P
- Publisher:
- Elsevier
- Publication Type:
- Journal Article
- Citation:
- Patient Education and Counseling, 2022, 105, (2), pp. 452-459
- Issue Date:
- 2022-02
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1-s2.0-S0738399121003475-main.pdf | 513.94 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author |
Bartley, N https://orcid.org/0000-0001-9052-1616 |
|
dc.contributor.author | Best, MC | |
dc.contributor.author | Biesecker, BB | |
dc.contributor.author | Fisher, A | |
dc.contributor.author | Goldstein, D | |
dc.contributor.author | Meiser, B | |
dc.contributor.author | Thomas, DM | |
dc.contributor.author | Ballinger, ML | |
dc.contributor.author | Butow, P | |
dc.date.accessioned | 2022-11-07T00:39:40Z | |
dc.date.available | 2021-05-11 | |
dc.date.available | 2022-11-07T00:39:40Z | |
dc.date.issued | 2022-02 | |
dc.identifier.citation | Patient Education and Counseling, 2022, 105, (2), pp. 452-459 | |
dc.identifier.issn | 0738-3991 | |
dc.identifier.issn | 1873-5134 | |
dc.identifier.uri | http://hdl.handle.net/10453/163262 | |
dc.description.abstract | OBJECTIVE: To understand advanced cancer patients' experience of uncertainty when receiving comprehensive tumor genomic profiling (CTGP) results, and their perceptions of how healthcare provider (HCP) communication impacts uncertainty. METHODS: Thirty-seven semi-structured interviews with advanced cancer patients were conducted within two weeks of patients receiving CTGP results. Transcripts were thematically analyzed, using an inductive approach. RESULTS: We identified three themes that illustrate patient experience of uncertainties when receiving CTGP results: 1. Type and degree of uncertainty fluctuates along with changing illness circumstances and the nature of the CTGP results; 2. HCPs' co-ordination of care and communication shapes uncertainty, with immediate, clearer and simpler information promoting certainty; and 3. Patients felt that communicating results to reduce relatives' uncertainty is important, with patients choosing the time and process for achieving this and desiring HCPs support. CONCLUSION: Oncology patients are confronted with an array of uncertainties. Clear, simple communication from HCPs about results and their implications, and support to manage uncertainty, will be of benefit. PRACTICE IMPLICATIONS: If CTGP is to become routine clinical practice, clear communication will be crucial in reducing uncertainty. Awareness of potential uncertainties experienced by patients when receiving results, will assist HCPs to address uncertainties, reduce uncertainty where possible, and offer targeted support to patients struggling with uncertainty. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartof | Patient Education and Counseling | |
dc.relation.isbasedon | 10.1016/j.pec.2021.05.018 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences | |
dc.subject.classification | Public Health | |
dc.subject.mesh | Communication | |
dc.subject.mesh | Genomics | |
dc.subject.mesh | Health Personnel | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Medical Oncology | |
dc.subject.mesh | Neoplasms | |
dc.subject.mesh | Qualitative Research | |
dc.subject.mesh | Uncertainty | |
dc.subject.mesh | Communication | |
dc.subject.mesh | Genomics | |
dc.subject.mesh | Health Personnel | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Medical Oncology | |
dc.subject.mesh | Neoplasms | |
dc.subject.mesh | Qualitative Research | |
dc.subject.mesh | Uncertainty | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Neoplasms | |
dc.subject.mesh | Uncertainty | |
dc.subject.mesh | Communication | |
dc.subject.mesh | Genomics | |
dc.subject.mesh | Medical Oncology | |
dc.subject.mesh | Qualitative Research | |
dc.subject.mesh | Health Personnel | |
dc.title | Effectively communicating comprehensive tumor genomic profiling results: Mitigating uncertainty for advanced cancer patients. | |
dc.type | Journal Article | |
utslib.citation.volume | 105 | |
utslib.location.activity | Ireland | |
utslib.for | 11 Medical and Health Sciences | |
utslib.for | 17 Psychology and Cognitive Sciences | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-11-07T00:39:39Z | |
pubs.issue | 2 | |
pubs.publication-status | Published | |
pubs.volume | 105 | |
utslib.citation.issue | 2 |
Abstract:
OBJECTIVE: To understand advanced cancer patients' experience of uncertainty when receiving comprehensive tumor genomic profiling (CTGP) results, and their perceptions of how healthcare provider (HCP) communication impacts uncertainty. METHODS: Thirty-seven semi-structured interviews with advanced cancer patients were conducted within two weeks of patients receiving CTGP results. Transcripts were thematically analyzed, using an inductive approach. RESULTS: We identified three themes that illustrate patient experience of uncertainties when receiving CTGP results: 1. Type and degree of uncertainty fluctuates along with changing illness circumstances and the nature of the CTGP results; 2. HCPs' co-ordination of care and communication shapes uncertainty, with immediate, clearer and simpler information promoting certainty; and 3. Patients felt that communicating results to reduce relatives' uncertainty is important, with patients choosing the time and process for achieving this and desiring HCPs support. CONCLUSION: Oncology patients are confronted with an array of uncertainties. Clear, simple communication from HCPs about results and their implications, and support to manage uncertainty, will be of benefit. PRACTICE IMPLICATIONS: If CTGP is to become routine clinical practice, clear communication will be crucial in reducing uncertainty. Awareness of potential uncertainties experienced by patients when receiving results, will assist HCPs to address uncertainties, reduce uncertainty where possible, and offer targeted support to patients struggling with uncertainty.
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