Effective information provision about the side effects of treatment for malignant lymphoma: Protocol of a randomized controlled trial using video vignettes

Nanon Labrie, Sandra Van Dulmen, Marie José Kersten, Hanneke J.C.M. De Haes, Arwen H. Pieterse, Julia C.M. Van Weert, Dick Johan Van Spronsen, Ellen M.A. Smets

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Informing patients with cancer about the possible implications of prospective treatment is a crucial yet challenging task. Unfortunately, patients' recall of medical information is generally poor and their information needs are not met. Effective information giving entails that oncologists help patients understand and recall the implications of their treatment, meanwhile fostering a trusting physician-patient relationship. Communication strategies that are often suggested to be effective are structuring and tailoring (cognition-oriented) but also are oncologists' expressions of caring or empathy (affect-oriented). Objective: The aim of this study is to provide evidence concerning the pathways linking physician communication to (improved) consultation outcomes for patients. More specifically, the aim is to determine the effects of information structuring and information tailoring, combined with physician caring, on information recall, satisfaction with information, and trust in the physician (primary objective) and on symptom distress (secondary objective). Methods: A randomized controlled trial, systematically testing the effects of information structuring and information tailoring, each combined with caring, in 2 video-vignette experiments (2×2 and 2×2×2 design). Using an online survey platform, participants will be randomly allocated (blinded) to 1 of 12 conditions in which they are asked to view a video vignette (intervention) in which an oncologist discusses a treatment plan for malignant lymphoma with a patient. The independent variables of interest are systematically varied across conditions. The outcome measures are assessed in a survey, using validated instruments. Study participants are (former) patients with cancer and their relatives recruited via online panels and patient organizations. This protocol discusses the trial design, including the video-vignette design, intervention pretesting, and a pilot study. Results: Data collection has now been completed, and preliminary analyses will be available in Spring 2019. A total of 470 participants completed the first part of the survey and were randomized to receive the intervention. Conclusions: The results of the proposed trial will provide evidence concerning the pathways linking physician information, giving skills to (improved) consultation outcomes for patients.

Original languageEnglish
Article numbere12453
JournalJournal of Medical Internet Research
Volume21
Issue number5
DOIs
Publication statusPublished - 1 Jan 2019

Fingerprint

Lymphoma
Randomized Controlled Trials
Physicians
Therapeutics
Referral and Consultation
Communication
Physician-Patient Relations
Foster Home Care
Clinical Protocols
Cognition
Neoplasms
Outcome Assessment (Health Care)
Organizations
Oncologists
Surveys and Questionnaires

Keywords

  • Clinical trial protocol
  • Health communication
  • Immediate recall
  • Information dissemination
  • Physician patient relationship
  • Symptoms
  • Trust
  • Video vignettes

Cite this

Labrie, Nanon ; Van Dulmen, Sandra ; Kersten, Marie José ; De Haes, Hanneke J.C.M. ; Pieterse, Arwen H. ; Van Weert, Julia C.M. ; Van Spronsen, Dick Johan ; Smets, Ellen M.A. / Effective information provision about the side effects of treatment for malignant lymphoma : Protocol of a randomized controlled trial using video vignettes. In: Journal of Medical Internet Research. 2019 ; Vol. 21, No. 5.
@article{a9cafd506b82443280b76e973247b1b3,
title = "Effective information provision about the side effects of treatment for malignant lymphoma: Protocol of a randomized controlled trial using video vignettes",
abstract = "Background: Informing patients with cancer about the possible implications of prospective treatment is a crucial yet challenging task. Unfortunately, patients' recall of medical information is generally poor and their information needs are not met. Effective information giving entails that oncologists help patients understand and recall the implications of their treatment, meanwhile fostering a trusting physician-patient relationship. Communication strategies that are often suggested to be effective are structuring and tailoring (cognition-oriented) but also are oncologists' expressions of caring or empathy (affect-oriented). Objective: The aim of this study is to provide evidence concerning the pathways linking physician communication to (improved) consultation outcomes for patients. More specifically, the aim is to determine the effects of information structuring and information tailoring, combined with physician caring, on information recall, satisfaction with information, and trust in the physician (primary objective) and on symptom distress (secondary objective). Methods: A randomized controlled trial, systematically testing the effects of information structuring and information tailoring, each combined with caring, in 2 video-vignette experiments (2×2 and 2×2×2 design). Using an online survey platform, participants will be randomly allocated (blinded) to 1 of 12 conditions in which they are asked to view a video vignette (intervention) in which an oncologist discusses a treatment plan for malignant lymphoma with a patient. The independent variables of interest are systematically varied across conditions. The outcome measures are assessed in a survey, using validated instruments. Study participants are (former) patients with cancer and their relatives recruited via online panels and patient organizations. This protocol discusses the trial design, including the video-vignette design, intervention pretesting, and a pilot study. Results: Data collection has now been completed, and preliminary analyses will be available in Spring 2019. A total of 470 participants completed the first part of the survey and were randomized to receive the intervention. Conclusions: The results of the proposed trial will provide evidence concerning the pathways linking physician information, giving skills to (improved) consultation outcomes for patients.",
keywords = "Clinical trial protocol, Health communication, Immediate recall, Information dissemination, Physician patient relationship, Symptoms, Trust, Video vignettes",
author = "Nanon Labrie and {Van Dulmen}, Sandra and Kersten, {Marie Jos{\'e}} and {De Haes}, {Hanneke J.C.M.} and Pieterse, {Arwen H.} and {Van Weert}, {Julia C.M.} and {Van Spronsen}, {Dick Johan} and Smets, {Ellen M.A.}",
year = "2019",
month = "1",
day = "1",
doi = "10.2196/12453",
language = "English",
volume = "21",
journal = "Journal of Medical Internet Research",
issn = "1438-8871",
publisher = "Journal of medical Internet Research",
number = "5",

}

Effective information provision about the side effects of treatment for malignant lymphoma : Protocol of a randomized controlled trial using video vignettes. / Labrie, Nanon; Van Dulmen, Sandra; Kersten, Marie José; De Haes, Hanneke J.C.M.; Pieterse, Arwen H.; Van Weert, Julia C.M.; Van Spronsen, Dick Johan; Smets, Ellen M.A.

In: Journal of Medical Internet Research, Vol. 21, No. 5, e12453, 01.01.2019.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Effective information provision about the side effects of treatment for malignant lymphoma

T2 - Protocol of a randomized controlled trial using video vignettes

AU - Labrie, Nanon

AU - Van Dulmen, Sandra

AU - Kersten, Marie José

AU - De Haes, Hanneke J.C.M.

AU - Pieterse, Arwen H.

AU - Van Weert, Julia C.M.

AU - Van Spronsen, Dick Johan

AU - Smets, Ellen M.A.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Informing patients with cancer about the possible implications of prospective treatment is a crucial yet challenging task. Unfortunately, patients' recall of medical information is generally poor and their information needs are not met. Effective information giving entails that oncologists help patients understand and recall the implications of their treatment, meanwhile fostering a trusting physician-patient relationship. Communication strategies that are often suggested to be effective are structuring and tailoring (cognition-oriented) but also are oncologists' expressions of caring or empathy (affect-oriented). Objective: The aim of this study is to provide evidence concerning the pathways linking physician communication to (improved) consultation outcomes for patients. More specifically, the aim is to determine the effects of information structuring and information tailoring, combined with physician caring, on information recall, satisfaction with information, and trust in the physician (primary objective) and on symptom distress (secondary objective). Methods: A randomized controlled trial, systematically testing the effects of information structuring and information tailoring, each combined with caring, in 2 video-vignette experiments (2×2 and 2×2×2 design). Using an online survey platform, participants will be randomly allocated (blinded) to 1 of 12 conditions in which they are asked to view a video vignette (intervention) in which an oncologist discusses a treatment plan for malignant lymphoma with a patient. The independent variables of interest are systematically varied across conditions. The outcome measures are assessed in a survey, using validated instruments. Study participants are (former) patients with cancer and their relatives recruited via online panels and patient organizations. This protocol discusses the trial design, including the video-vignette design, intervention pretesting, and a pilot study. Results: Data collection has now been completed, and preliminary analyses will be available in Spring 2019. A total of 470 participants completed the first part of the survey and were randomized to receive the intervention. Conclusions: The results of the proposed trial will provide evidence concerning the pathways linking physician information, giving skills to (improved) consultation outcomes for patients.

AB - Background: Informing patients with cancer about the possible implications of prospective treatment is a crucial yet challenging task. Unfortunately, patients' recall of medical information is generally poor and their information needs are not met. Effective information giving entails that oncologists help patients understand and recall the implications of their treatment, meanwhile fostering a trusting physician-patient relationship. Communication strategies that are often suggested to be effective are structuring and tailoring (cognition-oriented) but also are oncologists' expressions of caring or empathy (affect-oriented). Objective: The aim of this study is to provide evidence concerning the pathways linking physician communication to (improved) consultation outcomes for patients. More specifically, the aim is to determine the effects of information structuring and information tailoring, combined with physician caring, on information recall, satisfaction with information, and trust in the physician (primary objective) and on symptom distress (secondary objective). Methods: A randomized controlled trial, systematically testing the effects of information structuring and information tailoring, each combined with caring, in 2 video-vignette experiments (2×2 and 2×2×2 design). Using an online survey platform, participants will be randomly allocated (blinded) to 1 of 12 conditions in which they are asked to view a video vignette (intervention) in which an oncologist discusses a treatment plan for malignant lymphoma with a patient. The independent variables of interest are systematically varied across conditions. The outcome measures are assessed in a survey, using validated instruments. Study participants are (former) patients with cancer and their relatives recruited via online panels and patient organizations. This protocol discusses the trial design, including the video-vignette design, intervention pretesting, and a pilot study. Results: Data collection has now been completed, and preliminary analyses will be available in Spring 2019. A total of 470 participants completed the first part of the survey and were randomized to receive the intervention. Conclusions: The results of the proposed trial will provide evidence concerning the pathways linking physician information, giving skills to (improved) consultation outcomes for patients.

KW - Clinical trial protocol

KW - Health communication

KW - Immediate recall

KW - Information dissemination

KW - Physician patient relationship

KW - Symptoms

KW - Trust

KW - Video vignettes

UR - http://www.scopus.com/inward/record.url?scp=85067653209&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067653209&partnerID=8YFLogxK

U2 - 10.2196/12453

DO - 10.2196/12453

M3 - Article

VL - 21

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1438-8871

IS - 5

M1 - e12453

ER -