BACKGROUND: Cancer patients and their oncologists often report differing perceptions of consultation discussions and discordant expectations regarding treatment outcomes. CONNECT, a computer-based communication aid, was developed to improve communication between patients and oncologists. METHODS: CONNECT includes assessment of patient values, goals, and communication preferences; patient communication skills training; and a preconsultation physician summary report. CONNECT was tested in a 3-arm, prospective, randomized clinical trial. Prior to the initial medical oncology consultation, adult patients with advanced cancer were randomized to the following arms: 1) control; 2) CONNECT with physician summary; or 3) CONNECT without physician summary. Outcomes were assessed with postconsultation surveys. RESULTS: Of 743 patients randomized, 629 completed postconsultation surveys. Patients in the intervention arms (versus control) felt that the CONNECT program made treatment decisions easier to reach (P =.003) and helped them to be more satisfied with these decisions (P <.001). In addition, patients in the intervention arms reported higher levels of satisfaction with physician communication format (P =.026) and discussion regarding support services (P =.029) and quality of life concerns (P =.042). The physician summary did not impact outcomes. Patients with higher levels of education and poorer physical functioning experienced greater benefit from CONNECT. CONCLUSIONS: This prospective randomized clinical trial demonstrates that computer-based communication skills training can positively affect patient satisfaction with communication and decision-making. Measurable patient characteristics may be used to identify subgroups most likely to benefit from an intervention such as CONNECT. Cancer 2013. © 2013 American Cancer Society. CONNECT is a computer-based tool to provide communication skills training to cancer patients. In a prospective randomized clinical trial, patients assigned to CONNECT reported improved satisfaction with physician communication and improved decision making when compared to those patients who did not receive online skills training.
- cancer communication
- health communication
- physician-patient communication
ASJC Scopus subject areas
- Cancer Research