Development of a question prompt list as a communication intervention to reduce racial disparities in cancer treatment.

Development of a question prompt list as a communication intervention to reduce racial disparities in cancer treatment.
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DOI:
10.1007/s13187-013-0456-2
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发表时间:
2013-06
期刊:
Journal of cancer education : the official journal of the American Association for Cancer Education
影响因子:
--
通讯作者:
Albrecht T
Albrecht T
中科院分区:
其他
文献类型:
--
作者:
Eggly S;Tkatch R;Penner LA;Mabunda L;Hudson J;Chapman R;Griggs JJ;Brown R;Albrecht T

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在使用化疗作为癌症治疗方面发现了种族差异。这些差异可能部分是由于在与肿瘤学家和黑人与白色患者的临床互动过程中沟通质量的差异。在这项研究中,使用基于社区的前瞻性研究(CBPR)方法,学术研究人员,社区成员和肿瘤学家建立了合作伙伴关系,以开发沟通干预措施,以解决癌症护理中的种族差异。合作伙伴开发了一个问题提示列表(QPL),这是一个简单的工具,可用于在肿瘤学家和黑人患者讨论化疗的临床互动期间改善沟通,从而改善治疗。合作伙伴认可使用QPL,提供内容和格式的具体建议,对接受化疗的黑人患者进行定性访谈并进行分析,并批准最终版本。这项研究过程中产生的QPL的可行性和有效性目前正在一项单独的研究中进行评估。
Racial disparities have been found in the use of chemotherapy as cancer treatment. These disparities may be, in part, due to well-documented differences in the quality of communication during clinical interactions with oncologists and Black versus White patients. In this study using a Community-Based Participatory Research (CBPR) approach, academic researchers, community members, and oncologists formed a partnership to develop a communication intervention to address racial disparities in cancer care. Partners developed a Question Prompt List (QPL), a simple tool that can be used to improve communication, and thus treatment, during clinical interactions in which oncologists and Black patients discuss chemotherapy. Partners endorsed the use of a QPL, provided specific suggestions for content and format, conducted and analyzed qualitative interviews with Black patients receiving chemotherapy, and approved the final version. The feasibility and effectiveness of the QPL that resulted from this research process are currently under evaluation in a separate study.
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