Doctor-Patient Communication about Cancer Related Internet Information and its Ef

描述（由申请人提供）：相当数量的癌症患者使用互联网搜索癌症相关信息。研究表明，当病人把这些信息告诉他们的医生讨论时，谈话往往是具有挑战性的。由于不理想的医患沟通可能导致患者的负面结果，因此在讨论与癌症相关的互联网信息时，寻找有效的沟通策略至关重要。然而，在这方面，很少有研究证据支持医生沟通的建议。本研究将探讨医患对网路资讯的讨论，以及不同的医患沟通策略如何影响病患的满意度与焦虑。本研究的具体目的是：1)描述和检验医生对癌症相关互联网信息的反应如何受到患者使用的信息引入策略的影响；2)研究医师对癌症相关互联网信息的反应对患者满意度和焦虑的影响；3)找出癌症患者不与医生讨论癌症相关互联网信息的原因。在拟议的研究中，乳腺癌患者在咨询医生之前会被接触。那些声称在过去一个月里在互联网上阅读过与癌症相关信息的人将被招募到这项研究中。我们计划同意160名患者参与这项研究。所有患者将完成一份关于他们阅读过的与癌症相关的互联网信息的调查问卷，随后将他们与医生的咨询录音。我们这组患者的具体目标子样本是100人，他们打算与他们的医生谈论互联网信息。不讨论信息的患者将填写一份问卷，说明他们不讨论信息的原因。所有患者将完成会诊前焦虑量表和会诊后焦虑和满意度量表。分析将主要集中在患者和医生对这些互联网信息的交流如何影响患者的满意度和焦虑。本研究结果可望为制定网路资讯医患沟通建议策略提供初步依据。

DESCRIPTION (provided by applicant): A substantial number of cancer patients use the internet to search for cancer-related information. Research indicates that when patients take this information to their doctors to discuss, the conversations are often challenging. As suboptimal doctor-patient communication can lead to negative patient outcomes, finding effective strategies for communication in discussions about cancer-related internet information is essential. However, there is little research evidence to support recommendations for physician communication in this regard. The proposed study will examine doctor-patient discussions about internet information and how various patient and doctor communication strategies impact patient satisfaction and anxiety. The specific aims for this study are: 1) To describe and examine how physician responses to cancer-related internet information are affected by the strategies patients use to introduce the information; 2) to examine the effect of physician responses to cancer-related internet information on patient satisfaction and anxiety; and 3) to identify cancer patients' reasons for not discussing cancer-related internet information with their doctors. In the proposed study, breast cancer patients will be approached before their consultation with the doctor. Those who state that they have read internet information related to their cancer in the past month will be recruited to the study. We plan to consent 160 patients to the study. All patients will complete a questionnaire about the cancer-related internet information that they have read and subsequently have their consultation with the doctor audio recorded. Our specific target sub-sample for this group of patients is 100 who intended to talk with their doctor about internet information. Patients who do not discuss information will complete a questionnaire regarding their reasons for not discussing the information. All patients will complete a pre-consultation anxiety scale and post-consultation anxiety and satisfaction scales. Analyses will focus primarily on how patient and doctor communication about this internet information affects patient satisfaction and anxiety. It is expected that these results will provide preliminary evidence for the development of recommended strategies for doctor-patient communication about internet information.