TY  - JOUR
AU  - Belkora, Jeffrey K
AU  - Naguit, Marijoyce
AU  - Stupar, Lauren
AU  - Wiley, James
AU  - Volz, Shelley
AU  - O'Donnell, Sara
PY  - 2017
DA  - 2017/8/22
TI  - The Effects of Coaching Patients to List Questions Before Visiting Cancer Specialists: Retrospective Evaluation of Visit Preparation in a Rural, Underserved Setting
JO  - J Participat Med
SP  - e15
VL  - 9
IS  - 1
KW  - Visit preparation
KW  - self-efficacy
KW  - anxiety
KW  - question list
KW  - patient support
KW  - community-based participatory research
KW  - psycho-oncology.
AB  - Background: A community-based organization implemented an evidence-based intervention to help rural cancer patients list questions before oncology visits. Objective: Was the question-listing intervention effective in reducing anxiety and increasing decision self-efficacy? Methods: The organization surveyed patients on decision self-efficacy (273 respondents, 99% response rate) and anxiety (190, 68%) before and after question-listing interventions delivered from 2006 – 2011. We analyzed responses using two-sided paired t-tests at 5% significance and conducted linear regression to identify significant predictors of change. We examined predictors related to the patient (location, demographics, disease status and baseline decision self-efficacy and anxiety); the intervention (including interventionist case volume); and the visit (including type of doctor seen). Results: Question-listing was associated with higher mean decision self-efficacy (2.70/3.43 pre/post, 1-4 min-max, P<.001) and lower mean anxiety (7.26/5.87, 1-10 min-max, P<.001). Significant predictors of change in decision self-efficacy included: patient location; interventionist case volume; baseline decision self-efficacy and anxiety. Higher baseline anxiety was also associated with reductions in anxiety. Conclusions: In a sustained community-based implementation, the intervention helped patients prepare for oncology visits. Patients reported higher self-efficacy and lower anxiety. 
SN  - 2152-7202
UR  - http://jopm.jmir.org/2017/1/e15/
UR  - https://doi.org/10.2196/jopm.8949
DO  - 10.2196/jopm.8949
ID  - info:doi/10.2196/jopm.8949
ER  -