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A randomized intervention involving family to improve communication in breast cancer care

We examined the effects of a communication intervention to engage family care partners on patient portal (MyChart) use, illness understanding, satisfaction with cancer care, and symptoms of anxiety in a single-blind randomized trial of patients in treatment for breast cancer. Patient-family dyads we...

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Autores principales: Wolff, Jennifer L., Aufill, Jennifer, Echavarria, Diane, Blackford, Amanda L., Connolly, Roisin M., Fetting, John H., Jelovac, Danijela, Papathakis, Katie, Riley, Carol, Stearns, Vered, Zafman, Nelli, Thorner, Elissa, Levy, Howard P., Guo, Amy, Dy, Sydney M., Wolff, Antonio C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881185/
https://www.ncbi.nlm.nih.gov/pubmed/33579966
http://dx.doi.org/10.1038/s41523-021-00217-9
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author Wolff, Jennifer L.
Aufill, Jennifer
Echavarria, Diane
Blackford, Amanda L.
Connolly, Roisin M.
Fetting, John H.
Jelovac, Danijela
Papathakis, Katie
Riley, Carol
Stearns, Vered
Zafman, Nelli
Thorner, Elissa
Levy, Howard P.
Guo, Amy
Dy, Sydney M.
Wolff, Antonio C.
author_facet Wolff, Jennifer L.
Aufill, Jennifer
Echavarria, Diane
Blackford, Amanda L.
Connolly, Roisin M.
Fetting, John H.
Jelovac, Danijela
Papathakis, Katie
Riley, Carol
Stearns, Vered
Zafman, Nelli
Thorner, Elissa
Levy, Howard P.
Guo, Amy
Dy, Sydney M.
Wolff, Antonio C.
author_sort Wolff, Jennifer L.
collection PubMed
description We examined the effects of a communication intervention to engage family care partners on patient portal (MyChart) use, illness understanding, satisfaction with cancer care, and symptoms of anxiety in a single-blind randomized trial of patients in treatment for breast cancer. Patient-family dyads were recruited and randomly assigned a self-administered checklist to clarify the care partner role, establish a shared visit agenda, and facilitate MyChart access (n = 63) or usual care (n = 55). Interviews administered at baseline, 3, 9 (primary endpoint), and 12 months assessed anxiety (GAD-2), mean FAMCARE satisfaction, and complete illness understanding (4 of 4 items correct). Time-stamped electronic interactions measured MyChart use. By 9 months, more intervention than control care partners registered for MyChart (77.8 % vs 1.8%; p < 0.001) and logged into the patient’s account (61.2% vs 0% of those registered; p < 0.001), but few sent messages to clinicians (6.1% vs 0%; p = 0.247). More intervention than control patients viewed clinical notes (60.3% vs 32.7%; p = 0.003). No pre-post group differences in patient or care partner symptoms of anxiety, satisfaction, or complete illness understanding were found. Intervention patients whose care partners logged into MyChart were more likely to have complete illness understanding at 9 months (changed 70.0% to 80.0% vs 69.7% to 54.6%; p = 0.03); symptoms of anxiety were numerically lower (16.7% to 6.7% vs 15.2% to 15.2%; p = 0.24) and satisfaction numerically higher (15.8–16.2 vs 18.0–17.4; p = 0.25). A brief, scalable communication intervention led to greater care partner MyChart use and increased illness understanding among patients with more engaged care partners (NCT03283553).
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spelling pubmed-78811852021-02-25 A randomized intervention involving family to improve communication in breast cancer care Wolff, Jennifer L. Aufill, Jennifer Echavarria, Diane Blackford, Amanda L. Connolly, Roisin M. Fetting, John H. Jelovac, Danijela Papathakis, Katie Riley, Carol Stearns, Vered Zafman, Nelli Thorner, Elissa Levy, Howard P. Guo, Amy Dy, Sydney M. Wolff, Antonio C. NPJ Breast Cancer Article We examined the effects of a communication intervention to engage family care partners on patient portal (MyChart) use, illness understanding, satisfaction with cancer care, and symptoms of anxiety in a single-blind randomized trial of patients in treatment for breast cancer. Patient-family dyads were recruited and randomly assigned a self-administered checklist to clarify the care partner role, establish a shared visit agenda, and facilitate MyChart access (n = 63) or usual care (n = 55). Interviews administered at baseline, 3, 9 (primary endpoint), and 12 months assessed anxiety (GAD-2), mean FAMCARE satisfaction, and complete illness understanding (4 of 4 items correct). Time-stamped electronic interactions measured MyChart use. By 9 months, more intervention than control care partners registered for MyChart (77.8 % vs 1.8%; p < 0.001) and logged into the patient’s account (61.2% vs 0% of those registered; p < 0.001), but few sent messages to clinicians (6.1% vs 0%; p = 0.247). More intervention than control patients viewed clinical notes (60.3% vs 32.7%; p = 0.003). No pre-post group differences in patient or care partner symptoms of anxiety, satisfaction, or complete illness understanding were found. Intervention patients whose care partners logged into MyChart were more likely to have complete illness understanding at 9 months (changed 70.0% to 80.0% vs 69.7% to 54.6%; p = 0.03); symptoms of anxiety were numerically lower (16.7% to 6.7% vs 15.2% to 15.2%; p = 0.24) and satisfaction numerically higher (15.8–16.2 vs 18.0–17.4; p = 0.25). A brief, scalable communication intervention led to greater care partner MyChart use and increased illness understanding among patients with more engaged care partners (NCT03283553). Nature Publishing Group UK 2021-02-12 /pmc/articles/PMC7881185/ /pubmed/33579966 http://dx.doi.org/10.1038/s41523-021-00217-9 Text en © The Author(s) 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Wolff, Jennifer L.
Aufill, Jennifer
Echavarria, Diane
Blackford, Amanda L.
Connolly, Roisin M.
Fetting, John H.
Jelovac, Danijela
Papathakis, Katie
Riley, Carol
Stearns, Vered
Zafman, Nelli
Thorner, Elissa
Levy, Howard P.
Guo, Amy
Dy, Sydney M.
Wolff, Antonio C.
A randomized intervention involving family to improve communication in breast cancer care
title A randomized intervention involving family to improve communication in breast cancer care
title_full A randomized intervention involving family to improve communication in breast cancer care
title_fullStr A randomized intervention involving family to improve communication in breast cancer care
title_full_unstemmed A randomized intervention involving family to improve communication in breast cancer care
title_short A randomized intervention involving family to improve communication in breast cancer care
title_sort randomized intervention involving family to improve communication in breast cancer care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881185/
https://www.ncbi.nlm.nih.gov/pubmed/33579966
http://dx.doi.org/10.1038/s41523-021-00217-9
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