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BMC Cancer. 2013 Apr 9;13:188. doi: 10.1186/1471-2407-13-188.

Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers.

Author information

1
Rochester Healthcare Decision-Making Group, University of Rochester Medical Center, Rochester, NY, USA. michael_hoerger@urmc.rochester.edu

Abstract

BACKGROUND:

Communication about prognosis and treatment choices is essential for informed decision making in advanced cancer. This article describes an investigation designed to facilitate communication and decision making among oncologists, patients with advanced cancer, and their caregivers.

METHODS/DESIGN:

The Values and Options in Cancer Care (VOICE) Study is a National Cancer Institute sponsored randomized controlled trial conducted in the Rochester/Buffalo, NY and Sacramento, CA regions. A total of 40 oncologists, approximately 400 patients with advanced cancer, and their family/friend caregivers (one per patient, when available) are expected to enroll in the study. Drawing upon ecological theory, the intervention uses a two-pronged approach: oncologists complete a multifaceted tailored educational intervention involving standardized patient instructors (SPIs), and patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions and concerns. Follow-up data will be collected approximately quarterly for up to three years.

DISCUSSION:

The intervention is hypothesized to enhance patient-centered communication, quality of care, and patient outcomes. Analyses will examine the effects of the intervention on key elements of physician-patient-caregiver communication (primary outcomes), the physician-patient relationship, shared understanding of prognosis, patient well-being, and health service utilization (secondary outcomes).

TRIAL REGISTRATION:

Clinical Trials Identifier: NCT01485627.

PMID:
23570278
PMCID:
PMC3637237
DOI:
10.1186/1471-2407-13-188
[Indexed for MEDLINE]
Free PMC Article

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