作者
Rajiv Agarwal, Elyse Shuk, Danielle Romano, Margaux Genoff, Yuelin Li, Eileen M O’Reilly, William Breitbart, Angelo E Volandes, Andrew S Epstein
发表日期
2020/3
期刊
Supportive Care in Cancer
卷号
28
页码范围
1109-1119
出版商
Springer Berlin Heidelberg
简介
Abstract
Purpose
Person-Centered Oncologic Care and Choices (P-COCC) combines an advance care planning (ACP) value-focused patient interview with a care goal video decision aid. Our randomized study showed that P-COCC was acceptable but increased participant distress, compared with video-alone and usual care study arms. This mixed methods approach explores the ACP values in the P-COCC arm and their relationship to the distress phenomenon.
Methods
Qualitative thematic analysis of the 46 audio-recorded P-COCC interview transcripts with advanced gastrointestinal cancer patients was performed by multiple reviewers. Quantitative (Likert scale) changes in ACP values were compared across study arms. ACP themes and value change were analyzed in participants with increased distress.
Results
Transcript analysis resulted in thematic saturation and identified eight distinct themes on ACP …
学术搜索中的文章
R Agarwal, E Shuk, D Romano, M Genoff, Y Li… - Supportive Care in Cancer, 2020