Future directions in research on consumer–provider communication and adherence to cancer prevention and treatment
Section snippets
Background
Communication, typically thought of as the unimpeded flow of information and meaning between individuals, appears to be essential to health care outcomes [1]. Effective provider–patient communication can improve cancer care for several reasons, not the least of which is that communication likely enhances patient adherence to health care recommendations, and patient adherence itself is a critical mediating factor between health recommendations and their outcomes. A health professional’s clear
Research on adherence and communication
In cancer, as in all diseases, health professional–patient communication can affect patient adherence in complex and multifaceted ways. Effective communication is not easily accomplished in any medical care delivery setting, but the advanced, and sometimes frightening, technological interventions of cancer treatment can make this goal particularly difficult to achieve [12]. Despite a fairly substantial body of research on adherence, empirical work in the realm of cancer has not been systematic,
Conclusion
Taking all possible factors into account, what is the most succinct and valid prediction model of patient adherence? Despite several decades of research on patient adherence to treatment, this question has not been answered. There remain serious gaps in the research, not the least of which involve: (1) a concise explanation of why patients do or do not adhere; (2) how predictions and explanations of adherence can be altered by various conditions of disease, measurement, and regimen; (3) what
References (20)
- et al.
Behavioral theories and the problem of compliance
Patient Educ Couns
(1987) - et al.
Caregivers’ perceptions of medical compliance in adolescents with cancer
J. Adolesc. Health Care
(1986) - et al.
Liminality: a major category of the experience of cancer illness
Soc. Sci. Med.
(1998) - et al.
Patient non-compliance: deviance or reasoned decision-making?
Soc. Sci. Med.
(1992) - DiMatteo MR, DiNicola DD. Achieving patient compliance. Elmsford, NY: Pergamon Press;...
- et al.
Enhancing medication adherence through communication and informed collaborative choice
Health Commun
(1964) - DiMatteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review of 50 years of...
- et al.
The Health Belief Model: a decade later
Health Ed Q
(1984) - et al.
Intention, perceived control, and weight loss: an application of the theory of planned behavior
J. Personality Soc Psychol
(1985) - et al.
Form C of the MHLC Scales: condition specific measures of locus of control
J Personality Assess.
(1994)
Cited by (42)
Second medical opinion in oncological setting
2021, Critical Reviews in Oncology/HematologyCitation Excerpt :The patient-oncologist relationship should carry inherent elements of trust, loyalty, intimacy and dependency, which belong to the emotional contract between patient and physician. The major predictor for loyalty and mutual commitment to treatment success are trust and satisfaction (DiMatteo, 2003; Platonova et al., 2008). Second opinion is even more complex, because two or more physicians are involved, resulting in two dyads, but not necessarily a triad (Greenfield et al., 2012).
Pre-treatment effects of peripheral tumors on brain and behavior: Neuroinflammatory mechanisms in humans and rodents
2015, Brain, Behavior, and ImmunityPatient-physician relationships in second opinion encounters - The physicians' perspective
2012, Social Science and MedicineCitation Excerpt :This dyad carries inherent elements of trust, loyalty, intimacy and dependency, that are rooted in the patient–physician emotional contract, and implies a strong interpersonal relationship. Trust and satisfaction are major predictors of patient loyalty and mutual commitment to treatment success (DiMatteo, 2003; Platonova, Kennedy, & Shewchuk, 2008), and they may even compensate for patient dissatisfaction with other elements of the patient–physician encounter (Platonova et al., 2008). Second opinion encounters are even more complex, because two or more physicians are involved, resulting in two dyads, but not necessarily a triad.
Factors associated with the accuracy of physicians' predictions of patient adherence
2011, Patient Education and CounselingCitation Excerpt :Accurate detection of patient non-adherence is important for determining which patients may require intervention—a determination that physicians are uniquely positioned to make for the following reasons: treatment adherence is initiated in the medical encounter and has been defined as “the extent to which a patient's behavior (in terms of taking medication, following a diet, modifying habits, or attending clinics) coincides with medical or health advice” [6]. Initial patient attitudes regarding the treatment and its efficacy are formed in the medical visit, and treatment utility attitudes are key predictors of intentions to adhere [7]. If physicians were able to accurately predict that a patient would be nonadherent to a treatment, then they could address the potential issues initially, avoiding poor outcomes, repeat office visits, and patient frustration.
Patients' perception of communication with clinicians during screening and discussion of cancer supportive care needs
2011, Patient Education and CounselingCitation Excerpt :Seeking help and active involvement in care can play an important role in encouraging adherence to treatment. Positive communication between patients and clinicians has been found to be one of the factors which can influence adherence to care amongst cancer patients [36]. More specifically, unmet needs such as unaddressed depression can hinder medical patients’ adherence to treatment [37].
Treatment interruptions in radiation therapy for head-and-neck cancer: Rates and causes
2010, Journal of Medical Imaging and Radiation Sciences