Clinician-Patient Communication in Lung Cancer Care
- Conditions
- Lung Cancer
- Registration Number
- NCT02732834
- Lead Sponsor
- Memorial Sloan Kettering Cancer Center
- Brief Summary
The purpose of this study is to better understand communication between patients with lung cancer and their clinicians. The investigators are also interested in patient's perceptions of the quality of communication with his/her clinician and how these perceptions may impact patient outcomes. The clinician participating in this study and has given us permission to approach his/her eligible patients for study participation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 294
- Patients with confirmed lung cancer diagnosis or mass suspicious of lung cancer as per clinician report and/or EMR
- Lung cancer diagnosis or suspicious mass as per clinician report/EMR within 0-6 months of consent or within no more than three visits to participating clinician
- Participating clinician approves his/her patient's participation in this study per clinician report.
- Former (at least 100 cigarettes in lifetime and quit more than 30 days prior to enrollment) or current smoker (lifetime smoker who reports cigarette smoking within the past 30 days) as per self report or EMR;
- English fluency (determined through EMR or clinician report), as we do not have the resources to translate the consultations from other languages or the surveys to other languages;
- Patients must be 18 years old or older
Clinician Inclusion Criteria:
- An MSK attending physician (radiologists, medical oncologists, and surgeons), Nurse Practitioner (NP), Physician Assistant (PA), Fellow, Resident or Clinical Nurse Specialist (CNS) or Clinical Nurse (RN) who is a member of the Thoracic Disease Management Team or Pulmonary Service currently treating thoracic patients at MSK as per self report
- Clinical has individual clinic consultations to discuss adult health assessment and/or smoking history with the target patient population: English-speaking, at least 18 years of age, has a suspicious lung mass or confirmed diagnosis, is a former/current smoker, has had no more than 3 visits with clinician or had diagnosis in past 6 months as per self-report.
Clinician Exclusion Criteria
- N/A
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Part 1: Systematic coding of clinical encounters and the perceived stigma within the clinical consultation 1 year interview along with patient-reported data from the post-consultation questionnaire will be used.
Part 1: All variables (stigma, satisfaction with communication, psychological distress) 1 year will be measured via post-consultation questionnaires
Part 2: We will pilot test the effectiveness of the empathic communication skills training module 1 year for clinicians: physicians, nurse practitioners, physician assistants, fellows, residents, clinical nurses, and clinical nurse specialists by using the communication skills training module
- Secondary Outcome Measures
Name Time Method # of patients referred to MSK's Tobacco Treatment Program (TTP) 1 year will be determined via review of the medical record and/or Tobacco Treatment Program database
Trial Locations
- Locations (7)
Memorial Sloan Kettering Basking Ridge (Consent and follow-up only)
🇺🇸Basking Ridge, New Jersey, United States
Memorial Sloan Kettering Monmouth (Consent and follow-up only)
🇺🇸Middletown, New Jersey, United States
Memorial Sloan Kettering Bergen (Consent and follow-up only)
🇺🇸Montvale, New Jersey, United States
Memorial Sloan Kettering Commack (Consent and follow-up only)
🇺🇸Commack, New York, United States
Memorial Sloan Kettering Westchester (Consent and follow-up only)
🇺🇸Harrison, New York, United States
Memorial Sloan Kettering Cancer Center
🇺🇸New York, New York, United States
Memorial Sloan Kettering Nassau (Consent and Follow-Up only)
🇺🇸Uniondale, New York, United States
Memorial Sloan Kettering Basking Ridge (Consent and follow-up only)🇺🇸Basking Ridge, New Jersey, United States