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Asking questions can help: development and preliminary evaluation of a question prompt list for palliative care patients.

Clayton J, Butow P, Tattersall M, Chye R, Noel M, Davis JM, Glare P - Br. J. Cancer (2003)

Bottom Line: State anxiety (STAI) decreased after receiving the booklet and seeing the doctor in 16 out of 19 patients (overall anxiety decreased by a median of 8, IQR 1-13).We have identified a specific QPL that might facilitate useful dialogue between PC patients and their doctor.The QPL has strong support from patients, their carers and relevant health professionals.

View Article: PubMed Central - PubMed

Affiliation: Medical Psychology Research Unit, Blackburn Building D06, University of Sydney, and Sacred Heart Palliative Care Service, St Vincent's Hospital, Darlinghurst, Sydney, NSW, Australia. josephine@student.usyd.edu.au

ABSTRACT
Question prompt lists (QPLs) have been shown to be an inexpensive and effective communication tool for patients in oncology consultations. We aimed to develop and pilot a QPL for palliative care (PC) patients. In order to identify suitable questions for inclusion in the QPL, we conducted focus groups and individual interviews with 19 patients, 24 carers and 22 PC health professionals. A further 21 health professionals reviewed the draft document. The draft QPL was piloted in 23 patients. In total, 112 questions were identified and grouped into eight categories. All participants felt that the QPL, in booklet form, could be a useful tool. Out of 23 patients in the pilot study, 22 agreed that the QPL was helpful, contained useful questions, was easy to understand and would be useful in the future. State anxiety (STAI) decreased after receiving the booklet and seeing the doctor in 16 out of 19 patients (overall anxiety decreased by a median of 8, IQR 1-13). Participants in the pilot study endorsed the inclusion of end-of-life issues in the QPL, despite some reservations expressed about this by health professionals in the individual interviews. We have identified a specific QPL that might facilitate useful dialogue between PC patients and their doctor. The QPL has strong support from patients, their carers and relevant health professionals.

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Related in: MedlinePlus

Categories and examples of questions identified in focus groups/individual interviews
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fig1: Categories and examples of questions identified in focus groups/individual interviews

Mentions: Most participants suggested questions about the management of a range of physical symptoms (see Figure 1Figure 1


Asking questions can help: development and preliminary evaluation of a question prompt list for palliative care patients.

Clayton J, Butow P, Tattersall M, Chye R, Noel M, Davis JM, Glare P - Br. J. Cancer (2003)

Categories and examples of questions identified in focus groups/individual interviews
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2376858&req=5

fig1: Categories and examples of questions identified in focus groups/individual interviews
Mentions: Most participants suggested questions about the management of a range of physical symptoms (see Figure 1Figure 1

Bottom Line: State anxiety (STAI) decreased after receiving the booklet and seeing the doctor in 16 out of 19 patients (overall anxiety decreased by a median of 8, IQR 1-13).We have identified a specific QPL that might facilitate useful dialogue between PC patients and their doctor.The QPL has strong support from patients, their carers and relevant health professionals.

View Article: PubMed Central - PubMed

Affiliation: Medical Psychology Research Unit, Blackburn Building D06, University of Sydney, and Sacred Heart Palliative Care Service, St Vincent's Hospital, Darlinghurst, Sydney, NSW, Australia. josephine@student.usyd.edu.au

ABSTRACT
Question prompt lists (QPLs) have been shown to be an inexpensive and effective communication tool for patients in oncology consultations. We aimed to develop and pilot a QPL for palliative care (PC) patients. In order to identify suitable questions for inclusion in the QPL, we conducted focus groups and individual interviews with 19 patients, 24 carers and 22 PC health professionals. A further 21 health professionals reviewed the draft document. The draft QPL was piloted in 23 patients. In total, 112 questions were identified and grouped into eight categories. All participants felt that the QPL, in booklet form, could be a useful tool. Out of 23 patients in the pilot study, 22 agreed that the QPL was helpful, contained useful questions, was easy to understand and would be useful in the future. State anxiety (STAI) decreased after receiving the booklet and seeing the doctor in 16 out of 19 patients (overall anxiety decreased by a median of 8, IQR 1-13). Participants in the pilot study endorsed the inclusion of end-of-life issues in the QPL, despite some reservations expressed about this by health professionals in the individual interviews. We have identified a specific QPL that might facilitate useful dialogue between PC patients and their doctor. The QPL has strong support from patients, their carers and relevant health professionals.

Show MeSH
Related in: MedlinePlus