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Changing physicians' attitudes toward self-help groups: an educational intervention.

J C Carroll1, R E Gray, V J Orr

  • 1Department of Family and Community Medicine, University of Toronto, Canada. june.carroll@utoronto.ca

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|March 24, 2000
PubMed
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Educational interventions significantly improved family physicians' attitudes toward cancer self-help groups (SHGs). Physicians became more positive about SHGs' helpfulness and less concerned about potential harm, indicating a shift in perception.

Area of Science:

  • Oncology
  • Medical Education
  • Health Psychology

Background:

  • Physician skepticism regarding cancer self-help groups (SHGs) and their potential harm is a concern for SHG members.
  • Attitudes of family physicians towards SHGs require investigation to understand potential barriers to patient engagement.

Purpose of the Study:

  • To assess family physicians' attitudes towards cancer self-help groups (SHGs).
  • To determine if an educational intervention can positively change physicians' attitudes towards SHGs.

Main Methods:

  • A questionnaire on attitudes toward SHGs was distributed to 1,422 Ontario family physicians, with 911 responding.
  • Responders received an educational package including an article on SHGs and a list of local groups, followed by a second questionnaire.

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Main Results:

  • Post-intervention, physicians showed significantly more positive attitudes regarding SHGs' helpfulness (p=0.021) and reduced concerns about potential harm (p=0.003).
  • Physicians' positive views increased concerning SHGs' role in information sharing, patient bonding, emotional support, hope, assertiveness, and advocacy.
  • Concerns about misinformation, negative effects of associating with the ill, dwelling on illness, and false hope significantly decreased post-intervention.

Conclusions:

  • An educational intervention, including a questionnaire and targeted material, effectively shifted family physicians' attitudes toward cancer self-help groups.
  • Further research is warranted to investigate whether these attitude changes translate into behavioral modifications in clinical practice.