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Asking questions during breast cancer consultations: does being alone or being accompanied make a difference?
L Del Piccolo1, C Goss1, A Bottacini1
1Department of Public Health and Community Medicine, Section of Clinical Psychology, University of Verona, Policlinico G.B. Rossi, Piazzale L.A. Scuro 10, 37134 Verona, Italy.
Most breast cancer patients attend consultations with a companion, who supports them without reducing patient involvement. Companionship did not significantly increase the number of questions asked during these important cancer consultations.
Area of Science:
- Oncology
- Psycho-oncology
- Health Services Research
Background:
- Companions frequently attend cancer consultations with patients.
- Patient and companion questions indicate active participation.
- Understanding the role of companions in breast cancer consultations is crucial.
Purpose of the Study:
- To describe characteristics of accompanied vs. unaccompanied Italian breast cancer patients.
- To analyze companion contributions to question-asking during consultations.
Main Methods:
- Audio recording of 70 breast cancer consultations.
- Transcription and coding of patient and companion questions.
- Collection of socio-demographic, clinical, and decision-making data.
Main Results:
- 69% of patients were accompanied, typically by a family member.
- Accompanied patients were more likely to be non-employed or prefer a passive role.
- Accompanied and unaccompanied patients showed similar anxiety and distress levels.
- Companions did not significantly increase the total number of questions asked.
Conclusions:
- Differences between accompanied and unaccompanied patients were mainly socio-demographic.
- Companions provide support and share information without diminishing patient engagement.
- The presence of a companion does not negatively impact patient involvement in consultations.
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