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When worlds collide: Challenges to implementing communication research in community oncology practices
Elise N Brannen1, Kathryn I Pollak2, David Farrell3
1Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA.
Patient Education and Counseling
|December 24, 2019
Summary
Implementing online communication training for oncologists in community practices faced significant participation barriers. Future research requires greater support, reduced burden, and enhanced flexibility for successful community-based oncology research.
Area of Science:
- Oncology
- Medical Education
- Health Services Research
Background:
- Effective communication is crucial for quality cancer care.
- Online training programs offer potential for broad reach in oncology.
- Community practice settings present unique research challenges.
Purpose of the Study:
- To assess the effectiveness of an online communication training for community practice oncologists.
- To identify barriers encountered during the implementation of this training.
- To inform future research design in community oncology settings.
Main Methods:
- Oncologists were recruited via the American Board of Internal Medicine (ABIM) Maintenance of Certification program.
- Participants completed patient surveys (CAHPS) and recorded clinic encounters before and after an online communication intervention (SCOPE) or control (ABIM Action Plan).
- Data on participation, withdrawal, and identified barriers were collected.
Main Results:
- Low completion rates were observed, with only 27 out of 146 enrolled oncologists finishing the study.
- Key barriers included commitment discrepancies, research burden, informed consent issues, and technological challenges.
- Interventions to overcome barriers had limited success due to time and resource constraints.
Conclusions:
- Conducting research in community practices necessitates substantial investigator support, minimized participant burden, and increased flexibility.
- Thorough pilot testing is essential for research involving community-based healthcare providers.
- Addressing identified barriers is critical for the successful implementation of future communication interventions in oncology.
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