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Updated: Oct 18, 2025

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
Trust and shared decision-making among individuals with multiple myeloma: A qualitative study
Robin L Whitney1, Anne Elizabeth Clark White2, Aaron S Rosenberg3,4
1The Valley Foundation School of Nursing, San Jose State University, San Jose, California, USA.
Trust in multiple myeloma (MM) care develops through clinician communication and interaction. Enhancing clinician communication skills can improve patient trust and shared decision-making for better cancer treatment outcomes.
Area of Science:
- Oncology
- Patient-Clinician Relationships
- Health Communication
Background:
- Multiple myeloma (MM) is an incurable cancer requiring complex treatment decisions.
- Effective shared decision-making relies on strong patient-clinician trust.
- Understanding trust development is crucial for MM patient care.
Purpose of the Study:
- To explore how trust develops between multiple myeloma patients and their clinicians.
- To identify key factors influencing trust in the MM patient-clinician relationship.
Main Methods:
- Qualitative study utilizing 19 semi-structured interviews with MM patients.
- Thematic analysis of interview transcripts to identify patterns in trust development.
Main Results:
- Trust is influenced by external validation and direct patient-clinician interactions.
- Internally validated trust stems from clinician competence, communication, empathy, and honesty.
- Trust directly impacts patients' engagement in shared decision-making.
Conclusions:
- Trust development is multifactorial, influenced by both external factors and clinician behaviors.
- Improving clinician communication and empathy can enhance patient trust.
- Prioritizing trusting relationships is essential for effective shared decision-making in MM care.
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