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From Observation to Action: Developing and Pilot-Testing a Communication Tool for Follow-up Consultations with
Anneli V Mellblom1,2, Ellen Ruud3,4, Jon Håvard Loge1
1Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway.
Journal of Adolescent and Young Adult Oncology
|December 15, 2021
Summary
A new communication tool, 7 Memory Hooks (7MH), improved physician interactions with adolescent cancer survivors (ACS). The training enhanced structured consultations, empowering survivors in their healthcare journey.
Area of Science:
- Oncology
- Medical Communication
- Adolescent Health
Background:
- Effective physician communication is crucial for adolescent cancer survivors (ACS) to manage their health post-treatment.
- Structured consultations empower survivors to take ownership of their ongoing healthcare needs.
Purpose of the Study:
- To develop a novel communication tool, 7 Memory Hooks (7MH), to enhance physician-led follow-up consultations with ACS.
- To pilot-test the 7MH tool's efficacy in improving communication behaviors during these consultations.
Main Methods:
- Clinicians and communication experts co-developed the 7MH tool and a coding scheme.
- Thirty-seven consultations were video-recorded (22 pre-intervention, 15 post-intervention).
- Physicians received training including didactic lectures, workshops, and individualized feedback.
Main Results:
- Physicians trained in 7MH demonstrated significantly improved communication scores (p=0.001).
- Key behavioral changes included increased privacy, better transition preparation, and more frequent inquiries about patient expectations and resources.
- Physicians acknowledged patient concerns more often but discussed physical activity less.
Conclusions:
- The 7 Memory Hooks (7MH) tool shows promise in enhancing physician communication with adolescent cancer survivors.
- This bottom-up, clinic-collaborative approach positively impacts communication dynamics in follow-up care for ACS.
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