Patients Can Administer Mobile Audio Recordings to Increase Knowledge in Advanced Prostate Cancer

Area of Science:

• Oncology
• Health Informatics
• Patient Engagement

Background:

• Consultation audio recordings are underutilized despite improving patient decision-making.
• Patient-administered mobile recording apps offer a potential solution for increased access, but their implementation requires evaluation.

Purpose of the Study:

• To evaluate the implementation of a patient-administered mobile recording app intervention.
• To assess the impact of audio recordings on patient knowledge and decision-making regarding docetaxel treatment for advanced prostate cancer.

Main Methods:

• A single-arm study involving patients with advanced prostate cancer discussing docetaxel treatment.
• Utilized the RE-AIM framework to evaluate Reach, Effectiveness, Adoption, and Implementation.
• Assessed patient knowledge and decisional conflict using questionnaires and conducted interviews for qualitative insights.

Main Results:

• 49% of patients participated; 85% made recordings, with 77% reporting benefit to treatment decisions.
• Patient knowledge increased, particularly regarding palliative care (p=0.035).
• Decisional conflict significantly decreased (p<0.001), indicating improved informed decision-making.

Conclusions:

• Patient-administered audio recordings positively impacted decision-making and palliative care awareness.
• Recommendations for broader implementation include policy revision, user training, AI integration for transcription, and telehealth/portal integration.