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Related Experiment Video

Updated: May 29, 2025

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
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'It sounds very negative'.

Courtney Andrews1, Valerie M Lawhon1, Kimberly Wiseman2

  • 1University of Alabama at Birmingham.

Communication & Medicine
|February 7, 2025
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Summary
This summary is machine-generated.

Patients with early-stage breast cancer (EBC) dislike the term "de-escalation" for chemotherapy trials. They prefer positive language that reflects optimized treatment, not reduced care, for better shared decision-making.

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Area of Science:

  • Oncology
  • Clinical Trial Design
  • Patient-Centered Communication

Background:

  • Advancements in cancer research allow for reduced chemotherapy intensity in early-stage breast cancer (EBC).
  • The goal is to maintain recurrence-free survival while minimizing treatment toxicities.
  • Clinical trials are crucial for determining optimal, less intensive chemotherapy dosages.

Purpose of the Study:

  • To assess patient and advocate reactions to the term "de-escalation" in EBC clinical trials.
  • To identify preferred terminology for describing reduced chemotherapy approaches.
  • To improve communication and shared decision-making regarding treatment options.

Main Methods:

  • Conducted a patient survey and coded interviews using content analysis.
  • Analyzed participant responses to the term "de-escalation" and its connotations.
  • Gathered insights into patient preferences for describing treatment optimization.

Main Results:

  • Participants reacted negatively to the term "de-escalation," associating it with "giving up."
  • A preference for positive, patient-centered language was identified.
  • Negative reactions highlight the need for careful communication strategies.

Conclusions:

  • The term "de-escalation" may hinder patient enrollment and understanding of EBC clinical trials.
  • Employing positive, patient-centered language is essential for effective communication.
  • Improved terminology can prevent therapeutic misconception and support shared decision-making.