Use of and reactions to a tailored CD-ROM designed to enhance oncologist-patient communication: the SCOPE trial intervention

Patient Educ Couns. 2009 Oct;77(1):90-6. doi: 10.1016/j.pec.2009.02.010. Epub 2009 Mar 24.

Abstract

Objective: Assess use of and reactions to an interactive, tailored CD-ROM to enhance oncologist-patient communication.

Methods: Participating oncologists (n=48) agreed to have patient interactions audio recorded, be randomly assigned to receive/not receive a CD-ROM, have CD-ROM usage monitored (intervention group) and complete a follow-up survey.

Results: Twenty-one of 24 in the intervention group reported using the CD-ROM. Median usage minutes were 63.8. At follow-up, oncologists rated the CD-ROM from 1 ("none" or "not at all helpful") to 5 ("a great deal" or "very helpful"). Mean responses were: 3.1 and 3.0 for 2 items assessing perceived impact on communications, 3.8-4.0 for 6 items assessing perceived helpfulness, 3.0 and 3.10 for 2 items assessing impact on affecting oncologists' communication with patients and assistance with challenging conversations, respectively, and 3.6 for whether using the CD-ROM was worth their time. Self-report of how much oncologists had used the covered skills before and after intervention showed a perceived increase (2.8 before and 3.2 after).

Conclusions: Findings suggest the tailored interactive CD-ROM has promise for use and acceptance among oncologists.

Practice implications: If ultimately found effective in changing oncologist's communication with patients, the CD-ROM's widespread dissemination should be explored.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • CD-ROM*
  • Communication*
  • Computer-Assisted Instruction*
  • Educational Measurement*
  • Educational Status
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Patient Education as Topic*
  • Physician-Patient Relations*
  • Random Allocation