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- Debra L Roter, Kathleen J Yost, Thomas O'Byrne, Megan Branda, Aaron Leppin, Brittany Kimball, Cara Fernandez, Aminah Jatoi, Ashok Kumbamu, Victor Montori, Barbara Koenig, Gail Geller, Susan Larson, and Jon Tilburt.
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
- Patient Educ Couns. 2016 Sep 1; 99 (9): 1519-25.
ObjectiveCancer patients use complementary and alternative medicine (CAM), but do not routinely talk about it with their clinicians. This study describes CAM discussions in oncology visits, the communication patterns that facilitate these discussions and their association with visit satisfaction.Methods327 patients (58% female; average age 61) and 37 clinicians were recorded during an oncology visit and completed post-visit questionnaires. All CAM discussions were tagged and the Roter Interaction Analysis System (RIAS) was used to code visit dialogue.ResultsCAM was discussed in 36 of 327 visits; discussions were brief (
ConclusionsCAM discussions do not occur at random; they take place in visits characterized by patient-centered communication and are associated with higher visit satisfaction.Practice ImplicationsCAM discussions are perceived positively by both patients and clinicians and are facilitated by patient-centered visit communication.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. Notes
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