Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the US

Objective: This study aimed to identify the information needs and factors for making informed treatment decisions among a diverse group of locally advanced cervical cancer (LACC) patients. Methods: Semi-structured interviews were conducted with LACC patients of diverse demographic and socioeconomic...

Full description

Bibliographic Details
Main Authors: Elizabeth A. Szamreta, Emily Mulvihill, Katherine Aguinaga, Kaitlan Amos, Heather Zannit, Ritu Salani
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578923003387
_version_ 1827346005093253120
author Elizabeth A. Szamreta
Emily Mulvihill
Katherine Aguinaga
Kaitlan Amos
Heather Zannit
Ritu Salani
author_facet Elizabeth A. Szamreta
Emily Mulvihill
Katherine Aguinaga
Kaitlan Amos
Heather Zannit
Ritu Salani
author_sort Elizabeth A. Szamreta
collection DOAJ
description Objective: This study aimed to identify the information needs and factors for making informed treatment decisions among a diverse group of locally advanced cervical cancer (LACC) patients. Methods: Semi-structured interviews were conducted with LACC patients of diverse demographic and socioeconomic backgrounds within two years of their cancer diagnosis. Trained moderators asked open-ended questions about patients’ cancer journeys. Transcripts were analyzed using NVivo software to identify emergent themes. Results: In 2022, 92 LACC patients in the United States (n = 26), Brazil (n = 25), China (n = 25), and Germany (n = 16) participated in the study. Physicians were valued sources of information, providing patients with details on prognosis, treatment options, and side effects. While most patients trusted their physicians, one-third sought a second opinion to validate their diagnosis or find a more trusted physician.Most patients conducted their own research on treatment options, side effects, causes of LACC, symptoms, and others’ experiences. Challenges to information searches included understanding medical terms, finding relevant information, and evaluating source credibility.Overall, patients felt knowledgeable enough to participate in treatment decisions, either by accepting the recommended treatment or collaborating with their physicians. Nearly one-third of patients desired a more significant role in the decision-making process. Conclusion: This study highlights the importance of physicians providing LACC patients comprehensive and understandable information, while involving them in the decision-making process. Understanding LACC patients’ motivations to seek information and their willingness to actively engage in treatment decisions can lead to improved patient satisfaction in their cancer care.
first_indexed 2024-03-07T23:21:54Z
format Article
id doaj.art-7b7ef65a3ec44f93b8f4fde1f99bd341
institution Directory Open Access Journal
issn 2352-5789
language English
last_indexed 2024-03-07T23:21:54Z
publishDate 2024-02-01
publisher Elsevier
record_format Article
series Gynecologic Oncology Reports
spelling doaj.art-7b7ef65a3ec44f93b8f4fde1f99bd3412024-02-21T05:28:48ZengElsevierGynecologic Oncology Reports2352-57892024-02-0151101321Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the USElizabeth A. Szamreta0Emily Mulvihill1Katherine Aguinaga2Kaitlan Amos3Heather Zannit4Ritu Salani5Center for Observational and Real-World Evidence (CORE), Merck & Co. Inc, 126 E. Lincoln Ave, Rahway, NJ 07065, USA; Corresponding author.Oracle Life Sciences, 2800 Rock Creek Pkwy, North Kansas City, MO 64117, USAOracle Life Sciences, 2800 Rock Creek Pkwy, North Kansas City, MO 64117, USAOracle Life Sciences, 2800 Rock Creek Pkwy, North Kansas City, MO 64117, USAOracle Life Sciences, 2800 Rock Creek Pkwy, North Kansas City, MO 64117, USADivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California, Los Angeles, 10833 Le Conte Avenue, Los Angeles, CA 90095, USAObjective: This study aimed to identify the information needs and factors for making informed treatment decisions among a diverse group of locally advanced cervical cancer (LACC) patients. Methods: Semi-structured interviews were conducted with LACC patients of diverse demographic and socioeconomic backgrounds within two years of their cancer diagnosis. Trained moderators asked open-ended questions about patients’ cancer journeys. Transcripts were analyzed using NVivo software to identify emergent themes. Results: In 2022, 92 LACC patients in the United States (n = 26), Brazil (n = 25), China (n = 25), and Germany (n = 16) participated in the study. Physicians were valued sources of information, providing patients with details on prognosis, treatment options, and side effects. While most patients trusted their physicians, one-third sought a second opinion to validate their diagnosis or find a more trusted physician.Most patients conducted their own research on treatment options, side effects, causes of LACC, symptoms, and others’ experiences. Challenges to information searches included understanding medical terms, finding relevant information, and evaluating source credibility.Overall, patients felt knowledgeable enough to participate in treatment decisions, either by accepting the recommended treatment or collaborating with their physicians. Nearly one-third of patients desired a more significant role in the decision-making process. Conclusion: This study highlights the importance of physicians providing LACC patients comprehensive and understandable information, while involving them in the decision-making process. Understanding LACC patients’ motivations to seek information and their willingness to actively engage in treatment decisions can lead to improved patient satisfaction in their cancer care.http://www.sciencedirect.com/science/article/pii/S2352578923003387Locally advanced cervical cancerInformation needsPatient engagementQualitative research
spellingShingle Elizabeth A. Szamreta
Emily Mulvihill
Katherine Aguinaga
Kaitlan Amos
Heather Zannit
Ritu Salani
Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the US
Gynecologic Oncology Reports
Locally advanced cervical cancer
Information needs
Patient engagement
Qualitative research
title Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the US
title_full Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the US
title_fullStr Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the US
title_full_unstemmed Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the US
title_short Information needs during cancer care: Qualitative research with locally advanced cervical cancer patients in Brazil, China, Germany, & the US
title_sort information needs during cancer care qualitative research with locally advanced cervical cancer patients in brazil china germany amp the us
topic Locally advanced cervical cancer
Information needs
Patient engagement
Qualitative research
url http://www.sciencedirect.com/science/article/pii/S2352578923003387
work_keys_str_mv AT elizabethaszamreta informationneedsduringcancercarequalitativeresearchwithlocallyadvancedcervicalcancerpatientsinbrazilchinagermanyamptheus
AT emilymulvihill informationneedsduringcancercarequalitativeresearchwithlocallyadvancedcervicalcancerpatientsinbrazilchinagermanyamptheus
AT katherineaguinaga informationneedsduringcancercarequalitativeresearchwithlocallyadvancedcervicalcancerpatientsinbrazilchinagermanyamptheus
AT kaitlanamos informationneedsduringcancercarequalitativeresearchwithlocallyadvancedcervicalcancerpatientsinbrazilchinagermanyamptheus
AT heatherzannit informationneedsduringcancercarequalitativeresearchwithlocallyadvancedcervicalcancerpatientsinbrazilchinagermanyamptheus
AT ritusalani informationneedsduringcancercarequalitativeresearchwithlocallyadvancedcervicalcancerpatientsinbrazilchinagermanyamptheus