PA Medical News about patient expectations; cure; treatment decisions

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The influence of patient expectations regarding cure on treatment decisions
Patient Education and Counselling, 04/17/09

Gleason MEJ et al. - Patients who have an expectation of being cured of cancer prior to meeting with their oncologist are more likely to intend to follow recommended treatment when their alliance with the oncologist is weaker and their companions do not believe they will be cured.

Methods

Study was undertaken to test whether:
- cancer pts’ expectations for cure prior to interacting with their oncologist influence their decisions to follow treatment recommendations
- patients’ expectations for cure are affected by the strength of the oncologist–patient alliance or the extent to which companions share pts’ expectations for cure
Interactions of 101 pts (and 114 companions) with oncologists about treatment were coded for the strength of the oncologist–patient alliance
Prior to the interaction, pts and companions reported expectations about the cure
After the interaction, pts reported whether they intended to follow the recommended treatment

Results

Pts who expected a cure were more likely to report an intention to follow oncologists’ treatment recommendation when the strength of their alliance with their oncologist was weaker
Pts whose expectations for cure matched their companions’ expectations were less likely to report intentions to follow treatment recommendations

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