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Handbook of Communication in Oncology and Palliative
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David Kissane, Barry Bultz, Phyllis Butow, and Ilora Finlay

Print publication date: 2010

Print ISBN-13: 9780199238361

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199238361.001.0001

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Audio-recording important consultations for patients and their families—putting evidence into practice

Audio-recording important consultations for patients and their families—putting evidence into practice

Chapter:
(p.351) Chapter 30 Audio-recording important consultations for patients and their families—putting evidence into practice
Source:
Handbook of Communication in Oncology and Palliative Care
Author(s):

Thomas F Hack

Lesley F Degner

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199238361.003.0030

The experience of cancer is one of the most challenging and potentially devastating events that can befall a person. Family members can be a source of emotional support and provide assistance with decision-making but they, like patients, have poor memories for what is said during consultations. If the information that is imparted during any given consultation is essential for making informed decisions, then interventions are needed to enhance patient comprehension of this information, thereby enabling patient and family participation in medical care decisions. One intervention that holds empirical promise in this regard is that of furnishing patients and their families with audio recordings of important medical consultations. This chapter briefly reviews the empirical literature on the value of consultation audio recordings for patients and families; presents a theory-driven analysis of the factors that limit practice uptake of this intervention; and offers practical suggestions for how these factors might best be addressed to enhance clinical uptake of consultation audio-recording use. Knowledge translation can be explained as a function of the relationship between evidence, context, and facilitation.

Keywords:   cancer, families, cancer patients, audio recordings, consultations, interventions, evidence, context, facilitation

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