title: Communication and consumer decision making about cancer clinical trials.
abstract: Communication between patients and physicians likely mediates traditional patient and physician predispositions in determining patient outcomes, including perceptions and decision making. However, the extent to which a mediating effect occurs is unclear. The purpose of this essay is to outline the need for conceptualizing more holistic models of consumer-provider interaction that demonstrate the role of the therapeutic relationship in treatment outcomes. We focus on an important communicative context for exploring this question: the situation where patients, with the help of oncologists, are faced with making treatment choices, particularly whether to enroll in a clinical trial in response to their life-threatening cancer diagnosis. We explore the question from the perspectives of the medical provider, the patient, and the accompanying family member, in order to better frame the complex interactional dynamics occurring during the interaction.
authors.affiliation: Medical Interaction Research Group, Department of Interdisciplinary Oncology MDC-44, College of Medicine, H. Lee Moffitt Cancer Center and Research Institute at the University of South Florida, MRC-CANCONT, Tampa, FL 33612, USA. albrect1@moffitt.usf.edu
authors.forename: Terrance L
authors.initials: TL
authors.lastname: Albrecht
authors.forename: John C
authors.initials: JC
authors.lastname: Ruckdeschel
authors.forename: Dawn L
authors.initials: DL
authors.lastname: Riddle
authors.forename: Christina G
authors.initials: CG
authors.lastname: Blanchard
authors.forename: Louis A
authors.initials: LA
authors.lastname: Penner
authors.forename: Michael D
authors.initials: MD
authors.lastname: Coovert
authors.forename: Gwendolyn
authors.initials: G
authors.lastname: Quinn
mesh_terms: D002986:Clinical Trials as Topic; D003142:Communication; D003657:Decision Making; D005190:Family / Q000523:psychology; D006801:Humans; D008495:Medical Oncology; D008960:Models, Psychological; D020380:Needs Assessment; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010358:Patient Participation; D018579:Patient Selection; D010819:Physician's Role; D010817:Physician-Patient Relations