title: Oncologists' recommendations of clinical trial participation to patients.
abstract: OBJECTIVE
  To describe the frequency, context and type of oncologists' recommendations to patients that they participate in a clinical trial and to analyze the relationship between recommendations and patients' decisions to participate.
  
  
  METHODS
  Data included 38 video recorded outpatient interactions during which 15 oncologists invited 38 patients to participate in clinical trials. We described the frequency, context, and type of oncologists' recommendations and analyzed the relationship between these factors and patient decisions to participate and socio-demographic characteristics.
  
  
  RESULTS
  Sixty-eight percent (n=26) of the 38 interactions included an explicit recommendation. Most recommendations were unprompted by patients and/or companions and were tailored to individual patients. A significant relationship was found between recommendations and patients' decisions to participate. Positive trends were found between receiving a recommendation and being female and having higher education.
  
  
  CONCLUSIONS
  Oncologists routinely make recommendations to patients during the presentation of clinical trials. These recommendations may influence patients' decisions and may occur more frequently with some demographic groups.
  
  
  CONCLUSIONS
  Oncologists should be aware of the potential influence of their recommendations when discussing clinical trials with patients.
authors.affiliation: Program in Communication and Behavioral Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USA. egglys@karmanos.org
authors.forename: Susan
authors.initials: S
authors.lastname: Eggly
authors.forename: Terrance L
authors.initials: TL
authors.lastname: Albrecht
authors.forename: Felicity W K
authors.initials: FW
authors.lastname: Harper
authors.forename: Tanina
authors.initials: T
authors.lastname: Foster
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Franks
authors.forename: John C
authors.initials: JC
authors.lastname: Ruckdeschel
mesh_terms: D002986:Clinical Trials as Topic; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D018579:Patient Selection; D010817:Physician-Patient Relations; D014481:United States; D014743:Videotape Recording