title: Promoting consultation recording practice in oncology: identification of critical implementation factors and determination of patient benefit.
abstract: OBJECTIVE
  The objectives of this implementation study were to (i) address the evidentiary, contextual, and facilitative mechanisms that serve to retard or promote the transfer and uptake of consultation recording use in oncology practice and (ii) follow patients during the first few days following receipt of the consultation recording to document, from the patient's perspective, the benefits realized from listening to the recording.
  
  
  METHODS
  Nine medical and nine radiation oncologists from cancer centers in three Canadian cities (Calgary, Vancouver, and Winnipeg) recorded their primary consultations for 228 patients newly diagnosed with breast (n = 174) or prostate cancer (n = 54). The Digital Recording Use Semi-Structured Interview was conducted at 2 days and 1 week postconsultation. Each oncologist was provided a feedback letter summarizing the consultation recording benefits reported by their patients.
  
  
  RESULTS
  Sixty-nine percent of patients listened to at least a portion of the recording within the first week following the consultation. Consultation recording favorableness ratings were high: 93.6% rated the intervention between 75 and 100 on a 100-point scale. Four main areas of benefit were reported: (i) anxiety reduction; (ii) enhanced retention of information; (iii) better informed decision making; and (iv) improved communication with family members. Eight fundamental components of successful implementation of consultation recording practice were identified.
  
  
  CONCLUSIONS
  Further randomized trials are recommended, using standardized measures of the patient-reported benefit outcomes reported herein, to strengthen the evidence base for consultation recording use in oncology practice.
authors: Faculty of Nursing, University of Manitoba, Winnipeg, MB, Canada. thack@sbrc.ca
authors: Thomas F
authors: TF
authors: Hack
authors: J Dean
authors: JD
authors: Ruether
authors: Lorna M
authors: LM
authors: Weir
authors: Debjani
authors: D
authors: Grenier
authors: Lesley F
authors: LF
authors: Degner
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000517:prevention & control; D001943:Breast Neoplasms / Q000175:diagnosis*; D002170:Canada; D003142:Communication; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000379:methods; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D010820:Physicians; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D012017:Referral and Consultation / Q000458:organization & administration*; D013637:Tape Recording / Q000379:methods*