title: Changing communication needs and preferences across the cancer care trajectory: insights from the patient perspective.
abstract: OBJECTIVE
  In this program of research, we sought to expand our understanding of how cancer patients' communication needs and preferences change across the course of their illness trajectory. To address known limitations in the empirical knowledge base, we designed a study capitalizing on representative patient reports as they occurred within time and across experience obtaining care for this disease.
  
  
  METHODS
  We used a longitudinal cohort design informed by interpretive description methodology to follow 125 patients over a multi-year period as they reflected on their ongoing experiences with cancer care communication.
  
  
  RESULTS
  In relation to each phase of their cancer care trajectory, patients identified tension points and contextual challenges impinging on what they felt constituted helpful and unhelpful patient-provider communication.
  
  
  CONCLUSIONS
  Findings from this study create a dynamic portrait of how we can better inform communication approaches and interventions through interpretations of population knowledge and individual experience.
authors.affiliation: School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, British Columbia, V6T 2B5, Canada, sally.thorne@nursing.ubc.ca.
authors.forename: Sally
authors.initials: S
authors.lastname: Thorne
authors.forename: T Gregory
authors.initials: TG
authors.lastname: Hislop
authors.forename: Charmaine
authors.initials: C
authors.lastname: Kim-Sing
authors.forename: Valerie
authors.initials: V
authors.lastname: Oglov
authors.forename: John L
authors.initials: JL
authors.lastname: Oliffe
authors.forename: Kelli I
authors.initials: KI
authors.lastname: Stajduhar
mesh_terms: D000368:Aged; D015331:Cohort Studies; D003142:Communication; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy