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Clustering Analysis on Patient-Physician Communication and Shared Decision-Making During Cancer Prognosis Discussion

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Abstract

We conducted clustering analyses to verify whether common patterns can be identified from two distinct types of end-stage cancer prognosis discussion information, including patient-centered communication and shared decision making data. We applied hierarchical clustering on patient-centered communication measurement data and frequent itemset hierarchical clustering on coded shared decision-making interaction information. Our results suggested modest association between the two data sets in clustering assignments when measuring it with a normalized mutual information index. However, we could not find any noticeable overlap between the two assignments.

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References

  1. Rhoades, D.R., McFarland, K.F., Finch, W.H., Johnson, A.O.: Speaking and interruptions during primary care office visits. Fam. Med. 33(7), 528–532 (2001)

    Google Scholar 

  2. Zapka, J.G., Carter, R., Carter, C.L., Hennessy, W., Kurent, J.E., Desharnais, S.: Care at the end of life: focus on communication and race. J. Aging Health 18, 791–813 (2006)

    Article  Google Scholar 

  3. Baile, W.R., Buckman, R., Lenzi, R., Glober, G., Beale, E.A., Kudelka, A.P.: SPIKES – a six-step protocol for delivering bad news: application to the patients with cancer. Oncologist 5(4), 302–311 (2000)

    Article  Google Scholar 

  4. Clayton, J.M., Hancock, K.M., Butow, P.N., Tattersall, M.H.N., Currow, D.C.: Clinical practice guidelines for communicating prognosis and end-of-life issues with adults in the advanced stages of a life-limiting illness, and their caregivers. Med. J. Aust. 186(12 Suppl), S77–S108 (2007)

    Google Scholar 

  5. Hagerty, R.G., Butow, P.N., Ellis, P.M., Lobb, E.A., Pendlebury, S.C., Leighl, N., MacLeod, C., Tattersal, M.H.N.: Communicating with realism and hope: incurable cancer patients’ views on the disclosure of prognosis. J. Clin. Oncol. 23(6), 1278–1288 (2005)

    Article  Google Scholar 

  6. Guadagnoli, E., Ward, P.: Patient participation in decision-making. Soc. Sci. Med. 47(3), 329–339 (1998)

    Article  Google Scholar 

  7. Brock, D.W.: The ideal of shared decision making between physicians and patients. Kennedy Inst. Ethics J. 1(1), 28–47 (1991)

    Article  MathSciNet  Google Scholar 

  8. Gattellari, M., Butow, P.N., Tattersall, M.H.: Sharing decisions in cancer care. Soc. Sci. Med. 52(12), 1865–1878 (2001)

    Article  Google Scholar 

  9. Upshur, C.C., Bacigalupe, G., Luckmann, R.: “They don’t want anything to do with you”: patient views of primary care management of chronic pain. Pain Med. 11, 1791–1798 (2010)

    Article  Google Scholar 

  10. Wilson, S.R., Strub, P., Buist, A.S., Knowles, S.B., Lavori, P.W., Lapidus, J., Vollmer, W.M.: Better outcomes of asthma treatment (BOAT) study group: shared treatment decision making improves adherence and outcomes in poorly controlled asthma. Am. J. Respir. Crit. Care Med. 181(6), 566–577 (2010)

    Article  Google Scholar 

  11. Steinmetz, D., Walsh, M., Gabel, L.L., Williams, P.T.: Family physicians’ involvement with dying patients and their families. attitudes, difficulties, and strategies. Arch. Fam. Med. 2, 753–760 (1993)

    Article  Google Scholar 

  12. Cassileth, B.R., Zupkis, R.V., Sutton-Smith, K., March, V.: Information and participation preferences among cancer patients. Ann. Intern. Med. 92(6), 832–836 (1980)

    Article  Google Scholar 

  13. Jenkins, V., Fallowfield, L., Saul, J.: Information needs of patients with cancer: results from a large study in UK cancer centers. Br. J. Cancer 84(1), 48–51 (2001)

    Article  Google Scholar 

  14. Mitchell, J.L.: Cross-cultural issues in the disclosure of cancer. Cancer Pract. 6(3), 153–160 (1998)

    Article  Google Scholar 

  15. Donabedian, A.: Aspects of Medical Care Administration: Specifying Requirements for Health Care. Harvard University Press, Cambridge (1973)

    Google Scholar 

  16. Epstein, R.M., Frank, P., Fiscella, K.M., Shields, C.G., Meldrum, S.C., Kravitz, R.L., Duberstein, P.R.: Measuring patient-centered communication in patient-physician consultations: theoretical and practical issues. Soc. Sci. Med. 61, 1516–1528 (2005)

    Article  Google Scholar 

  17. Fiscella, K.M., Meldrum, S.M., Franks, P.M., Shields, C.G., Duberstein, P.P., McDaniel, S.H., Epstein, R.M.: Patient trust: is it related to patient-centered behavior of primary care physicians? Med. Care 42, 1049–1055 (2004)

    Article  Google Scholar 

  18. Shields, C.G., Coker, C.J., Poulsen, S.S., Doyle, J.M., Fiscella, K., Epstein, R.M., Griggs, J.J.: Patient-centered communication and prognosis discussions with cancer patients. Patient Educ. Couns. 77, 437–442 (2009)

    Article  Google Scholar 

  19. Fang, S., Shi, W., Shields, C.G., Kong, N.: A preliminary variable selection based regression analysis for predicting patient satisfaction on physician-patient cancer prognosis communication. In: Zheng, X., Zeng, D., Chen, H., Zhang, Y., Xing, C., Neill, D.B. (eds.) ICSH 2014. LNCS, vol. 8549, pp. 171–180. Springer, Heidelberg (2014)

    Google Scholar 

  20. Elwyn, G., Hutchings, H., Edwards, A., Rapport, F., Wensing, M., Cheung, W.Y., Grol, R.: The OPTION scale: measuring the extent that clinicians involve patients in decision-making tasks. Health Expect. 8(1), 34–42 (2005)

    Article  Google Scholar 

  21. Sainfort, F., Booske, B.C.: Measuring post-decision satisfaction. Med. Decis. Making 20(1), 51–61 (2000)

    Article  Google Scholar 

  22. Scholl, I., Koelewijn-van Loon, M., Sepucha, K., Elwyn, G., Légaré, F., Härter, M., Dirmaier, J.: Measurement of shared decision-making – a review of instruments. Z Evid Fortbild Qual Gesundhwes 105(4), 313–324 (2011)

    Google Scholar 

  23. Kasper, J., Légaré, F., Scheibler, F., Geiger, F.: Turning signals into meaning – ‘shared decision making’ meets communication theory. Health Expect. 15(1), 3–11 (2012)

    Article  Google Scholar 

  24. Shields, C.G., Newman, L., Elias, C.: Interactions between Physicians and Patients during Decision-Making: Assessed with the Medical Interaction Decision-Making Coding System. Working Paper (2015)

    Google Scholar 

  25. Tamblyn, R., Berkson, L., Dauphinee, W.D., Gayton, D., Grad, R., Huang, A., Isaac, L., McLeod, P., Snell, L.: Unnecessary prescribing of NSAIDs and the management of NSAID-related gastropathy in medical practice. Ann. Intern. Med. 127(6), 429–438 (1997)

    Article  Google Scholar 

  26. Kravitz, R.L., Epstein, R.M., Feldman, M.D., Franz, C.E., Azari, R., Wilkes, M.S., Hinton, L., Franks, P.: Influence of patients’ requests for direct-to-consumer advertised antidepressants: a randomized controlled trial. J. Am. Med. Assoc. 293(16), 1995–2002 (2005)

    Article  Google Scholar 

  27. Peabody, J.W., Luck, J., Glassman, P., Dresselhaus, T.R., Lee, M.: Comparison of vignettes, standardized patients, and chart abstraction a prospective validation study of 3 methods for measuring quality. J. Am. Med. Assoc. 283(13), 1715–1722 (2000)

    Article  Google Scholar 

  28. Shields, C.G., Finley, M.A., Elias, C.M., Coker, C.J., Griggs, J.J., Fiscella, K., Epstein, R.M.: Pain assessment: the roles of physician certainty and curiosity. Health Commun. 28(7), 740–746 (2013)

    Article  Google Scholar 

  29. Franz, C.E., Epstein, R., Miller, K.N., Brown, A., Song, J., Feldman, M., Kelly-Reif, S., Kravitz, R.L.: Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patients. Health Serv. Res. 41(6), 2290–2302 (2006)

    Article  Google Scholar 

  30. Pennebaker, J.W., Chung, C.K., Ireland, M., Gonzales, A., Booth, R.J.: Operator’s manual: Linguistic Inquiry and Word Count: LIWC 2007 (2007). homepage.psy.utexas.edu/homepage/faculty/pennebaker/reprints/

  31. Pennebaker, J.W., King, L.A.: Linguistic styles: language use as an individual difference. J. Pers. Soc. Psychol. 77(6), 1296–1312 (2007)

    Article  Google Scholar 

  32. Newman, L., Elias, C., Shields, C.G.: MIDM – Medical Interactive Decision Making. Internal Reference (2015)

    Google Scholar 

  33. Rokach, L., Maimon, O.: Clustering Methods. Data Mining and Knowledge Discovery Handbook, pp. 321–352. Springer, New York (2005)

    Book  Google Scholar 

  34. Dempster, A.P., Laird, N.M., Rubin, D.B.: Maximum likelihood from incomplete data via the EM algorithm. J. Roy. Stat. Soc. B 39(1), 1–38 (1977)

    MATH  MathSciNet  Google Scholar 

  35. Salton, G., Buckley, C.: Term-weighting approaches in automatic text retrieval. Inf. Process. Manage. 24(5), 513–523 (1998)

    Article  Google Scholar 

  36. Fung, B.C.M., Wang, K., Ester, M.: Hierarchical document clustering using frequent itemsets. SIAM 3, 59–70 (2003)

    Google Scholar 

  37. Estévez, P., Tesmer, M., Perez, C., et al.: Normalized mutual information feature selection. IEEE Trans. Neural Networks 20(2), 189–201 (2009)

    Article  Google Scholar 

  38. Calinski, T., Harabasz, J.: A dentrite method for cluster analysis. Commun. Stat. 3(1), 1–27 (1974)

    MATH  MathSciNet  Google Scholar 

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Correspondence to Nan Kong .

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Li, Y., Liu, Y., Kong, N., Shields, C.G. (2016). Clustering Analysis on Patient-Physician Communication and Shared Decision-Making During Cancer Prognosis Discussion. In: Zheng, X., Zeng, D., Chen, H., Leischow, S. (eds) Smart Health. ICSH 2015. Lecture Notes in Computer Science(), vol 9545. Springer, Cham. https://doi.org/10.1007/978-3-319-29175-8_8

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  • DOI: https://doi.org/10.1007/978-3-319-29175-8_8

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