@article{ea35d0e88bdf426889039cf4ec2b20ab,
title = "Does physician communication style impact patient report of decision quality for breast cancer treatment?",
abstract = "Objective Provider communication that supports patient autonomy has been associated with numerous positive patient outcomes. However, to date, no research has examined the relationship between perceived provider communication style and patient-assessed decision quality in breast cancer. Methods Using a population-based sample of women with localized breast cancer, we assessed patient perceptions of autonomy-supportive communication from their surgeons and medical oncologists, as well as patient-reported decision quality. We used multivariable linear regression to examine the association between autonomy-supportive communication and subjective decision quality for surgery and chemotherapy decisions, controlling for sociodemographic and clinical factors, as well as patient-reported communication preference (non-directive or directive). Results Among the 1690 women included in the overall sample, patient-reported decision quality scores were positively associated with higher levels of perceived autonomy-supportive communication from surgeons (β = 0.30; p < 0.001) and medical oncologists (β = 0.26; p < 0.001). Patient communication style preference moderated the association between physician communication style received and perceived decision quality. Conclusion Autonomy-supportive communication by physicians was associated with higher subjective decision quality among women with localized breast cancer. These results support future efforts to design interventions that enhance autonomy-supportive communication. Practice implications Autonomy-supportive communication by cancer doctors can improve patients{\textquoteright} perceived decision quality.",
keywords = "Breast cancer, Decision making, Decision quality, Patient autonomy, Provider communication",
author = "Martinez, {Kathryn A.} and Ken Resnicow and Williams, {Geoffrey C.} and Marlene Silva and Paul Abrahamse and Shumway, {Dean A.} and Wallner, {Lauren P.} and Katz, {Steven J.} and Hawley, {Sarah T.}",
note = "Funding Information: This work was funded by grant P01 CA163233 to the University of Michigan from the National Cancer Institute. The collection of Los Angeles County cancer incidence data used in this study was supported by the California Department of Public Health pursuant to California Health and Safety Code Section 103885; Centers for Disease Control and Prevention{\textquoteright}s (CDC) National Program of Cancer Registries, under cooperative agreement 5NU58DP003862-04/DP003862; the National Cancer Institute{\textquoteright}s Surveillance, Epidemiology and End Results Program under contract HHSN261201000140C awarded to the Cancer Prevention Institute of California, contract HHSN261201000035C awarded to the University of Southern California, and contract HHSN261201000034C awarded to the Public Health Institute. The ideas and opinions expressed herein are those of the author(s) and endorsement by the State of California, Department of Public Health, the National Cancer Institute, and the CDC or their Contractors and Subcontractors is not intended nor should be inferred. The collection of cancer incidence data in Georgia was supported by contract HHSN261201300015I, Task Order HHSN26100006 from the NCI and cooperative agreement 5NU58DP003875-04-00 from the CDC). The ideas and opinions expressed herein are those of the author(s) and endorsement by the States of California and Georgia, Department of Public Health the National Cancer Institute, and the Centers for Disease Control and Prevention or their Contractors and Subcontractors is not intended nor should be inferred.We acknowledge with gratitude the breast cancer patients who responded to our survey. Publisher Copyright: {\textcopyright} 2016 Elsevier Ireland Ltd",
year = "2016",
month = dec,
day = "1",
doi = "10.1016/j.pec.2016.06.025",
language = "English (US)",
volume = "99",
pages = "1947--1954",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "12",
}