Observational studyPatient education and counseling2018
Communication among cancer patients, caregivers, and hospice nurses: Content, process and change over time.
Observational study in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- The Influence of Patient-Provider Language Concordance in Cancer Care: Results of the Hispanic Outcomes by Language Approach (HOLA) Randomized Trial.International journal of radiation oncology, biology, physics · 2021Trial
- Factors, including patient education, that impact cancer treatment adherence in low- and middle-income African countries: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- A cross sectional study of perceived couple communication patterns and influencing factors among colorectal cancer patients.Scientific reports · 2026Article
- Perspectives of nurses and patients on the misplacement of supportive care information for type 2 diabetes mellitus: a qualitative study in China.BMC nursing · 2025Article
- Close but Not Close Enough: How Distance Caregiving is Associated with Hospice Family Caregiver Hospice Communication Experiences.Health communication · 2024Article
- Self-driven solutions and resilience adapted by people with drug-resistant tuberculosis and their caregivers in Bengaluru and Hyderabad, India: a qualitative study.The Lancet regional health. Southeast Asia · 2024Article
- Nursing activities for health promotion in palliative home care: an integrative review.Palliative care and social practice · 2024Review
- Cancer caregivers at the end-of-life: How much me vs. how much we?PEC innovation · 2023Article
- Family Members' Perceptions of Caregiver-Centered Communication with Hospice Interdisciplinary Teams: Relationship to Caregiver Wellbeing.Journal of palliative care · 2023Article
- Treatment decision conversations, symptoms, and functional status in older adults with advanced cancer: An exploratory study utilizing mixed methods.Journal of geriatric oncology · 2023Observational
- Exploring the Impact of Language Concordance on Cancer Communication.JCO oncology practice · 2022Article
- Analyzing Factors Associated with the Behavior-Change Stage of Colorectal Cancer Screening.Healthcare (Basel, Switzerland) · 2022Article
- Identification of psychological stressors in cancer patients based on a computer decision support nursing system.American journal of translational research · 2022Article
- Communication between Advanced Cancer Patients and Their Family Caregivers: Relationship with Caregiver Burden and Preparedness for Caregiving.Health communication · 2021Observational
- ThePalliative medicine · 2021Article
- Exploring patient-centered aspects of home care communication: a cross-sectional study.BMC nursing · 2020Article
- Hospice nurse identification of comfortable and difficult discussion topics: Associations among self-perceived communication effectiveness, nursing stress, life events, and burnout.Patient education and counseling · 2019Article
- Addressing cancer patient and caregiver role transitions during home hospice nursing care.Palliative & supportive care · 2019Article
- Communication of emotion in home hospice cancer care: Implications for spouse caregiver depression into bereavement.Psycho-oncology · 2019Observational
- Using Social Network Analysis to Investigate Positive EOL Communication.Journal of pain and symptom management · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveFirst, to describe communication of home hospice nurse visits to cancer patient-caregiver dyads. Second, to assess change in communication related to domains of care over the course of visits.
methodsMulti-site prospective observational longitudinal study of audio-recorded home hospice visits (N=537 visits; 101 patient-caregiver dyads; 58 nurses). Communication was coded using the Roter Interaction Analysis System to describe content and process. Conversation representing three care domains (physical, psychosocial/daily life, and emotional) was calculated from RIAS categories across speakers and analyzed to assess change in communication over time.
resultsOn average, nurses spoke 54% of total utterances, caregivers 29%, and patients 17%. For all participants, the predominant conversational focus was on physical care. Linear mixed effects models indicated that combined participant emotional talk showed a small systematic decrease over time; however, the results for all domains indicated variability unexplained by time or speaker effects.
conclusionsHome hospice conversations are predominantly focused on physical care. Systematic change in communication versus responsiveness to the dynamic effects of patient death and family response over time are discussed. PRACTICE IMPLICATIONS: Communication strategies already in use by hospice nurses could be leveraged and expanded upon to better facilitate family competence and confidence.
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