Evidence map›Paper›PMID 36085183›Full record

ArticlePatient education and counseling2022

Physicians' use of plain language during discussions of prostate cancer clinical trials with patients.

Luke Thominet, Lauren M Hamel, Fatmeh Baidoun, Tanina F Moore, Ellen Barton, Elisabeth I Heath, Michael Carducci, Dina Lansey, Susan Eggly

Abstract read
In one paragraph

Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Luke ThominetDepartment of English, Floria International University, Miami, FL, USA. Electronic address: lthomine@fiu.edu.
Lauren M HamelDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, USA. Electronic address: hamell@karmanos.org.
Fatmeh BaidounDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, USA. Electronic address: baidounf@karmanos.org.
Tanina F MooreDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, USA. Electronic address: fostert@karmanos.org.
Ellen BartonLinguistics Program, Department of English, Wayne State University, Detroit, USA. Electronic address: ellen.barton@wayne.edu.
Elisabeth I HeathDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, USA. Electronic address: heathe@karmanos.org.
Michael CarducciJohns Hopkins Medicine/Sidney Kimmel Comprehensive Cancer Center, Baltimore, USA. Electronic address: carducci@jhmi.edu.
Dina LanseyJohns Hopkins Medicine/Sidney Kimmel Comprehensive Cancer Center, Baltimore, USA. Electronic address: georgdi@jhmi.edu.
Susan EgglyDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, USA. Electronic address: egglys@karmanos.org.

Funding

A Multilevel Intervention to Increase the Participation of African Americans in Prostate Cancer Clinical TrialsR01CA200718 · NCI · WAYNE STATE UNIVERSITY · PI EGGLY, SUSAN S. · 2016 to 2020
$3.2M
NCI NIH HHS R01 CA200718
6 · The paper itself

Abstract

objectiveThis study described physicians' use of plain language during patient-physician cancer clinical trial discussions.

methodsVideo-recorded clinical interactions and accompanying transcripts were taken from a larger study of communication and clinical trials (PACCT). Interactions (n = 25) were selected if they included invitations to participate in a clinical trial. We used descriptive, qualitative discourse analysis, a method that identifies language patterns at or above the sentence level. We first excerpted discussions of clinical trials, then identified instances of plain language within those discussions. Finally, we inductively coded those instances to describe physicians' plain language practices.

resultsThe analysis identified four plain language practices. Lexical simplification replaced medical terminology with simpler words. Patient-centered definition named, categorized, and explained complex medical terminology. Metaphor explained medical terminology by comparing it with known concepts. Finally, experience-focused description replaced medical terminology with descriptions of patients' potential physical experiences.

conclusionThese plain language practices hold promise as part of effective information exchange in discussions of cancer clinical trials. Testing is needed to identify patient preferences and the extent to which these practices address patient health literacy needs. PRACTICE IMPLICATIONS: Pending further testing, these plain language practices may be integrated into physician clinical trial and other communication training.

Indexed as

PhysiciansProstatic NeoplasmsCommunicationHumansLanguageMalePhysician-Patient RelationsCancer clinical trialsDiscourse analysisHealth literacyOncologyPatient-physician communicationPlain language

Identifiers

PMID36085183
PMCPMC9675686

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.