Impact of Primary Care Provider Knowledge, Attitudes, and Beliefs about Cancer Clinical Trials: Implications for Referral, Education and Advocacy

Details

• Alternative Title:
  J Cancer Educ
• Personal Author:
  Michaels, Margo ; D’Agostino, Thomas A. ; Blakeney, Natasha ; Weiss, Elisa S. ; Binz-Scharf, Maria C. ; Golant, Mitch ; Bylund, Carma L.
• Description:
  Primary Care Providers (PCPs) can be instrumental in helping to prepare patients for referral to cancer treatment. It has been suggested that PCPs can have an important impact on priming patients about the possibility of receiving care within a cancer treatment clinical trial (CCT). However, little is understood about how to effectively engage primary care providers in educating patients about trials. Data were collected as part of two qualitative research projects about primary care providers' role in referral to treatment and to CCTs. Participants were 27 PCPs who agreed to take part in qualitative face-to-face or telephone interviews and serve predominantly underserved, minority populations. Interviews identified a number of factors influencing referral to oncologists, including patients' insurance coverage, location and proximity to treatment facilities, and the strength of ongoing relationships with and/or previous experience with a specialist. PCPs overwhelmingly expressed disinterest in discussing any treatment options, including CCTs. Misconceptions about quality of care received through trials were also common, presenting a deterrent to discussion. PCPs need targeted, evidence-based educational interventions to appropriately address their concerns about cancer clinical trials, enhance provider communication skills, and alter patient referral behavior. Steps must also be taken to strengthen communication between oncologists and referring PCPs.
• Subjects:
  Attitude Of Health Personnel Clinical Trials As Topic Communication Consumer Advocacy Culture Health Knowledge, Attitudes, Practice Humans Neoplasms Patient Participation Physician's Role Physicians, Primary Care Practice Patterns, Physicians' Qualitative Research Referral And Consultation

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• Keywords:
  Cancer Clinical Trials Primary Care
• Source:
  J Cancer Educ. 30(1):152-157
• Pubmed ID:
  24805229
• Pubmed Central ID:
  PMC5417332
• Document Type:
  Journal Article
• Funding:
  U54 CA137788/CA/NCI NIH HHSUnited States/ ; P30 CA008748/CA/NCI NIH HHSUnited States/ ; U54 CA132378/CA/NCI NIH HHSUnited States/ ; T32 CA009461/CA/NCI NIH HHSUnited States/ ; DP07-709/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  30
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2690ebd0abc0d0bc995e1e9f6e6449553e2c31bd44438bb2fa45777d30a1c742
• Download URL:
  https://stacks.cdc.gov/view/cdc/45529/cdc_45529_DS1.pdf
• File Type:
  [PDF - 61.40 KB ]