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Communication-participation behavior during the delivery of breast-cancer care

Descriptive

TypeOfResource
Text
TitleInfo (ID = T-1)
Title
Communication-participation behavior during the delivery of breast-cancer care
Identifier
ETD_2928
Identifier (type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001600001.ETD.000056815
Language
LanguageTerm (authority = ISO639-2); (type = code)
eng
Genre (authority = marcgt)
theses
Subject (ID = SBJ-1); (authority = RUETD)
Topic
Communication, Information and Library Studies
Subject (ID = SBJ-2); (authority = ETD-LCSH)
Topic
Breast--Cancer--Patients--Psychology
Subject (ID = SBJ-3); (authority = ETD-LCSH)
Topic
Physician and patient
Subject (ID = SBJ-4); (authority = ETD-LCSH)
Topic
Patient participation
Subject (ID = SBJ-5); (authority = ETD-LCSH)
Topic
Patient satisfaction
Abstract (type = abstract)
This two-study dissertation examines the association between communication-participation behaviors and cancer patients’ post-visit psychosocial health outcomes. Study one was a meta-analysis of 25 articles (including 10 distinct data sets) that examined the association between patient-provider communication and patients’ post-visit satisfaction. The meta-analysis found that communication behaviors representing patient-centered care were significantly associated with patients’ post-visit satisfaction. Study two was conducted to further explore the association between communication-participation behaviors and patients’ post-visit psychosocial health outcomes. Communication-participation behaviors included: (1) surgeon partnership building; (2) surgeon supportive talk; (3) client assertive responses; (4) client question asking; and (5) client expression of concern (Street & Millay, 2001). Inductive/grounded thematic analysis (Strauss & Corbin, 1998) of these communication-participation behaviors produced six secondary communication-participation variables: (1) surgeon partnership building: question solicitation; (2) surgeon partnership building: other; (3) patient assertive responses: stating preferences; (4) patient assertive responses: challenging surgeon; (5) patient question asking: self-initiated; and (6) patient question asking: prompted. Patients’ psychosocial outcomes included: (1) illness uncertainty (Mishel, 1988); (2) mental adjustment to cancer (Watson et al., 1988); (3) patients’ satisfaction with surgeons’ visit communication; (4) patients’ satisfaction with treatment plans; and (5) patients’ intentions to adhere to treatment plans. Data were videotapes of treatment-decision-making conversations between a single surgeon and 51 of his newly diagnosed female breast-cancer patients, as well as pre- and post-visit surveys. Major findings were that communication-participation behaviors were significantly associated with decreases in patients’ uncertainty and increases in patients’ adaptive coping styles. For example, increases in surgeon partnership building were associated with decreases in patients’ unpredictability uncertainty from pre- to post visit; increases in patient assertive responses: stating preferences were associated with increases in patients’ fighting spirit and decrease in anxious preoccupation from pre- to post visit; increases in patient assertive responses: challenging surgeon were associated with decreases in patients’ fatalism from pre- to post visit. Communication-participation behaviors, and in particular patient question asking, were significantly, negatively associated with patients’ satisfaction with treatment plans and patients’ intentions to adhere to treatment plans. These findings, their implications, and directions for future research are discussed.
PhysicalDescription
Form (authority = gmd)
electronic resource
Extent
xii, 292 p. : ill.
InternetMediaType
application/pdf
InternetMediaType
text/xml
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = vita)
Includes vita
Note (type = statement of responsibility)
by Maria Koskan Venetis
Name (ID = NAME-1); (type = personal)
NamePart (type = family)
Venetis
NamePart (type = given)
Maria Koskan
NamePart (type = date)
1980-
Role
RoleTerm (authority = RULIB)
author
DisplayForm
Maria Venetis
Name (ID = NAME-2); (type = personal)
NamePart (type = family)
Robinson
NamePart (type = given)
Jeffrey D.
Role
RoleTerm (authority = RULIB)
chair
Affiliation
Advisory Committee
DisplayForm
Jeffrey D. Robinson
Name (ID = NAME-3); (type = personal)
NamePart (type = family)
Greene
NamePart (type = given)
Kathryn L.
Role
RoleTerm (authority = RULIB)
internal member
Affiliation
Advisory Committee
DisplayForm
Kathryn L. Greene
Name (ID = NAME-4); (type = personal)
NamePart (type = family)
Yanovitzky
NamePart (type = given)
Itzhak
Role
RoleTerm (authority = RULIB)
internal member
Affiliation
Advisory Committee
DisplayForm
Itzhak Yanovitzky
Name (ID = NAME-5); (type = personal)
NamePart (type = family)
Street
NamePart (type = given)
Richard L.
Role
RoleTerm (authority = RULIB)
outside member
Affiliation
Advisory Committee
DisplayForm
Richard L. Street
Name (ID = NAME-1); (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (ID = NAME-2); (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
OriginInfo
DateCreated (qualifier = exact)
2010
DateOther (qualifier = exact); (type = degree)
2010-10
Place
PlaceTerm (type = code)
xx
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
RelatedItem (type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3K9377N
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (AUTHORITY = GS); (ID = rulibRdec0006)
The author owns the copyright to this work.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsHolder (ID = PRH-1); (type = personal)
Name
FamilyName
Venetis
GivenName
Maria
Role
Copyright Holder
RightsEvent (ID = RE-1); (AUTHORITY = rulib)
Type
Permission or license
DateTime
2010-09-28 16:00:13
AssociatedEntity (ID = AE-1); (AUTHORITY = rulib)
Role
Copyright holder
Name
Maria Venetis
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject (ID = AO-1); (AUTHORITY = rulib)
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Technical

ContentModel
ETD
MimeType (TYPE = file)
application/pdf
MimeType (TYPE = container)
application/x-tar
FileSize (UNIT = bytes)
1986560
Checksum (METHOD = SHA1)
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