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| THE EFFICACY OF AUDIOTAPES IN PROMOTING PSYCHOLOGICAL WELL-BEING IN CANCER-PATIENTS - A RANDOMIZED, CONTROLLED TRIAL |
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| Author(s): MCHUGH P, LEWIS S, FORD S, NEWLANDS E, RUSTIN G, COOMBES C, SMITH D, OREILLY S, FALLOWFIELD L |
| Source: BRITISH JOURNAL OF CANCER Volume: 71 Issue: 2 Pages: 388-392 Published: FEB 1995 |
| Times Cited: 63 References: 24 |
| Abstract: Open or uncontrolled studies have suggested that providing cancer patients with audiotapes of their clinical interviews can improve information recall and reduce psychological distress. We tested these hypotheses in a 'clinician-blind', prospective, randomised controlled trial. A total of 117 patients newly referred to a medical oncology clinic who were to be given 'bad news' had their consultations audiotaped. Blind to the clinician, patients were randomly allocated to receive a copy of the tape to play at home or not (control group). At 6 months follow-up, tape group patients reported positive attitudes to the audiotape and were shown to recall significantly more information about their illness than did controls. Overall improvement in psychological distress at 1 and 6 months follow-up, as measured with the 30-item General Health Questionnaire and the Hospital Anxiety and Depression Scale was no different in the two groups. However, a second-order interaction suggested that poor-prognosis patients were disadvantaged specifically by access to the audiotape, with less improvement in psychological distress at 6 months follow-up than non-tape controls. Patient access to audiotapes of clinical interviews promotes factual retention but does not reliably reduce psychological distress and may be actively unhelpful in some subgroups of patients. |
| Document Type: Article |
| Language: English |
Addresses:
1. UNIV S MANCHESTER HOSP, DEPT PSYCHIAT, MANCHESTER M20 8LI, LANCS ENGLAND
2. CHARING CROSS & WESTMINSTER MED SCH, DEPT PSYCHIAT, LONDON W6 8RP, ENGLAND
3. UCL, SCH MED,BLAND SUTTON INST,DEPT ONCOL, CRC COMMUNICAT & COUNSELLING RES CTR, LONDON W1P 7PL, ENGLAND
4. CHARING CROSS & WESTMINSTER MED SCH, DEPT MED ONCOL, LONDON W6 8PP, ENGLAND |
| Publisher: STOCKTON PRESS, HOUNDMILLS, BASINGSTOKE, HANTS, ENGLAND RG21 2XS |
| Subject Category: Oncology |
| IDS Number: QF120 |
| ISSN: 0007-0920 |
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