QCOM: Quality of Communication in Pediatric Oncology – Advancing Understanding and Measurement of Communication Functions and Quality

GRANT

NIH Loan Repayment Program (LRP)
NCATS
UL1 TR002345
07/2018 – 06/2020

KEY PERSONNEL

  • Bryan A. Sisk, MD
    Principal Investigator
  • James M. DuBois, DSc, PhD
    Project Primary Mentor and Co-Investigator
  • Jennifer W. Mack, MD, MPH
    Project Secondary Mentor and Co-Investigator

DESCRIPTION

Effective communication between clinicians and families is critical to improving healthcare delivery and outcomes. However, families of pediatric cancer patients encounter many challenges in communicating with their clinicians. In order to improve communication, researchers must develop effective communication interventions. However, developing these interventions requires a deep understanding of how communication functions in pediatric oncology, as well as a robust and reliable way of measuring these functions. Currently, there is no consensus model for how communication functions in pediatric oncology. Similarly, there are no robust, validated tools to measure whether these functions are fulfilled. In this study, we propose to identify the core functions of communication in pediatric oncology through qualitative interviews and focus groups at three academic centers. We are interviewing 90 parents about their experiences and thoughts on communication. Additionally, we are holding two focus groups: one with physicians, and the other with non-physician members of the oncology team. We will follow a rigorous process to review the data from interviews and focus groups in order to identify the major functions of communication in pediatric oncology. We will then write questions for a new tool to measure these functions. Our results will help future researchers to development pediatric-specific interventions to improve communication.

PUBLICATIONS

Sisk BA, Weng S, Mack JW. Persistently low peace of mind in parents of cancer patients: A five-year follow-up study. Pediatr Blood Cancer. 2019;e27609. PMID:30663226

Sisk BA, Friedrich AB, Mozersky J, Walsh H, DuBois J. Core Functions of Communication in Pediatric Medicine: an Exploratory Analysis of Parent and Patient Narratives. J Cancer Educ. 2018. PMID:30565162

Sisk BA, Kang TI, Goldstein R, DuBois JM, Mack JW. Decisional burden among parents of children with cancer. Cancer. 2019. PMID:30602060

Sisk BA, Mack JW. How Should We Enhance the Process and Purpose of Prognostic Communication in Oncology? AMA J Ethics. 2018;20(8):E757-765. PMID:30118426

Sisk BA, Baker JN. Microethics of Communication-Hidden Roles of Bias and Heuristics in the Words We Choose. JAMA Pediatr. 2018. PMID:30357382

Sisk BA, Malone JR. Hope, Optimism, and Compassionate Communication. JAMA Pediatr. 2018;172(4):311-312. PMID:29404571

Sisk BA, Kang TI, Mack JW. Sources of parental hope in pediatric oncology. Pediatr Blood Cancer. 2018;65(6):e26981. PMID:29369485

Sisk BA, Kang TI, Mack JW. How Parents of Children With Cancer Learn About Their Children’s Prognosis. Pediatrics. 2018;141(1). PMID:29208726