AI Article Synopsis
- The study investigates the structure of conversations during oncology visits, focusing on how these interactions are organized from an "interaction order" perspective.
- Using conversation analysis of audio recordings from discussions with non-small cell lung cancer patients, the research identifies an "appreciation sequence" that helps gauge patients' understanding and positive outlook on their treatments' life-extending benefits.
- The findings suggest that this appreciation sequence serves dual purposes: it reminds patients of their mortality while highlighting the potential effectiveness of their treatment, prompting a reevaluation of how physicians approach conversations about life expectancy and quality of life.
Article Abstract
Objective: To address the organization of conversations in oncology visits by taking an "interaction order" perspective and asking how these visits are intrinsically organized.
Methods: Conversation analysis.
Results: Using audio recordings of talk in oncology visits involving patients with non-small cell lung cancer, we identify and analyze an "appreciation sequence" that is designed to elicit patients' understanding and positive assessment of treatments in terms of their prolongation of life.
Conclusion: An "appreciation sequence," regularly initiated after the delivery of scan results and/or treatment recommendations, simultaneously reminds patients of their mortality while suggesting that the treatment received has prolonged their lives, and in some cases significantly beyond the median time of survival.
Practice Implications: We explore the functions of the appreciation sequence for cancer care and set the stage for considering where and when physicians have choices about the order and direction the talk can take and how to allocate time for end of life and quality of life conversations.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6555150 | PMC |
| http://dx.doi.org/10.1016/j.pec.2015.07.015 | DOI Listing |
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