Could decision aids be helpful during medical consultations? semi-structured interviews with oncologists within the I3LUNG project

Abstract

Lung cancer patients often have difficulties in their relationships with doctors due to limited time and poor communication about their illness and treatment. Similarly, clinicians find it challenging to convey complex medical information and manage patients’ and caregivers’ emotional responses. These difficulties can cause anxiety and distress for both parties, potentially affecting treatment adherence. Tailored decision aid tools may enhance communication and support shared decision-making. This qualitative study involved semi-structured interviews with ten oncologists, conducted between February and April 2023, to explore their views on communication during consultations. Thematic analysis revealed that physicians often lack adequate time to explain disease details and treatment options and struggle with delivering negative prognoses. They also report difficulties in handling patients’ emotional reactions and express a need for communication support. Participants emphasized the importance of tools that facilitate informed and personalized decision-making, highlighting their potential to improve patient care. The study offers insights for future research and practical recommendations for enhancing oncologist-patient communication.

Keywords

• Lung cancer patients
• doctor-patient communication
• interviews
• decision aids
• shared-decision making
• psycho-oncology