Purpose: To use a standardized videotape stimulus to assess the effect of p
hysician compassion on viewers' anxiety, information recall, treatment deci
sions, and assessment of physician characteristics,
Participants and Methods: One hundred twenty-three healthy female breast ca
ncer survivors and 87 women without cancer were recruited for this study. A
randomized pretest/posttest control group design with a standardized video
tape intervention was used, Participants completed the State-Trait Anxiety
Inventory (STAI), an information recall test, a compassion rating, and phys
ician attribute rating scales,
Results: Women who saw an "enhanced compassion" videotape rated the physici
an as warmer and more caring, sensitive, and compassionate than did women w
ho watched the "standard" videotape. Women who saw the enhanced compassion
videotape were significantly less anxious after watching it than the women
in the other group, Nevertheless, information recall was relatively low for
both groups, and enhanced compassion did not influence patient decisions.
Those who saw the enhanced compassion videotape rated the doctor significan
tly higher on other positive attributes, such as wanting what was best for
the patient and encouraging the patient's questions and involvement in deci
sions,
Conclusion: The enhanced compassion segment was short, simple, and effectiv
e in decreasing viewers' anxiety. Further research is needed to translate t
hese findings to the clinical setting, where reducing patient anxiety is a
therapeutic goal.
J Clin Oncol 17:371-379, (C) 1999 by American Society of Clinical Oncology.