The addition of an audiocassette recording of a consultation to written recommendations for patients with advanced cancer - A randomized, controlled trial

BACKGROUND. Communication between physicians and advanced cancer patients i s frequently difficult. Patients often report poor levels of satisfaction w ith communication. The purpose of this study was to assess the impact on pa tients' recall of and overall satisfaction with their consultation by the a ddition of an audiocassette recording of a consultation to written recommen dations. METHODS. Sixty patients with advanced cancer were randomized to either rece ive a tape recording of their consultation or receive no tape in addition t o written recommendations in this randomized, double-blind trial. Patients gave their global ratings of the clinic, were tested for their recall of in formation given, and responded to questions about the utilization and role of the cassette in influencing family communication. RESULTS. The addition of the audiocassette to written communications signif icantly increased patient satisfaction with the clinic (8.7 +/- 1.7 vs. 7.7 +/- 2.0 on a scale of 0-10; P = 0.04] and significantly improved recall of the information given during the consultation (88% +/- 8.7% vs. 80% +/- 15 .5%; P = 0.02). Patients expressed a high level of satisfaction with the au diocassette. Patients listened to the tape a median of 2 (range 1-4) times, whereas family members and friends listened to the cassette a median of 2 (range 1-3) times. CONCLUSIONS. The addition of an audiocassette recording of an outpatient co nsultation to written recommendations for patients with advanced cancer is capable of increasing both the overall patient recall of the visit and sati sfaction with the outpatient clinical setting. Patients expressed a high le vel of satisfaction with the audiocassette. (C) 1999 American Cancer Societ y.