This study evaluates how patients feel about having an audio recording of their visit to help remember information given to them and share that information with family members and/or caregivers not present during a clinic visit. Information from this study may help evaluate the effectiveness of using technology to help improve patient care by recording consultation recommendations.
Patients with the diagnosis of advanced cancer as defined as locally advanced, recurrent or metastatic cancer. Both solid and liquid tumors are eligible for the study
Patients who are seen in the outpatient supportive care center at M.D. Anderson Cancer Center
Patients who have access to a recording device or cellphone with recording technology
Patients who can be contacted 7 to 11 days from the clinic visit that the recording took place
Patients who have been diagnosed with delirium or cognitive impairment. This will be defined by chart review along with review of the MD Anderson Symptom Inventory (MDAS) the day of clinic visit. An MDAS of 7 or greater will be considered to define delirium in this study
Patients who are unwilling to sign informed consent
Patients who have used audio recordings before in clinic visits
Patients who have severe hearing impairments without access to assisted devices or programs to aid in listening to the recorded material
Patients with advanced cancer at MD Anderson Cancer Center.
Case-only
Cross-sectional
Communication Intervention
Other interventionAudio record part of clinic visit
Questionnaire Administration
Other interventionAncillary studies
Proportion of patients who will select "Complete Agree/Partially Agree" in Question 1 "I found the audio recording useful after the visit"
Will be summarized using proportion along with a 95% confidence interval.
Proportion of patients who will select "Complete Agree/Partially Agree" in Question 2 "I was able to effectively discuss my medical condition with my family member(s) and/or caregiver(s) who were not present at the clinical visit
Will be summarized using proportion along with a 95% confidence interval.
Number of times the recording is listened to
Descriptive statistics will be used to summarize the results. Wilcoxon rank sum test or Kruskal-Wallis test will be applied to examine differences in continuous variables between or among patient's demographic/clinical characteristics.
To assess the ease of use of the technology.
Descriptive statistics will be used to summarize the results. Chi squared test or Fisher's exact test will be applied to examine the association between the ease of use of the technology and patient's demographic/clinical characteristics.
To assess the ability to share the information with the patient's family member(s) and/or caregiver(s) if he or she chooses to do so.
Descriptive statistics will be used to summarize the results. Chi-squared test or Fisher's exact test will be applied to examine the association between the ability to share and patient's demographic/clinical characteristics.
To assess the patient perception of whether the audio recording caused any disruption to the clinic
Descriptive statistics will be used to summarize the results. Chi-squared test or Fisher's exact test will be applied to examine the association between the patient perception of whether audio recording caused any disruption to the clinic and patient's demographic/clinical characteristics.
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