Ask questions (ASQ): Implementation of a question prompt list communication intervention in a network of outpatient medical oncology clinics

Abstract

ObjectiveThis descriptive, single-arm study assessed the implementation and patient perceptions of an evidence-based Question Prompt List (QPL), the ASQ brochure, across a network of oncology clinics in a diverse patient population. MethodThe QPL was revised in collaboration with stakeholders. Implementation was assessed using the RE-AIM framework. Eligible patients were scheduled for a first appointment with an oncologist at any of eight participating clinics. All participants received the ASQ brochure and completed three surveys: one at baseline, one immediately before, and one following their appointment. Surveys assessed sociodemographic characteristics; communication-related outcomes (perceived knowledge, self-efficacy in interacting with physicians, trust in physicians, distress); and perceptions of the ASQ brochure. Analyses included descriptive statistics and linear mixed-effects models. ResultsReach: Participants (n = 81) represented the diverse population served by the clinic network. Efficacy: All outcomes improved significantly, with no significant differences by clinic site or patient race. Adoption: All eight invited clinics participated and recruited patients. Patient perceptions of the ASQ brochure were overwhelmingly positive. ConclusionImplementation of the ASQ brochure was successful in this oncology clinic network providing care to a diverse patient population. Practical ImplicationsThis evidence-based communication intervention can be implemented widely in similar medical contexts and populations.