{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:46:49Z","timestamp":1786999609656,"version":"build-2736575974"},"reference-count":85,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T00:00:00Z","timestamp":1711497600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951524000403_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to investigate effects of prognostic communication strategies on emotions, coping, and appreciation of consultations in advanced cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524000403_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      For this experimental study, we created 8 videos of a scripted oncological consultation, only varying in prognostic communication strategies. Disease-naive individuals (\n                      <jats:italic>n<\/jats:italic>\n                      = 1036) completed surveys before and after watching 1 video, while imagining being the depicted cancer patient. We investigated effects of the\n                      <jats:italic>type<\/jats:italic>\n                      of disclosure (prognostic disclosure vs. communication of unpredictability vs. non-disclosure) and\n                      <jats:italic>content<\/jats:italic>\n                      of disclosure (standard vs. standard and best-case vs. standard, best- and worst-case survival scenarios; numerical vs. word-based estimates) on emotions, coping, and appreciation of consultations. Moderating effects of individual characteristics were tested.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524000403_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants generally reported more satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001) after prognostic disclosure versus communication of unpredictability and less uncertainty (\n                      <jats:italic>p<\/jats:italic>\n                      = .042), more satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      = .005), and more desirability (\n                      <jats:italic>p<\/jats:italic>\n                      = .016) regarding prognostic information after numerical versus word-based estimates. Effects of different survival scenarios were absent. Prognostic communication strategies lacked effects on emotions and coping. Significant moderators included prognostic information preference and uncertainty tolerance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524000403_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>In an experimental setting, prognostic disclosure does not cause more negative emotions than non-disclosure and numerical estimates are more strongly appreciated than words. Oncologists\u2019 worries about harming patients should not preclude disclosing (precise) prognostic information, yet sensitivity to individual preferences and characteristics remains pivotal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951524000403","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T04:25:46Z","timestamp":1711513546000},"page":"1880-1892","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Effects of prognostic communication strategies on emotions, coping, and appreciation of consultations: An experimental study in advanced cancer"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9548-6688","authenticated-orcid":false,"given":"Naomi C.A.","family":"van der Velden","sequence":"first","affiliation":[{"name":"Amsterdam UMC Location University of Amsterdam"},{"name":"Amsterdam Public Health"},{"name":"Cancer Center 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