{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:28:26Z","timestamp":1785410906010,"version":"3.56.0"},"reference-count":64,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer remains a leading cause of death worldwide, with a significant burden in India\u2019s northeastern states, including Meghalaya. Patients from tribal communities often face unique sociocultural and communication barriers that affect their engagement in care. Effective patient\u2013physician communication improves satisfaction, adherence, and quality of life. This study aims to assess the consultation satisfaction and effectiveness of a Question Prompt List (QPL) in enhancing patient\u2013physician communication and promoting informed decision-making among cancer patients in a tribal population in Meghalaya, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A quasi-experimental design was employed involving 60 participants diagnosed with head and neck, gastrointestinal, or respiratory cancers. Participants were assigned to an intervention group that received the QPL and a control group that received standard care. Data on consultation satisfaction and patient feedback were collected across two follow-up sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intervention group demonstrated statistically significant improvements in multiple domains of consultation satisfaction, including physicians\u2019 responsiveness, patients\u2019 confidence in asking questions, understanding of disease and treatment plans, and discussions of financial aspects. In contrast, the control group showed no significant change across follow-ups. Patient feedback indicated high levels of agreement regarding the QPL\u2019s usefulness, clarity, and ability to facilitate meaningful communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The QPL significantly enhanced patient satisfaction and engagement, demonstrating its effectiveness as a low-cost, culturally adaptable communication tool for oncology consultations among tribal populations. Integrating QPLs into routine oncology practice could strengthen patient-centred care and reduce communication barriers in underserved regions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0338482","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T18:32:33Z","timestamp":1766428353000},"page":"e0338482","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["The effectiveness of Question Prompt Lists (QPL) in enhancing treatment outcomes for cancer patients among tribal population in Meghalaya: A quasi-experimental design"],"prefix":"10.1371","volume":"20","author":[{"given":"Redolen Rose","family":"Dhar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9631-6218","authenticated-orcid":true,"given":"Bhageerathy","family":"Reshmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2296-3719","authenticated-orcid":true,"given":"Ramesh","family":"Holla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6472-6631","authenticated-orcid":true,"given":"Vennila","family":"Jaganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3389-2916","authenticated-orcid":true,"given":"Kripa","family":"Josten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisha","family":"Mawlong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"pone.0338482.ref001","author":"World Health Organization","year":"2024"},{"key":"pone.0338482.ref002","author":"J Tyczynski","year":"2002"},{"issue":"11","key":"pone.0338482.ref003","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1038\/nrc1475","article-title":"Opportunities for cancer epidemiology in developing countries","volume":"4","author":"T Rastogi","year":"2004","journal-title":"Nat Rev Cancer"},{"issue":"3","key":"pone.0338482.ref004","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1002\/cam4.1017","article-title":"Out-of-pocket costs and burden among rural breast cancer survivors","volume":"6","author":"M Pisu","year":"2017","journal-title":"Cancer Med"},{"issue":"9","key":"pone.0338482.ref005","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1097\/MLR.0b013e31829faffd","article-title":"Cancer Patients\u2019 Trade-offs Among Efficacy, Toxicity, and Out-of-Pocket Cost in the Curative and Noncurative Setting","volume":"51","author":"Y-N Wong","year":"2013","journal-title":"Medical Care"},{"key":"pone.0338482.ref006","article-title":"Financial Distress, Use of Cost-Coping Strategies, and Adherence to Prescription Medication Among Patients With Cancer","volume":"9","author":"LL Zullig","year":"2013","journal-title":"JOP"},{"issue":"20","key":"pone.0338482.ref007","doi-asserted-by":"crossref","first-page":"3710","DOI":"10.1002\/cncr.28262","article-title":"Are survivors who report cancer-related financial problems more likely to forgo or delay medical care?","volume":"119","author":"EE Kent","year":"2013","journal-title":"Cancer"},{"issue":"2","key":"pone.0338482.ref008","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1200\/JCO.2006.07.9111","article-title":"Cost of cancer care: the patient perspective","volume":"25","author":"P Kim","year":"2007","journal-title":"J Clin Oncol"},{"key":"pone.0338482.ref009","doi-asserted-by":"crossref","DOI":"10.1201\/9781910227268","author":"J Silverman","year":"2016","journal-title":"Skills for Communicating with Patients. 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