Abstract

Understanding the role of patient-physician relationship and cancer treatment option on trust in clinical trial information: Insights from the 2020 health information national trends survey 5 cycle 4

Ogochukwu Juliet Ezeigwe, MPH, PhD(c)1, Iman Egab2, Manali Desai, MD, MPH, PhD(c)2, Olajumoke Oladoyin, MPH, CHES3 and Devesh Malgave, MBBS4
(1)The University of Texas Health Science Center (UTHealth) at Houston School of Public Health, Houston, TX, (2)The University of Texas Health Science Center at Houston - Houston, TX, Houston, TX, (3)The University of Texas Health Science Center at Houston, Houston, TX, (4)The University of Texas health Science Center Houston, Houston, TX

APHA 2024 Annual Meeting and Expo

Background and Objective: Clinical trials are a major tool to compare new treatment modalities with standard ones and have become an essential approach to cancer treatment because of their benefit. This study examines the association between trust in clinical trial information and patient-physician relationships.

Methods: A total of 3627 participants were analyzed. The outcome variable was trust in clinical trial information (healthcare providers vs. family/friends/government agencies). Weighted logistic regression and Cronbach’s Alpha were used to measure the association and internal consistency between interaction items. Adjusted Model 1 includes all seven patient-physician interaction items, and Model 2 includes the patient-physician interactions index.

Results: About 73% of participants expressed trust in clinical information from healthcare providers. In the adjusted model 1, patients who were given a chance to ask all related health questions, receive attention to feelings and emotions and understand the next steps to care for health had 3.88 (95% CI:1.26-11.96), 3.12 (95% CI:1.01-9.67) and 5.05 (95% CI:1.01-25.33) times higher odds of trust in healthcare providers. In the adjusted model 2, patient-physician interaction index and cancer treatment options were 4.60 (95% CI:1.87-11.32) and 17.98 (95% CI:1.78-185.41) times higher trust in clinical trial information from providers, respectively. Compared to household income below $50,000, those living above poverty ≥ $50,000 had 4.14 (95% CI:1.23-2.38) higher adjusted odds of trust in healthcare providers.

Conclusion: Clinical trials centered on cancer therapy as a treatment modality should prioritize communication strategies that foster trust in information provided by healthcare professionals and other government health agencies.

Epidemiology Planning of health education strategies, interventions, and programs