Using Visual Aids to Improve Communication in Oncology Consultations

Abstract

Aim
To evaluate the impact of visual aids on patient understanding, recall and communication during oncology consultations.

Methods
This single-centre prospective observational study was conducted at Portiuncula University Hospital. Visual aids were introduced into oncology consultations from 1/7/2024. Patients receiving systemic anti-cancer therapy (SACT) at the oncology day ward between 1/9/2024 and 1/11/2024 completed anonymous questionnaires using 5-point Likert scales. Descriptive statistical analysis was performed using Microsoft Excel.

Results
Of 50 questionnaires distributed, 27 were completed (54%). 8 patients (29.6%) received visual aids and 19 (70.4%) had standard consultations. Median age was 66 years (range 37–80). 18 (66.7%) were female. The most common tumour types were gastrointestinal (16 [59.3%]), breast (6 [22.2%]) and lung (2 [7.4%]). 22 patients (81.5%) attended with a companion. Cancer stage awareness was reported as early, metastatic or unsure as 5 (18.5%), 8 (29.6%), and 14 (51.9%) respectively. Correct identification of cancer stage was higher with visual aids (5 [62.5%] vs 8 [42.1%]). 7 visual aid-users (87.5%) reported improved recall of the conversation and treatment schedule. 6 visual aid-users (75.0%) reported improved communication with those not present, while 17 non-users (89.5%) reported anticipated benefit. 17 non-users (89.5%) anticipated improved recall. Overwhelm was lower with visual aid-users (3 [37.5%] vs 14 [73.7%]).

Discussion
Visual aids improved patient-reported understanding, recall and communication while reducing information overload, supporting integration into routine oncology practice.