Question Prompt Lists (QPLs) have been used extensively in the oncology setting to improve communication, psychological
and/or cognitive outcomes. In this systematic review, the objectives were to (a) examine the methodological quality of QPL
interventions, (b) review the effectiveness of QPL interventions on communication, psychological and/or cognitive outcomes
of cancer patients, (c) gain more insight into the characteristics of QPL interventions (e.g., the number and content of questions,
and the mode of delivery) and (d) explore whether the effectiveness of QPL interventions might be explained by their characteristics.
systematic literature search was conducted in PsycINFO, Medline, CINAHL and CENTRAL. Empirical studies that investigated the
use and effectiveness of QPL interventions in an oncology setting were included. The methodological quality of the included
studies was assessed using the Cochrane method.
Sixteen articles met the inclusion criteria. Results
indicated evidence for the effectiveness of QPL interventions in enhancing patient participation (i.e., question asking).
Furthermore, there was evidence that QPL interventions can influence psychological outcomes (i.e., anxiety at follow-up) and
cognitive outcomes (i.e., recall of information). The majority of QPL interventions were given to patients before their consultation
in hardcopy. In most studies, QPLs were combined with other intervention components. It is suggested that characteristics
of a QPL intervention (i.e., the number of questions on a QPL and provider training) can influence its effectiveness.
Prompt List interventions are effective in improving communication, psychological and cognitive outcomes of cancer patients.