Supplemental Items for the CAHPS Cancer Care Survey: Information from Providers

Population version: Adult

Download these items: English ( Word [Word file - 28 KB] )

Users of the CAHPS® Cancer Care Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. These supplemental items can be inserted into any of the three versions of the Cancer Care Survey. To make the wording of the items consistent with the core items, please replace the bracketed references to [CANCER TREATMENT MODALITY] with the appropriate term: radiation therapy, drug therapy, or cancer surgery.

Please note: Some items cover events that occur with low frequency in the general population. You should include them only if your sample design is likely to yield a sufficient number of responses to those questions for statistical analysis and reporting.

Questions Placement and Other Instructions
N-INF1. Since it was decided that you would have [CANCER TREATMENT MODALITY], did your [CANCER TREATMENT MODALITY] team clearly explain how your cancer and [CANCER TREATMENT MODALITY] could affect your normal daily activities?

1 |__| Yes, definitely
2 |__| Yes, somewhat
3 |__| No

After core question 9
N-INF2. In the last 6 months, did your [CANCER TREATMENT MODALITY] team tell you what the next steps in your [CANCER TREATMENT MODALITY] would be?

1 |__| Yes, definitely
2 |__| Yes, somewhat
3 |__| No

After core question 23
N-INF3. In the last 6 months, how often did your [CANCER TREATMENT MODALITY] team explain those results in a way that was easy to understand?

1 |__| Never
2 |__| Sometimes
3 |__| Usually
4 |__| Always

After core question 25
N-INF4. In the last 6 months, did your [CANCER TREATMENT MODALITY] team prescribe medicine that you had not taken before?

1 |__| Yes
2 |__| No → If No, go to #28 in core survey

After core question 27
N-INF5. In the last 6 months, did your [CANCER TREATMENT MODALITY] team explain what that medicine was for in a way that was easy to understand?

1 |__| Yes, definitely
2 |__| Yes, somewhat
3 |__| No

After N-INF4
Page last reviewed March 2017
Page originally created March 2017
Internet Citation: Supplemental Items for the CAHPS Cancer Care Survey: Information from Providers. Content last reviewed March 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-provider-info-items.html