“Give My Daughter the Shot!”: A Content Analysis of the Depiction of Patients with Cancer Pain and Their Management in Hollywood Films

Round 1

Reviewer 1 Report

great manuscript

very interesting

some minor corrections required

 

Comments for author File: Comments.pdf

Author Response

We thank the Reviewer for their helpful suggestions to improve the quality of this manuscript. We have responded to the Reviewer's comments in the following ways:

1. The Reviewer suggested that we provide a quick definition of the cinemeducation concept in the Abstract. We have now done this (line 11). 
2. It was noted that the spelling of healthcare / health care was used differently throughout the manuscript. We have now revised this so that it reads healthcare throughout.  
3. In the Introduction section, it was suggested that a new paragraph be started regarding the aims of the study. We have now created a new paragraph (line 110). 
4. In the Introduction section, the Reviewer's question about whether a sentence is needed regarding the formulation of hypotheses is a good one. We have removed that sentence. 
5. In the Methods section, the Reviewer has asked how the coding template was created. We have changed the sentence structure to make it more clear how the template was created (line 155). 
6. In the Results section, we have now corrected "nurses" to "nurse" (line 226). 
7. In the Discussion section, we now provide an additional sentence explaining how opioid use in Wit is associated with succumbing to cancer (line 477). We also now provide an additional sentence to review the evidence that suggests that the setting in which patients obtain pain management influences the quality of their care (line 483). Further evidence regarding the influence of healthcare settings on pain management provision is outlined in the rest of the paragraph. 
8. We have corrected the typo on line 514 (aspects). 

Thank you again for all of your help with this manuscript. 

Reviewer 2 Report

This is a very interesting paper investigating how cinema represents the scenario of cancer pain and their management. The paper is well written and of interest for the readers and the journal. However, I consider that several minor changes should be made before considering it for publication.

Abstract.

1- The abstract is well-written. However, I recommend to structure it according to the introduction, methods that the authors used, results and the main conclusion.

2- The methods should be described in the abstract. The authors did a qualitative content analysis. What databases were used? How many papers included?

Introduction

1- I would not introduce the topic by starting with the idea that deficiences in health care professionals trainees' knowledge makes necessary to learn from Hollywood films. I think that several approaches are complementary, and the patient experience, or the "films" experience should be considered "in addition" to the work that the health professionals do.

2- The IASP recognizes deficientes in pain management education. What medical disciplines are more commonly mentioned?

3- How are the studies evaluating the level of knowledge of professionals on pain education? 

Methods

1- I recommend to divide the methods section into several subsections. The review design, screening and selection processes.

2- I recommend to extend (two or three more sentences) how others have conductes these qualitative analyses.

Results

1- 4 films were finally identified. These section is well-described.

Discussion

1- Is there any other report or review on films or television references? How should these information for pain education should be applied? Who, from the health professionals should recommend it? At which stage? 

2- a separate section called "Conclusions" is necessary.

Author Response

We thank the Reviewer for their helpful suggestions to improve the quality of this manuscript. We address their comments below: 

Abstract

1. We have now followed the Reviewer's suggestion regarding the abstract's structure.
2. We are now more clear in the abstract to describe the methods, including the databases used and the number of films included. 

Introduction

1. We started the introduction noting the need for improvement in cancer pain education because recognition of this formed the impetus for conducting this study. The Reviewer's point that several approaches are needed and complementary is well-taken and so we now note in the Introduction that cinemeducation could be a complementary pedagogical strategy (line 113).
2. The IASP suggested curriculum changes for undergraduate medical education that included suggestions related to Public Health and Epidemiology, Physiology, Biochemistry, Anatomy, Pharmacology, Psychology, Pathology, Musculoskeletal medicine, Neurology, Psychiatry, and Oncology. 
3. Evaluation of studies looking at healthcare professionals' level of pain education was beyond the scope of this study.

Methods

1. We have followed the Reviewer's suggestion to divide the Methods section into sub-sections.
2. We have now added additional sentences regarding how others conducted their qualitative analyses (line 152). 

Discussion

1. We note that there are other studies that have looked at the use of films in medical education (references 37-50) (line 98). We now make it more explicit which medical disciplines have utilized this pedagogical strategy. The Reviewer's questions regarding how should this information for pain education should be applied, for which health professionals it would be recommended and at what stage of training are all excellent questions that merit further investigation. We have therefore incorporated this into the Conclusions.
2. We have followed the Reviewer's suggestion to include a Conclusions section. 

We thank the Reviewer for taking the time to help us improve our manuscript.