Effect of Communication Skills Training Program for Oncologists Based on Patient Preferences for Communication When Receiving Bad News: A Randomized Controlled Trial

Fujimori, Maiko; Shirai, Yuki; Asai, Manabu; Kubota, Keiichi; Katsumata, Noriyuki; Uchitomi, Yosuke

doi:10.1200/jco.2013.51.2756

Cited by 204 publications

(230 citation statements)

References 26 publications

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“…Physicians with better communication skills were more likely to inquire the patients' concerns, encourage physical activity and setting goals (Cabana et al 2006), and were able to offer better emotional support, which resulted in lower depression scores reported by the patients (Fujimori et al 2014). Cals et al (2009) also found that better communication skills resulted in less unnecessary prescription of antibiotics.…”

Section: Communicationmentioning

confidence: 87%

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

Riedl

Schüßler

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

134

111

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Zusammenfassung Der Einfluss dertion gathering, or patient education). We conducted a systematic review including publications from 2000 to 2015 to gather further empirical support. Methods: A systematic review was carried out (with information drawn mainly from Medline, Embase, Cochrane, PsychLit, and Psyndex) to identify RCTs as well as controlled and uncontrolled studies in clinical adult samples. Studies with psychiatric samples and psychologicalpsychotherapeutic interventions were excluded. Results: A total of 17 RCTs, 17 controlled studies, and 8 qualitative studies met the inclusion criteria. The quality of the RCTs and controlled studies was satisfying. In the doctor-patient relationship (building), 60% of the studies showed a positive effect on objective health parameters. Information gathering and provision (patient education) were the most investigated domains with unequivocally positive effects. Communication (skills) showed improved results and enabled treatment-related emotions and behavior. Two studies included an economical evaluation with reduced healthcare costs. Conclusions: A systematic review revealed different domains of the doctor-patient relationship and communication with convincing effects regarding different objective and subjective health outcomes.

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Section: Communicationmentioning

confidence: 87%

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

Riedl

Schüßler

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

134

111

View full text Add to dashboard Cite

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“…While recent randomized controlled trials revealed that training improved oncologists' communication skills, patients' mental health, and patients' trust in oncologists [23,24], little is known about how oncologists obtain skills to manage their own discomfort with talking about death. Examples of practical ways may include, but may not be limited to, talking with colleagues and/or senior medical oncologists who have confidence in communicating EOL issues, rotating palliative care services such as home hospice programs during the oncology fellowship, sharing personal experiences of patients and their families who have received hospice care and perceived cexperiencing a good death, and normalizing death and dying by engaging in nonmedical activities such as reading humanistic books on death.…”

Section: Discussionmentioning

confidence: 99%

A National Survey to Systematically Identify Factors Associated With Oncologists’ Attitudes Toward End-of-Life Discussions: What Determines Timing of End-of-Life Discussions?

et al. 2015

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Background. End-of-life discussions (EOLds) occur infrequently until cancer patients become terminally ill. Methods. To identify factors associated with the timing of EOLds, we conducted a nationwide survey of 864 medical oncologists. We surveyed the timing of EOLds held with advanced cancer patients regarding prognosis, hospice, site of death, and do-not-resuscitate (DNR) status; and we surveyed physicians' experience of EOLds, perceptions of a good death, and beliefs regarding these issues. Multivariate analyses identified determinants of early discussions. Results. Among 490 physicians (response rate: 57%), 165 (34%), 65 (14%), 47 (9.8%), and 20 (4.2%) would discuss prognosis, hospice, site of death, and DNR status, respectively, "now" (i.e., at diagnosis) with a hypothetical patient with newly diagnosed metastatic cancer. In multivariate analyses, determinants of discussing prognosis "now" included the physician perceiving greater importance of autonomy in experiencing a good death (odds ratio [OR]: 1.34; p 5 .014),

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“…Physician behavior is difficult to change and may require a higherintensity activity. 34 Also, more recent data suggest that a strong physician recommendation may influence parents' vaccine choices in the short term. 35 Our intervention stressed the importance of physician recommendation, but focused more on long-term relationship building.…”

Section: Discussionmentioning

confidence: 99%

Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial

et al. 2015

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BACKGROUND AND OBJECTIVES: Physicians have a major influence on parental vaccine decisions. We tested a physician-targeted communication intervention designed to (1) reduce vaccine hesitancy in mothers of infants seen by trained physicians and (2) increase physician confidence in communicating about vaccines. METHODS:We conducted a community-based, clinic-level, 2-arm cluster randomized trial in Washington State. Intervention clinics received physician-targeted communications training. We enrolled mothers of healthy newborns from these clinics at the hospital of birth. Mothers and physicians were surveyed at baseline and 6 months. The primary outcome was maternal vaccine hesitancy measured by Parental Attitudes on Childhood Vaccines score; secondary outcome was physician self-efficacy in communicating with parents by using 3 vaccine communication domains. RESULTS:We enrolled 56 clinics and 347 mothers. We conducted intervention trainings at 30 clinics, reaching 67% of eligible physicians; 26 clinics were randomized to the control group. Maternal vaccine hesitancy at baseline and follow-up changed from 9.8% to 7.5% in the intervention group and 12.6% to 8.0% in the control group. At baseline, groups were similar on all variables except maternal race and ethnicity. The intervention had no detectable effect on maternal vaccine hesitancy (adjusted odds ratio 1.22, 95% confidence interval 0.47-2.68). At follow-up, physician self-efficacy in communicating with parents was not significantly different between intervention and control groups.CONCLUSIONS: This physician-targeted communication intervention did not reduce maternal vaccine hesitancy or improve physician self-efficacy. Research is needed to identify physician communication strategies effective at reducing parental vaccine hesitancy in the primary care setting.

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Effect of Communication Skills Training Program for Oncologists Based on Patient Preferences for Communication When Receiving Bad News: A Randomized Controlled Trial

Abstract: A CST program based on patient preferences is effective for both oncologists and patients with cancer. Oncologists should consider CST as an approach to enhancing their communication skills.

Cited by 204 publications

References 26 publications

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review

A National Survey to Systematically Identify Factors Associated With Oncologists’ Attitudes Toward End-of-Life Discussions: What Determines Timing of End-of-Life Discussions?

Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial

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