How to Optimize Physicians’ Communication Skills in Cancer Care: Results of a Randomized Study Assessing the Usefulness of Posttraining Consolidation Workshops

Razavi, Darius; Merckaert, Isabelle; Marchal, Serge; Libert, Yves; Conradt, Sandrine; Boniver, Jacques; Étienne, Anne-Marie; Fontaine, Ovide; Janne, Pascal; Klastersky, Jean; Reynaert, Christine; Scalliet, Pierre; Slachmuylder, Jean-Louis; Delvaux, Nicole

doi:10.1200/jco.2003.08.031

Cited by 192 publications

(228 citation statements)

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“…Despite efficacy reported here, a number of questions remain unresolved and need to be assessed in controlled studies: effects of monodisciplinary vs multidisciplinary workshops, effects of more interactive training techniques, effects of training techniques teaching a broader range of CS, effects of modelling and effects of regular feedback on performed clinical skills in every day work. The usefulness of consolidation workshops, supervision workshops and coaching procedures in order to transfer learned CS to the clinical setting should be assessed for nurses, as it has been done recently for physicians (Razavi et al, 2003). The development of research focusing on training efficacy in terms of patients' benefits (Betz Brown et al, 1999) and cost utility is also needed, as this study supports the idea that improved HCP CS is directly related to patient increased satisfaction with care.…”

Section: Discussionmentioning

confidence: 67%

Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study

et al. 2004

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There is today a wide consensus regarding the need to improve communication skills (CS) of health-care professionals (HCPs) dealing with cancer patients. Psychological training programs (PTPs) may be useful to acquire the needed CS. Testing the efficacy of PTP will allow to define their optimal content. The present study was designed to assess the impact of a PTP on HCP stress, attitudes and CS, and on HCP and patients' satisfaction with HCP communication skills in a randomised study. A total of 115 oncology nurses were randomly assigned to a 105-h PTP or to a waiting list. Stress was assessed with the Nursing Stress Scale, attitudes with a Semantic Differential Questionnaire, CS used during one simulated and one actual patient interview with the Cancer Research Campaign Workshop Evaluation Manual, and satisfaction with the nurses' CS with a questionnaire completed by the patients and the nurses. Trained (TG) and control (CG) groups were compared at baseline, after 3 months (just following training for TG) and after 6 months (3 months after the end of training for TG). Compared to controls, trained nurses reported positive changes on their stress levels (Pp0.05) and on their attitudes (Pp0.05). Positive training effects were found on CS used during the simulated interview: a significant increase in facilitative behaviours (open questions: Pp0.001; evaluative functions: Pp0.05) and a significant decrease in inhibitory behaviours (inappropriate information: Pp0.01; false reassurance: Pp0.05). Less positive training effects were found regarding interviews with a cancer patient: a significant increase in educated guesses (Pp0.001) was noticed. No training effect was observed on nurses' satisfaction levels, but a positive training effect was found on patients' satisfaction levels (Pp0.01). Although results outline PTP efficacy, they indicate the need to design PTP, amplifying the transfer of learned CS to clinical practice.

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Section: Discussionmentioning

confidence: 67%

Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study

et al. 2004

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“…The training program was based on a previous communication skills training program which has been tested for its efficacy [35,36]. Sessions were spread over an 8-month period and were organized bimonthly in small groups (up to 7 participants).…”

Section: Communication Skills Trainingmentioning

confidence: 99%

The effect of communication skills training on residents’ physiological arousal in a breaking bad news simulated task

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Merckaert

Libert

et al. 2013

Patient Education and Counseling

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“…For example, we do not know if the skill set of Empathic Communication did not change in our sample, as it has in other studies (e.g. [18,27,35]) because participants already had established a pattern of skill usage or because the skill set was not modifiable based on our teaching. Future studies should use more rigorous methodologies to explore what dose of training is necessary to see change sustained over time.…”

Section: Discussionmentioning

confidence: 74%

“…the coding systems used) varied widely. Seven of the 13 studies used one of two interaction analysis systems, the Medical Interaction Process System (MIPS) [66] and the Cancer Research Campaign Workshop Evaluation Manual (CRCWEM) [35]. The MIPS is a coding tool designed specifically for research purposes [67], while the CRCWEM is a research tool designed to assess the form, function and, content of transcribed utterances [68].…”

Section: Choosing An Assessment Methodsmentioning

confidence: 99%

“…These studies showed, on the whole, the effects of CST on behavior (for two exceptions see [30,31]). As examples, communication skills that were amenable to change included asking open questions [20,21,29,35], communicating empathically [18,27,35], summarizing [18], and checking understanding [28]. However, most of these studies report on the assessment of one or two workshops.…”

Section: Introductionmentioning

confidence: 99%

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The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

et al. 2009

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Objective: The objective of this paper is to report the implementation and assessment of the Comskil Training Curriculum at Memorial Sloan-Kettering Cancer Center.Method: Twenty-eight attending physicians and surgeons participated in communication skills training modules as part of a train-the-trainer program. Doctors were video recorded in clinical consultations with patients two times before training and two times after training, resulting in 112 video recordings for analysis. Recordings were coded using the Comskil Coding System.Results: Communication skills related to two of the six major skill sets, Establishing the Consultation Framework and Checking, increased following training. Limited changes emerged in three skill sets, while one skill set, Shared Decision Making, did not change. Doctors who attended more training modules had higher levels of change. Female participants demonstrated three skills more frequently than males post-training.Conclusions: The intervention produced significant communication skills uptake in a group of experienced attending clinicians, mediated by the amount of training. Future research should focus on the dose of training necessary to achieve skills uptake and the effect of skills training on patient outcomes.

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How to Optimize Physicians’ Communication Skills in Cancer Care: Results of a Randomized Study Assessing the Usefulness of Posttraining Consolidation Workshops

Abstract: Consolidation workshops further improve a communication skills training program's efficacy and facilitate the transfer of acquired skills to clinical practice.

Cited by 192 publications

References 17 publications

Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study

Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study

The effect of communication skills training on residents’ physiological arousal in a breaking bad news simulated task

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

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