A randomized controlled trial assessing behavioral,cognitive, emotional and physiological changes resulting from a communication skills training in physicians caring for cancer patients |
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| Affiliation: | 1. Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l′Éducation, Brussels, Belgium;2. Institut Jules Bordet, Clinique de Psycho-Oncologie, Université Libre de Bruxelles, Brussels, Belgium;3. Université de Liège, Faculté des Sciences Psychologiques et de l′Éducation, Liège, Belgium;4. Centre de Psycho-Oncologie, Brussels, Belgium;5. Université Catholique de Louvain, Faculté de Médecine, Brussels, Belgium;1. University of Oslo, Institute of Clinical Medicine, Oslo, Norway;2. Akershus University Hospital, HØKH Health Services Research Unit, 1478 Lørenskog, Norway;3. University of South-Eastern Norway, Department of Educational Science and Department of Medicine, Nordland Hospital Trust, Bodø, Norway;1. Department of Communication, Michigan State University, 404 Wilson Rd., Room 456, East Lansing, MI 48823, USA;2. Department of Communication, Seoul National University, Seoul, Republic of Korea;1. Department of Medicine, Duke University School of Medicine, Durham, NC, USA;2. University of Michigan School of Medicine, Ann Arbor, MI, USA;3. Duke-Margolis Center for Health Policy, Duke University, Durham, NC, USA;4. Fuqua School of Business, Duke University, Durham, NC, USA;5. Department of Population Health Sciences, Duke University, Durham, NC, USA;6. Duke Cancer Institute, Duke University Health System, Durham, NC, USA;7. School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;8. Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, USA;9. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;10. Sanford School of Public Policy, Duke University, Durham, NC, USA |
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| Abstract: | ObjectiveThis randomized study assesses behavioral, cognitive, emotional and physiological changes resulting from a communication skills training (CST) for physicians caring for cancer patients.MethodsMedical specialists (N = 90) were randomly assigned in groups to complete a manualized 30-h CST or to a waiting list. Assessments included behavioral (communication skills), cognitive (self-efficacy, sense of mastery), emotional (perceived stress) and physiological (heart rate) measures. Assessments were made at baseline (both groups), after CST program (training group), and four months after (waiting list group). All assessments were conducted before, during, and after a complex communication task with an advanced-stage cancer simulated patient (SP).ResultsTrained physicians had higher levels of communication skills (from RR=1.32; p = .003 to RR=41.33; p < .001), self-efficacy (F=9.3; p = .003), sense of mastery (F=167.9; p < .001) and heart rate during the SP encounter (from F=7.4; p = .008 to F=4; p = .050) and same levels of perceived stress (F=3.1; p = .080).ConclusionA learner-centered, skills-focused and practice-oriented manualized 30-h CST induced multilevel changes indicating physician engagement in a learning process.Practice implicationsTrainers should consider the CST multilevel benefits (behavioral, cognitive, emotional and physiological) before, during and after a complex communication simulated task as an innovative way to assess the efficacy of a communication skills learning process. |
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| Keywords: | Communication skills training Simulated Patient Centre de Psycho-Oncologie |
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