A randomized controlled trial assessing behavioral, cognitive, emotional and physiological changes resulting from a communication skills training in physicians caring for cancer patients.

Libert, Yves; Peternelj, Livia; Bragard, Isabelle; Marchal, Serge; Reynaert, Christine; Slachmuylder, Jean-Louis; Razavi, Darius

doi:10.1016/j.pec.2022.04.012

Article (Scientific journals)

A randomized controlled trial assessing behavioral, cognitive, emotional and physiological changes resulting from a communication skills training in physicians caring for cancer patients.

Libert, Yves; Peternelj, Livia; Bragard, Isabelle et al.

2022 • In Patient Education and Counseling, 105 (9), p. 2888 - 2898

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/302099

DOI
10.1016/j.pec.2022.04.012

PubMed
35787813

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Keywords :

Cognition; Communication; Humans; Medical Oncology/education; Physician-Patient Relations; Neoplasms/psychology; Neoplasms/therapy; Physicians; Medical Oncology; Neoplasms; Medicine (all); General Medicine

Abstract :

[en] [en] OBJECTIVE: This randomized study assesses behavioral, cognitive, emotional and physiological changes resulting from a communication skills training (CST) for physicians caring for cancer patients. METHODS: Medical 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). RESULTS: Trained 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). CONCLUSION: A learner-centered, skills-focused and practice-oriented manualized 30-h CST induced multilevel changes indicating physician engagement in a learning process. PRACTICE IMPLICATIONS: Trainers 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.

Disciplines :

Oncology
Public health, health care sciences & services

Author, co-author :

Libert, Yves; Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Brussels, Belgium, Institut Jules Bordet, Clinique de Psycho-Oncologie, Université Libre de Bruxelles, Brussels, Belgium. Electronic address: yves.libert@bordet.be

Peternelj, Livia; Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Brussels, Belgium

Bragard, Isabelle ; Université de Liège - ULiège

Marchal, Serge; Centre de Psycho-Oncologie, Brussels, Belgium

Reynaert, Christine; Université Catholique de Louvain, Faculté de Médecine, Brussels, Belgium

Slachmuylder, Jean-Louis; Centre de Psycho-Oncologie, Brussels, Belgium

Razavi, Darius; Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Brussels, Belgium, Institut Jules Bordet, Clinique de Psycho-Oncologie, Université Libre de Bruxelles, Brussels, Belgium

Language :

English

Title :

A randomized controlled trial assessing behavioral, cognitive, emotional and physiological changes resulting from a communication skills training in physicians caring for cancer patients.

Publication date :

September 2022

Journal title :

Patient Education and Counseling

ISSN :

0738-3991

eISSN :

1873-5134

Publisher :

Elsevier Ireland Ltd, Ireland

Volume :

105

Issue :

Pages :

2888 - 2898

Peer reviewed :

Peer Reviewed verified by ORBi

Development Goals :

3. Good health and well-being

Additional URL :

https://api.elsevier.com/content/article/PII:S0738399122001847?httpAccept=text/xml

Funding text :

This program was supported by the National Cancer Plan of Belgium, the Centre de Psycho-Oncologie, the Université Libre de Bruxelles , and grants provided by the “ Fonds National de la Recherche Scientifique–section Télévie ” of Belgium (grant number 7.46.04.14 ).

Available on ORBi :

since 27 April 2023

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