Article (Scientific journals)
How to optimize physicians' communication skills in cancer care: Results of a randomized study assessing the usefulness of posttraining consolidation workshops
Razavi, D.; Merckaert, I.; Marchal, Sylvie et al.
2003In Journal of Clinical Oncology, 21 (16), p. 3141-3149
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Abstract :
[en] Purpose: Although there is wide recognition of the usefulness of improving physicians' communication skills, no studies have yet assessed the efficacy of post-training consolidation workshops. This study aims to assess the efficacy of six 3-hour consolidation workshops conducted after a 2.5-day basic training program. Methods: Physicians, after attending the basic training program, were randomly assigned to consolidation workshops or to a waiting list. Training efficacy was assessed through simulated and actual patient interviews that were audiotaped at baseline and after consolidation workshops for the consolidation-workshop group, and approximately 5 months after the end of basic training for the waiting-list group. Communication skills were assessed according to the Cancer Research Campaign Workshop Evaluation Manual. Patients' perceptions of communication skills improvement were assessed using a 14-item questionnaire. Results : Sixty-three physicians completed the training program. Communication skills improved significantly more in the consolidation-workshop group compared with the waiting-list group. In simulated interviews, group-by-time repeated measures analysis of variance showed a significant increase in open and open directive questions (P =.014) and utterances alerting patients to reality (P =.049), as well as a significant decrease in premature reassurance (P =.042). In actual patient interviews, results revealed a significant increase in acknowledgments (P =.022) and empathic statements (P =.009), in educated guesses (P =.041), and in negotiations (P =.008). Patients interacting with physicians who benefited from consolidation workshops reported higher scores concerning their physicians' understanding of their disease (P =.004). Conclusion: Consolidation workshops further improve a communication skills training program's efficacy and facilitate the transfer of acquired skills to clinical practice.
Disciplines :
Oncology
Author, co-author :
Razavi, D.
Merckaert, I.
Marchal, Sylvie
Libert, Yves 
Conradt, S.
Boniver, Jacques ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Anatomie et cytologie pathologiques
Etienne, Anne-Marie  ;  Université de Liège - ULiège > Département de personne et société > Psychologie de la santé
Fontaine, Ovide ;  Université de Liège - ULiège > Services généraux (Fac. de psycho. et des sc. de l'éducat.) > Relations académiques et scientifiques (Psycho et sc.éduc.)
Janne, P.
Klastersky, J.
Reynaert, C.
Scalliet, P.
Slachmuylder, J. L.
Delvaux, Nicole
More authors (4 more) Less
Language :
English
Title :
How to optimize physicians' communication skills in cancer care: Results of a randomized study assessing the usefulness of posttraining consolidation workshops
Publication date :
15 August 2003
Journal title :
Journal of Clinical Oncology
ISSN :
0732-183X
eISSN :
1527-7755
Publisher :
Amer Soc Clinical Oncology, Alexandria, U.S. Virgin Islands
Volume :
21
Issue :
16
Pages :
3141-3149
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 07 July 2011

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