Maiko Fujimori1, Yuki Shirai1, Mariko Asai1, Kaoru Kubota1, Noriyuki Katsumata1, Yosuke Uchitomi2. 1. Maiko Fujimori, Yuki Shirai, Mariko Asai, and Yosuke Uchitomi, National Cancer Center Hospital East, Kashiwa; Maiko Fujimori, National Cancer Center Hospital and National Institute of Mental Health, National Center for Neurology and Psychiatry; Yuki Shirai, University of Tokyo; Mariko Asai, Teikyo Heisei University; Kaoru Kubota, Nippon Medical School, Tokyo; Noriyuki Katsumata, Nippon Medical School, Musashikosugi Hospital, Kawasaki; and Yosuke Uchitomi, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. 2. Maiko Fujimori, Yuki Shirai, Mariko Asai, and Yosuke Uchitomi, National Cancer Center Hospital East, Kashiwa; Maiko Fujimori, National Cancer Center Hospital and National Institute of Mental Health, National Center for Neurology and Psychiatry; Yuki Shirai, University of Tokyo; Mariko Asai, Teikyo Heisei University; Kaoru Kubota, Nippon Medical School, Tokyo; Noriyuki Katsumata, Nippon Medical School, Musashikosugi Hospital, Kawasaki; and Yosuke Uchitomi, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. uchitomi@md.okayama-u.ac.jp.
Abstract
PURPOSE: The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication. PARTICIPANTS AND METHODS: Thirty oncologists were randomly assigned to either an intervention group (IG; 2-day CST workshop) or control group (CG). Participants were assessed on their communication performance during simulated consultation and their confidence in communicating with patients at baseline and follow-up. A total of 1,192 patients (response rate, 84.6%) who had consultations with the participating oncologists at baseline and/or follow-up were assessed regarding their distress using the Hospital Anxiety and Depression Scale, satisfaction with the consultation, and trust in their oncologist after the consultation. RESULTS: At the follow-up survey, the performance scores of the IG had improved significantly, in terms of their emotional support (P = .011), setting up a supportive environment (P = .002), and ability to deliver information (P = .001), compared with those of the CG. Oncologists in the IG were rated higher at follow-up than those in the CG in terms of their confidence in themselves (P = .001). Patients who met with oncologists after they had undergone the CST were significantly less depressed than those who met with oncologists in the CG (P = .027). However, the CST program did not affect patient satisfaction with oncologists' style of communication. CONCLUSION: 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.
RCT Entities:
PURPOSE: The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication. PARTICIPANTS AND METHODS: Thirty oncologists were randomly assigned to either an intervention group (IG; 2-day CST workshop) or control group (CG). Participants were assessed on their communication performance during simulated consultation and their confidence in communicating with patients at baseline and follow-up. A total of 1,192 patients (response rate, 84.6%) who had consultations with the participating oncologists at baseline and/or follow-up were assessed regarding their distress using the Hospital Anxiety and Depression Scale, satisfaction with the consultation, and trust in their oncologist after the consultation. RESULTS: At the follow-up survey, the performance scores of the IG had improved significantly, in terms of their emotional support (P = .011), setting up a supportive environment (P = .002), and ability to deliver information (P = .001), compared with those of the CG. Oncologists in the IG were rated higher at follow-up than those in the CG in terms of their confidence in themselves (P = .001). Patients who met with oncologists after they had undergone the CST were significantly less depressed than those who met with oncologists in the CG (P = .027). However, the CST program did not affect patient satisfaction with oncologists' style of communication. CONCLUSION: 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.
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