Communication skills training for physicians performing work disability assessments increases knowledge and self-efficacy: results of a randomised controlled trial

IntroductionEmpathy is crucial to the fundamental aim and achievement of nursing and midwifery goals. Researchers agree on the positive role empathy plays in interpersonal relationships when providing healthcare. Models of good communication have been developed to assist nurses, midwives and doctors to improve their ability to communicate with patients. This study investigated the effect of a 2-day communication skills training (CST) on nursing and midwifery students’ empathy in a randomised controlled trial.MethodsThe two groups had a baseline data collection at the same time. The intervention group had a CST, followed by post-test on day 3. The control group had post-test on day 4 just before their CST. The empathy outcome was measured with Jefferson Scales of Empathy-Health Professions Student version. Both groups had a follow-up test at the same time 6 months after the CST.ResultsIn this study, there was no statistically significant difference in the scores of empathy between the groups F(1, 171)=0.18, p=0.675. The intervention group had baseline T1 (M=109.8, SD=9.8, d=0.160), and post-test T2 (M=111.9, SD=9.0, d=0.201), whereas the control group had baseline T1 (M=107.9, SD=11.46, d=0.160), and post-test T2 (M=110.0, SD=11.0, d=0.201). Baseline data were collected on 15 June 2013.ConclusionsThis study has shown that empathy may not be enhanced within a short period after CST.

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Efficacy of communication skills training on colorectal cancer screening by GPs: a cluster randomised controlled trial

European Journal of Cancer Care ◽

10.1111/ecc.12310 ◽

2015 ◽

Vol 25 (1) ◽

pp. 18-26 ◽

Cited By ~ 14

Author(s):

I. Aubin-Auger ◽

C. Laouénan ◽

J. Le Bel ◽

A. Mercier ◽

D. Baruch ◽

...

Keyword(s):

Colorectal Cancer ◽

Cancer Screening ◽

Randomised Controlled Trial ◽

Communication Skills ◽

Controlled Trial ◽

Cluster Randomised Controlled Trial ◽

Skills Training ◽

Communication Skills Training ◽

Cluster Randomised ◽

Randomised Controlled

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Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial

The Lancet ◽

10.1016/s0140-6736(02)07810-8 ◽

2002 ◽

Vol 359 (9307) ◽

pp. 650-656 ◽

Cited By ~ 552

Author(s):

Lesley Fallowfield ◽

Valerie Jenkins ◽

Vern Farewell ◽

Jacky Saul ◽

Anthony Duffy ◽

...

Keyword(s):

Cancer Research ◽

Randomised Controlled Trial ◽

Communication Skills ◽

Controlled Trial ◽

Skills Training ◽

Training Model ◽

Communication Skills Training ◽

Randomised Controlled

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Communication Skills Training for Physicians Improves Health Literacy and Medical Outcomes among Patients with Hypertension: A Randomized Controlled Trial

10.21203/rs.2.13036/v1 ◽

2019 ◽

Author(s):

Seyedeh Belin Tavakoly Sany ◽

Fatemeh Behzhad ◽

Gordon Ferns ◽

Nooshin Peyman

Keyword(s):

Randomized Controlled Trial ◽

Medication Adherence ◽

Health Literacy ◽

Communication Skills ◽

Self Efficacy ◽

Controlled Trial ◽

Skills Training ◽

Patient Communication ◽

Communication Skills Training ◽

Randomized Controlled

Abstract Background: Improving the training of physician about communication skills and patient health literacy (HL) is a major priority that remains an open question. We aimed to examine the effect of communication skills training for physicians on the HL skills and hypertension outcomes among patients with uncontrolled blood pressure (BP). Methods: A randomized controlled trial method was conducted to enroll 242 hypertensive patients and 35 physicians from healthcare clinics in the Mashhad, Iran. Regression model and bivariate analysis were used to assess whether the physician training improved physicians-patient communication skills, hypertension outcomes, self-efficacy, and patient medication adherence after intervention. Results: after the physician communication training, there was significant improvement in physicians-patient communication skills, hypertension outcomes, medication adherence, and self-efficacy among the patients being managed by the physicians receiving training, compared to the control group. Conclusion: The educational intervention leads to better BP control; it may have been sufficient training of physicians change to impact counseling, HL and self-efficacy and adherence. The quality of physician-patient relationship is an important modifiable element of the medical communication that may influences health outcomes in hypertensive Iranian patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20160710028863N24. Registered April 4, 2018 [retrospectively registered].

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Have 100 years of talking therapies taught psychiatrists how to communicate?

BJPsych Advances ◽

10.1192/bja.2018.17 ◽

2018 ◽

Vol 24 (4) ◽

pp. 221-224

Author(s):

Jon Wilson

Keyword(s):

Communication Skills ◽

Controlled Trial ◽

Skills Training ◽

Communication Skills Training ◽

East Anglia ◽

Mental Health Settings ◽

The One ◽

Randomised Controlled ◽

The University ◽

Formal Communication

SUMMARYFormal communication skills training is the norm at UK medical schools, and evidence is mounting that it is effective in a number of domains, including patient satisfaction and shared decision-making, leading to improved treatment adherence. However, applying these models in mental health settings is challenging, despite the fact that positive therapeutic relationships and an ability to actively manage consultations are the cornerstone of psychiatric practice. Communication skills training is still too often regarded as better suited to physical health consultations than more complex psychiatric interviews. Here, it is considered why this might be, with reference to the one eligible randomised controlled trial identified in this systematic literature review.DECLARATION OF INTERESTJ.W. has previously worked with Professor Papageorgiou at the University of East Anglia and has authored chapters in books that she has co-edited.

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Communication Skills Training for Physicians Improves Health Literacy and Medical Outcomes among Patients with Hypertension: A Randomized Controlled Trial

10.21203/rs.2.13036/v2 ◽

2020 ◽

Author(s):

Seyedeh Belin Tavakoly Sany ◽

Fatemeh Behzhad ◽

Gordon Ferns ◽

Nooshin Peyman

Keyword(s):

Health Literacy ◽

Communication Skills ◽

Self Efficacy ◽

Controlled Trial ◽

Skills Training ◽

Control Group ◽

Communication Skills Training ◽

Uncontrolled Blood Pressure ◽

Hypertensive Patients ◽

Randomized Controlled

Abstract Background: Improving the training of physicians about communication skills and patient health literacy (HL) is a major priority that remains an open question. We aimed to examine the effectiveness of communication skills training for physicians on the hypertension outcomes and the health literacy skills, self-efficacy and medication adherence in patients with uncontrolled blood pressure (BP). Methods: A randomized, controlled trial method was conducted on 240 hypertensive patients and 35 physicians presenting to healthcare clinics in the Mashhad, Iran, from 2013 to 2014. Using stratified blocking with block sizes of 4 and 6, eligible patients with uncontrolled blood pressure were randomly allocated to the intervention and control groups. Physicians in the intervention group received educational training over 3 sessions of Focus –Group Discussion and 2 workshops. The control group received the routine care. The primary outcome was a reduction in systolic and diastolic BP from baseline to 6 months. The secondary outcome was promoting HL skills in hypertensive patients. Data were analyzed using the regression model and bivariate tests. Results: After the physician communication training, there was a significant improvement in physicians-patient communication skills, hypertension outcomes, medication adherence, and self-efficacy among the patients being managed by the physicians receiving training, compared to the control group. Conclusion: The educational intervention leads to better BP control; it may have been sufficient training of physicians change to impact counseling, HL and self-efficacy and adherence. The quality of physician-patient communication is an important modifiable element of medical communication that may influences health outcomes in hypertensive Iranian patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20160710028863N24. Registered April 4, 2018 [retrospectively registered].

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Effect of Communication Skills Training Program for Oncologists Based on Patient Preferences for Communication When Receiving Bad News: A Randomized Controlled Trial

Journal of Clinical Oncology ◽

10.1200/jco.2013.51.2756 ◽

2014 ◽

Vol 32 (20) ◽

pp. 2166-2172 ◽

Cited By ~ 91

Author(s):

Maiko Fujimori ◽

Yuki Shirai ◽

Mariko Asai ◽

Kaoru Kubota ◽

Noriyuki Katsumata ◽

...

Keyword(s):

Communication Skills ◽

Patient Preferences ◽

Controlled Trial ◽

Intervention Group ◽

Depression Scale ◽

Skills Training ◽

Control Group ◽

Communication Skills Training ◽

Communication Performance

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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A randomised controlled trial to investigate the effectiveness of sustained photoprotective behaviour in xeroderma pigmentosum after intervention

BJPsych Open ◽

10.1192/bjo.2021.764 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S287-S287

Author(s):

Tamara Searle ◽

Jessica Walburn ◽

Sam Norton

Keyword(s):

Randomised Controlled Trial ◽

Self Efficacy ◽

Xeroderma Pigmentosum ◽

Controlled Trial ◽

Premalignant Lesions ◽

Mental Wellbeing ◽

Group Effect ◽

Post Intervention ◽

Randomised Controlled

AimsThis study aimed to investigate whether an intervention designed to improve photoprotective behaviours is effective at changing behaviour and whether any change could be maintained.BackgroundXeroderma Pigmentosum (XP) is a rare condition in which patients are at risk of malignancies when exposed to ultra-violet radiation (UVR). Sufferers must take extra precautions to protect themselves from UVR. They must apply sunscreen to exposed skin, wear thick clothing, gloves, and a UVR-protective visor. Treatments include preventative photoprotective measures; the use of sunscreen and protective clothing. Additionally, frequent eye and skin examinations are required and swift removal of any premalignant lesions.MethodIn this randomised controlled trial, 16 participants with XP were given questionnaires at 4 time points; baseline, post-intervention, 5 months and 9 months post-intervention. The intervention involved 7 one-on-one counselling sessions, as well as telephone consultations. Counselling sessions encouraged photoprotection adherence, self-efficacy and discussions of any barriers to improving photoprotective behaviour. This study focused on psychosocial variables, attitudes and photoprotection. Questionnaires included the photoprotection self-efficacy questionnaire, Self-Reported Behavioural Automaticity Index, Short Warwick-Edinburgh Mental Wellbeing Scale, Quality of Life and Brief Photoprotection Adherence Questionnaire.ResultThe intervention was shown to have no significant effect on participants’ questionnaires scores. Univariate ANCOVA revealed a group effect between follow-up 1 (FU1) and follow-up 2 (FU2); η2 = 0.422 for self-efficacy in wearing photoprotective clothing. A group effect was identified from BL to FU1 and FU1 to FU2; η2 = 0.343 and η2 = 0.378 respectively in how often participants reapplied sunscreen to their face when outside for longer periods. Univariate ANCOVA revealed no group or time effect for the other outcome variables; for example, sunscreen self-efficacy.ConclusionThe intervention had no significant effect on photoprotective behaviour questionnaire scores. Future research could focus on recruiting more participants globally to generate more statistically powered results. Research should focus on producing a maintainable intervention so that any positive change would produce better long-term health outcomes. This study lays the foundations for future XP research, which will be vital to improve understanding and enhance photo protective behaviour.

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