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

• Published in: Journal of clinical oncology Vol. 32; no. 20; pp. 2166 - 2172
• Main Authors: FUJIMORI, Maiko, SHIRAI, Yuki, ASAI, Mariko, KUBOTA, Kaoru, KATSUMATA, Noriyuki, UCHITOMI, Yosuke
• Format: Journal Article
• Language: English
• Published: Alexandria, VA American Society of Clinical Oncology 10.07.2014
• Subjects: Adult; Anxiety - etiology; Anxiety - prevention & control; Biological and medical sciences; Clinical Competence; Communication; Education, Medical, Continuing - trends; Female; Follow-Up Studies; Humans; Male; Medical Oncology - education; Medical sciences; Middle Aged; Neoplasms - psychology; Patient Preference; Patient Satisfaction; Physician-Patient Relations; Trust; Truth Disclosure; Tumors; Human; Cancerology; Program; Preference; Vocational aptitude; Randomized controlled trial; Communication
• ISSN: 0732-183X; 1527-7755
• DOI: 10.1200/jco.2013.51.2756

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. 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. 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. 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.