Abstract:
BACKGROUND:No study has yet assessed the impact of physicians' skills acquisition after a communication skills training program on changes in patients' and relatives' anxiety following a three-person medical consultation. This study aimed at comparing, in a randomized study, the impact, on patients' and relatives' anxiety, of a basic communication skills training program and the same program consolidated by consolidation workshops and at investigating physicians' communication variables associated with patients' and relatives' anxiety. METHODS:Consultations with a cancer patient and a relative were recorded and analyzed by the Cancer Research Campaign Workshop Evaluation Manual. Patients' and relatives' anxiety were assessed with the State-Trait Anxiety Inventory-State. RESULTS:No statistically significant change over time and between groups was observed. Mixed-effects modeling of changes in patients' and relatives' anxiety showed that decreases in both patients' and relatives' anxiety were linked with patients' and relatives' self-reported distress (p = 0.031 and 0.005), and that increases in both patients' and relatives' anxiety were linked with physicians' breaking bad news (p = 0.028 and 0.005). CONCLUSION:No impact of the training program was observed. Results indicate the need to further study communication skills which may help reduce patients' and relatives' anxiety especially when breaking bad news.
journal_name
Psychooncologyjournal_title
Psycho-oncologyauthors
Lienard A,Merckaert I,Libert Y,Delvaux N,Marchal S,Boniver J,Etienne AM,Klastersky J,Reynaert C,Scalliet P,Slachmuylder JL,Razavi Ddoi
10.1002/pon.1262subject
Has Abstractpub_date
2008-05-01 00:00:00pages
488-96issue
5eissn
1057-9249issn
1099-1611journal_volume
17pub_type
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