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Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module.

Abstract：

OBJECTIVE:The purpose of this study was to evaluate a Communication Skills Training (CST) module for health care providers (HCPs) applying a shared decision-making approach to a meeting with an older adult with cancer and his/her family. METHODS:Ninety-nine HCPs from community-based centers, cancer centers, and hospitals in the Northeastern U.S. who worked primarily with older adult patients participated in a CST module entitled Geriatric Shared Decision Making. Participants completed pre- and post-training Standardized Patient Assessments (SPAs) and a survey on their confidence in and intent to utilize skills taught. RESULTS:Results indicated high HCP satisfaction with the module, with over 95 % of participants reporting high endorsement to all five evaluation items. HCPs' self-efficacy in utilizing communication skills related to geriatric shared decision making significantly increased pre- to post-training. In standardized patient assessments among a subset of providers (n = 30), HCPs demonstrated improvements in three shared decision-making skills: declare agenda, invite agenda, and check preference. CONCLUSION:A geriatric shared decision-making CST workshop for HCPs showed feasibility, acceptability, and improvement in self-efficacy as well as skill uptake. PRACTICE IMPLICATIONS:This Geriatric Shared Decision-Making CST module provides an intervention for improving provider-patient-family member communication in the context of cancer care for older adults.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Shen MJ,Manna R,Banerjee SC,Nelson CJ,Alexander K,Alici Y,Gangai N,Parker PA,Korc-Grodzicki B

doi

10.1016/j.pec.2020.04.032

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

2328-2334

issue

11

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(20)30241-X

journal_volume

103

pub_type

杂志文章

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