Improving patient emotional functioning and psychological morbidity: evaluation of a consultation skills training program for oncologists.

Abstract:

OBJECTIVE:To evaluate whether a consultation skills training (CST) program with oncologists and trainees would improve skills in detecting and responding to patient distress, thereby improving their patients' emotional functioning and reducing psychological distress. METHODS:Randomized-controlled trial with 29 medical and radiation oncologists from Australia randomized to CST group (n=15) or usual-care group (n=14). The CST consisted of a 1.5-day face-to-face workshop incorporating presentation of principles, a DVD modelling ideal behaviour and role-play practice, and four 1.5h monthly video-conferences. At the CST conclusion, patients of participating doctors were recruited (n=192 in CST group, n=183 in usual-care group), completing telephone surveys at baseline, 1 week and 3 months to assess quality of life, anxiety, depression and unmet psychosocial needs. RESULTS:Despite high patient functioning at baseline, anxiety significantly improved at 1-week follow-up in the CST group, compared to the control group. There were no statistically significant differences in emotional functioning, depression or unmet supportive care need between the groups. CONCLUSION:Consistent trends for greater improvements were observed in intervention compared to control group patients, suggesting the CST program deserves wider evaluation. PRACTICE IMPLICATIONS:Video-conferencing after a short training course may be an effective strategy for delivering CST.

journal_name

Patient Educ Couns

authors

Girgis A,Cockburn J,Butow P,Bowman D,Schofield P,Stojanovski E,D'Este C,Tattersall MH,Doran C,Turner J

doi

10.1016/j.pec.2009.09.018

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

456-62

issue

3

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(09)00434-0

journal_volume

77

pub_type

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