Factors that influence cancer patients' anxiety following a medical consultation: impact of a communication skills training programme for physicians

Liénard, Aurore; Merckaert, Isabelle; Libert, Yves; Delvaux, Nicole; Marchal, Serge; Boniver, Jacques; Étienne, Anne-Marie; Klastersky, Jean; Reynaert, Christine; Scalliet, Pierre; Slachmuylder, Jean Louis; Razavi, Darius

doi:10.1093/annonc/mdl142

Cited by 81 publications

(80 citation statements)

References 35 publications

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“…Algunas formas específicas de consolar, dar tranquilidad o seguridad, así como la inadecuada entrega de información, han demostrado un incremento en la ansiedad de los pacientes inmediatamente después de la consulta médica 21,[24][25][26] .…”

Section: Consecuencias De Una Mala Noticiaunclassified

Entrega de malas noticias en la práctica clínica

Herrera

Ríos²,

Manríquez³

et al. 2014

Rev. méd. Chile

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Section: Consecuencias De Una Mala Noticiaunclassified

Entrega de malas noticias en la práctica clínica

Herrera

Ríos²,

Manríquez³

et al. 2014

Rev. méd. Chile

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“…Other studies have found that social support is a form of protection against stress [18]. Another factor has recently been recognized as a form of protection against stress: psychosocial training and the ability to communicate [19]. A recent study indicated the difficulty perceived to inform patients that they have little time left to live, because the doctors are insufficiently trained, or they are afraid of the patient's possible reaction or because of the explicit request of the patient's relatives [20].…”

Section: Introductionmentioning

confidence: 99%

Well-Being among Italian Medical Oncologists: An Exploratory Study

Russo¹,

Luca²,

Cicero³

et al. 2014

Oncology

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Background: Recently, attention has been focused on physicians' stress and quality-of-life improvement. Due to their relationship with patients, oncologists in particular are overloaded physically, emotionally and psychologically. Previous studies showed that training of communication skills improves the satisfaction and well-being of physicians and patients. Aims: Our research investigates the relationship between work stress and engagement and personal well-being in physicians working in Italian hospitals. Materials and Methods: 176 physicians were included. Doctors filled out self-report questionnaires to evaluate work stress and coping strategies, personal well-being, work engagement and two purpose-built scales to measure the degree of perceived organizational support and the level of specific training of social and relational skills. Descriptive statistics were used to analyze data, as well as correlation analysis (Pearson's r), hierarchical regression analysis (enter step) and analysis of variance (one-way ANOVA). Result: Positive and significant correlations were found between variables. Moreover, physicians who obtained higher levels of specific training on social and relational skills reported lower levels of stress. Oncologists experienced greater stress than other physicians in terms of maladaptive coping and lack of additional training. Conclusions: The study suggests that physicians' well-being is mediated by professional aspects, such as social skills in relationships with patients.

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“…We identified a total of 27 papers from 1982 through 2008 that fit these criteria . These studies showed, on the whole, the effects of CST on behavior (for two exceptions see [30,31]). As examples, communication skills that were amenable to change included asking open questions [20,21,29,35], communicating empathically [18,27,35], summarizing [18], and checking understanding [28].…”

Section: Introductionmentioning

confidence: 99%

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

et al. 2009

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Objective: The objective of this paper is to report the implementation and assessment of the Comskil Training Curriculum at Memorial Sloan-Kettering Cancer Center.Method: Twenty-eight attending physicians and surgeons participated in communication skills training modules as part of a train-the-trainer program. Doctors were video recorded in clinical consultations with patients two times before training and two times after training, resulting in 112 video recordings for analysis. Recordings were coded using the Comskil Coding System.Results: Communication skills related to two of the six major skill sets, Establishing the Consultation Framework and Checking, increased following training. Limited changes emerged in three skill sets, while one skill set, Shared Decision Making, did not change. Doctors who attended more training modules had higher levels of change. Female participants demonstrated three skills more frequently than males post-training.Conclusions: The intervention produced significant communication skills uptake in a group of experienced attending clinicians, mediated by the amount of training. Future research should focus on the dose of training necessary to achieve skills uptake and the effect of skills training on patient outcomes.

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Factors that influence cancer patients' anxiety following a medical consultation: impact of a communication skills training programme for physicians

Abstract: This study shows the influence of some communication skills on the evolution of patients' anxiety. Physicians should be aware of these influences.

Cited by 81 publications

References 35 publications

Entrega de malas noticias en la práctica clínica

Entrega de malas noticias en la práctica clínica

Well-Being among Italian Medical Oncologists: An Exploratory Study

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

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