Improving Physicians' Communication Skills and Reducing Cancer Patients' Anxiety: A Quasi-Experimental Study

Morasso, Gabriella; Caruso, Anita; Belbusti, Valentina; Carucci, Tiziana; Chiorri, Carlo; Clavarezza, Valentina; Benedetta, Gabriella De; D'Ovidio, Silvia; Iuvaro, Maria Domenica; Piattelli, A; Romeo, Marco; Santoni, Wissya; Leo, Silvia Di

doi:10.5301/tj.5000230

Cited by 11 publications

(11 citation statements)

References 27 publications

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“…Effective communication among cancer patients, survivors, caregivers, and providers facilitates shared decision making and fosters patient‐centered health outcomes . Such collaborative communication offers a wide range of benefits to the patients and their caregivers including timely reporting of clinical symptoms to their providers, decreasing anxiety and stress, improving satisfaction about the offered services, enhancing adherence to therapies, enabling informed decision making, and improving quality of life (QoL) . Effective PPC allows providers to discuss complex conditions, provide timely feedback to patients, and empower patients to report, assess, and manage psychosomatic symptoms …”

Section: Introductionmentioning

confidence: 99%

Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review

2020

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Objective: Patient-provider communication is a critical component of cancer care. Digital tools have been applied to facilitate cancer care and patient-provider communication. However, to date, there is no systematic review on this growing body of literature. The objective of this study is to identify the existing digital interventions to improve patient-provider communication among cancer patients and survivors, summarize their characteristics, and synthesize the outcomes of these interventions. Methods: We searched the databases of PubMed, CINAHL, and PsycINFO using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines with the following criteria: (a) empirical studies focusing on digital interventions to facilitate communication between cancer patients or survivors and their health care providers, (b) reporting qualitative or quantitative health outcomes of the cancer patients or survivors after the digital intervention, and (c) English articles published after 2000. Results: The initial literature search generated 1006 articles; only 13 met the inclusion criteria. Most of the studies were conducted among breast, prostate, and lung cancer patients. Ten out of 13 studies used randomized controlled trials to evaluate intervention efficacy. The outcomes assessed included symptoms reporting and management, decision making, distress and quality of life, and utilization of health care. Most studies reported positive outcomes following the interventions. Conclusions: The existing evidence on the number, characteristics, and outcomes of digital interventions to improve patient-provider communication suggests the preliminary efficacy of such interventions. It is essential to develop and implement more evidence-based digital interventions to engage patients, enhance patient-provider communication, and facilitate patient-centered decision making to improve patientcentered health outcomes, especially in underserved communities of cancer patients and survivors. K E Y W O R D S cancer patients, cancer survivors, digital intervention, patient-provider communication, review

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Section: Introductionmentioning

confidence: 99%

Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review

2020

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“…The first authors of the included articles were affiliated with institutes from the following countries: the USA n = 14 [1, 2, 6, 9, 10, 12, 13, 16-18, 20, 32, 34, 42] , Switzerland n = 7 [3-5, 8, 31, 37, 44] , the UK n = 5 [7,21,30,39,46] , Germany n = 5 [27,28,40,48,49] , Australia n = 5 [11,14,15,19,29] , Japan n = 4 [22][23][24][25] , Belgium n = 4 [26,33,35,36] , the Netherlands n = 1 [47] , China n = 1 [41] , Taiwan n = 1 [45] , Italy n = 1 [38] and Canada n = 1 [43] . Most authors worked together in eight research groups, and three articles were co-authored by members of separate research groups.…”

Section: Included Studiesmentioning

confidence: 99%

“…b. While almost one-fifth of the included articles n = 9 [1,6,7,13,14,24,25,33,38] provided no information on supervision or booster sessions, most indicated that their CST programmes were not supplemented by supervision or booster sessions n = 27 [2, 9, 10, 12, 15-17, 19*, 20*, 21-23, 26*, 29, 30, 32, 34, 35*, 36, 39, 41, 42, 43*, 45-47, 49] . c. Half-day and 1-day training are equally expensive, but 1 day of training yields better results, thus, favouring the latter [19*] .…”

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confidence: 99%

Core components of Communication Skills Training in oncology: A synthesis of the literature contrasted with consensual recommendations

2018

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This systematic review synthesises the literature on Communication Skills Training (CST) programmes for oncology professionals to identify their core components and compare them with the recommendations formulated in a position paper based on a European expert consensus meeting. A systematic literature search was conducted using MEDLINE (OVID and PUBMED), CINAHL, EMBASE, PSYCHINFO, Web of Science and the Cochrane Library. The analytic approach relied on an a priori framework based on the position paper's recommendations, generating several themes. Forty-nine articles were included. The CST programmes reported between 2010 and 2016 were heterogeneous. Some recommendations, especially those regarding content and pedagogic tools, were followed by most providers, while others, such as setting, objectives and participants, were not. This synthesis raises questions on how CST programmes are conceived and how they could or should be conceived in future. While medicine, especially clinical communication, is socially and culturally embedded, some recommendations regarding CST programmes seem to be universally valuable, contributing to ensure quality and enhanced credibility, and thus endorsement and sustained implementation, of CST programmes in the oncology setting.

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“…23 Patient anxiety has been shown to decrease when physicians show affective communication 24 and when physicians have been trained to recognise and manage their own emotional reactions in their relationships with patients. 25 To summarise, the research question addressed in this paper is whether physicians' stress, training, experience, and alexithymia, and patients' sadness, anxiety, and alexithymia are related to physicians' use of defence mechanisms during patient-physician communication in cancer care. The goal is to generate new hypotheses to increase the quality of research and/or training to move from standardised to more flexible communication in cancer care.…”

Section: Patient-related Factorsmentioning

confidence: 99%

“…However, physicians tend to provide more in‐depth empathetic responses to fear than to sadness . Patient anxiety has been shown to decrease when physicians show affective communication and when physicians have been trained to recognise and manage their own emotional reactions in their relationships with patients …”

Section: Introductionmentioning

confidence: 99%

Physicians' emotion regulation during communication with advanced cancer patients

et al. 2018

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Improving Physicians' Communication Skills and Reducing Cancer Patients' Anxiety: A Quasi-Experimental Study

Abstract: Our findings suggest the effectiveness of the communication skills training program with reference to patient anxiety levels. Given the potential gap between training and clinical impact, further studies investigating the effect of communication training on patient outcomes are needed.

Cited by 11 publications

References 27 publications

Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review

Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review

Core components of Communication Skills Training in oncology: A synthesis of the literature contrasted with consensual recommendations

Physicians' emotion regulation during communication with advanced cancer patients

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