Transfer of Communication Skills to the Workplace: Impact of a 38-Hour Communication Skills Training Program Designed for Radiotherapy Teams

Merckaert, Isabelle; Gibon, Anne-Sophie; Liénard, Aurore; Libert, Yves; Delvaux, Nicole; Marchal, Serge; Étienne, Anne-Marie; Bragard, Isabelle; Reynaert, Christine; Slachmuylder, Jean-Louis; Scalliet, Pierre; Houtte, Paul Van; Coucke, Philippe; Razavi, Darius

doi:10.1200/jco.2014.57.3287

Cited by 37 publications

(31 citation statements)

References 25 publications

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“…For breast cancer patients and for patients with other cancer entities, it was shown that the HRQL is prognostic for and predictive of survival [31,32,35,36,37]. Psychological support as part of palliative care has become an indispensable factor in palliative cancer treatment [38] and, recently, effective transfer and optimization of communications skills were shown [39]. …”

Section: Discussionmentioning

confidence: 99%

Implementation of an Integrative Oncological Concept in the Daily Care of a German Certified Breast Cancer Center

et al. 2018

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Background: In recent decades the concept of integrative medicine has attracted growing interest in patients and professionals. At the Gemeinschaftskrankenhaus Havelhöhe (GKH), a hospital specialized in anthroposophical medicine, a breast cancer center (BCC) has been successfully certified for more than 5 years. The objective of the present study was to analyze how integrative strategies were implemented in the daily care of primary breast cancer patients. Methods: Clinical, demographic, and follow-up data as well as information on non-pharmacological interventions were analyzed. In addition, BCC quality measures were compared with data of the National Breast Cancer Benchmarking Report 2016. Results: Between 2011 and 2016, 741 primary breast cancer patients (median age 57.4 years) were treated at the GKH BCC. 91.5% of the patients showed Union for International Cancer Control (UICC) stage 0, I, II, or III and 8.2% were in UICC stage IV. 97% of the patients underwent surgery, 53% radiation, 38% had hormone therapy, and 25% received cytostatic drugs. 96% of the patients received non-pharmacological interventions and 32% received Viscum album L. therapy. Follow-up was performed in up to 93% of the patients 2 years after first diagnosis. Compared to nationwide benchmarking BCCs, the GKH BCC met the requirements in central items. Conclusions: The results of the present study show that integrative therapies offered by the concept of anthroposophical medicine can be implemented in the daily care and treatment of a certified BCC. However, as national guidelines on integrative concepts in oncology are missing, further studies are needed for a systematic evaluation of integrative treatment and care concepts in this field.

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Section: Discussionmentioning

confidence: 99%

Implementation of an Integrative Oncological Concept in the Daily Care of a German Certified Breast Cancer Center

et al. 2018

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“…Most of the communication exchanges were mainly centered on medical and radiotherapy contents. The changes observed seem however to be meaningful for patients as patients who have encountered the members of the trained teams have been shown previously to be more satisfied with nurses interventions [19]. There is therefore still a need for improvement.…”

Section: Discussionmentioning

confidence: 90%

“…In the first study, the training of radiation oncologists resulted in an increase in patients' participation in the initial radiation oncology consultations [18]. Second, in previously published results of the present study, completion of the training program allowed the team members to transfer their learned communication skills within the context of radiotherapy planning appointments and patients' satisfaction with their care was improved [19].…”

Section: Introductionmentioning

confidence: 92%

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Is it possible to improve communication around radiotherapy delivery: A randomized study to assess the efficacy of team training?

Liénard

Razavi

Gibon

et al. 2016

Radiotherapy and Oncology

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a b s t r a c tBackground and purpose: The aim of this study was to assess the efficacy of a 38-h communication skills training program designed for multidisciplinary radiotherapy teams. Materials and methods: Four radiotherapy teams were randomly assigned to a training program or to a waiting list. Assessments were scheduled at baseline (T1) and then after the training was completed or four months later (T2), respectively. Communication around radiotherapy delivery was assessed based on audio recordings of the first and last radiotherapy sessions in order to assess team members' communication skills and the expression of concerns by breast cancer patients (analyzed with content analysis software LaComm). Results: 198 radiotherapy sessions were recorded. During the first radiotherapy sessions, members of the trained teams exhibited more assessment skills (p = 0.048), provided more setting information (p < 0.001), and used more social words (p = 0.019) compared to the members of the untrained teams. During the last radiotherapy session, members of the trained teams used more assessment skills (p = 0.004) and patients interacting with members of the trained teams expressed more sadness words (p = 0.023). Conclusion: Training of multidisciplinary teams has the potential to transfer skills that affect the short exchanges that take place around radiotherapy delivery.

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“…There is evidence also for its translation into the workplace (Lienard et al, 2010;Merckaert et al, 2015;Van den Eertwegh et al, 2013), and in this context, the lack of literature available for CST in psychiatry does not constitute a lack of efficacy. Rather, it reflects the lack of available literature in this growing field and the need for quality and consistency in reporting.…”

Section: Summary Of Evidencementioning

confidence: 99%

Communication skills in the training of psychiatrists: A systematic review of current approaches

Ditton-Phare

Loughland

Duvivier

et al. 2017

Aust N Z J Psychiatry

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Objectives: A range of communication skills training programmes have been developed targeting trainees in various medical specialties, predominantly in oncology but to a lesser extent in psychiatry. Effective communication is fundamental to the assessment and treatment of psychiatric conditions, but there has been less attention to this in clinical practice for psychiatrists in training. This review examines the outcomes of communication skills training interventions in psychiatric specialty training. Methods:The published English-language literature was examined using multiple online databases, grey literature and hand searches. The review was conducted and reported using Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Studies examining the efficacy of communication skills training were included. Randomised controlled trials, pseudo-randomised studies and quasi-experimental studies, as well as observational analytical studies and qualitative studies that met criteria, were selected and critically appraised. No limits were applied for date of publication up until 16 July 2016. Results:Total search results yielded 2574 records. Of these, 12 studies were identified and reviewed. Two were randomised controlled trials and the remaining 10 were one-group pretest/posttest designs or posttest-only designs, including self-report evaluations of communication skills training and objective evaluations of trainee skills. There were no studies with outcomes related to behaviour change or patient outcomes. Two randomised controlled trials reported an improvement in clinician empathy and psychotherapeutic interviewing skills due to specific training protocols focused on those areas. Non-randomised studies showed varying levels of skills gains and self-reported trainee satisfaction ratings with programmes, with the intervention being some form of communication skills training. Conclusion:The heterogeneity of communication skills training is a barrier to evaluating the efficacy of different communication skills training programmes. Further validation studies examining specific models and frameworks would support a stronger evidence base for communication skills training in psychiatry. It remains a challenge to develop research to investigate behaviour change over time in clinical practice or to measure patient outcomes due to the effects of communication skills training.

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Transfer of Communication Skills to the Workplace: Impact of a 38-Hour Communication Skills Training Program Designed for Radiotherapy Teams

Abstract: The 38-hour training program facilitated transfer of team member learned communication skills to the clinical practice and improved patients' satisfaction with care.

Cited by 37 publications

References 25 publications

Implementation of an Integrative Oncological Concept in the Daily Care of a German Certified Breast Cancer Center

Implementation of an Integrative Oncological Concept in the Daily Care of a German Certified Breast Cancer Center

Is it possible to improve communication around radiotherapy delivery: A randomized study to assess the efficacy of team training?

Communication skills in the training of psychiatrists: A systematic review of current approaches

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