Skip to main content Accessibility help
×
Home

Development and preliminary evaluation of communication skills training program for oncologists based on patient preferences for communicating bad news

  • Maiko Fujimori (a1) (a2), Yuki Shirai (a1) (a3), Mariko Asai (a4), Nobuya Akizuki (a5), Noriyuki Katsumata (a6), Kaoru Kubota (a7) and Yosuke Uchitomi (a8)...

Abstract

Objective:

The purposes of this study were to develop a communication skills training (CST) workshop program based on patient preferences, and to evaluate preliminary feasibility of the CST program on the objective performances of physicians and the subjective ratings of their confidence about the communication with patients at the pre- and post-CST.

Methods:

The CST program was developed, based on the previous surveys on patient preferences (setting up the supporting environment of the interview, making consideration for how to deliver bad news, discussing about additional information, and provision of reassurance and emotional support) and addressing the patient's emotion with empathic responses, and stressing the oncologists' emotional support. The program was participants' centered approach, consisted a didactic lecture, role plays with simulated patients, discussions and an ice-breaking; a total of 2-days. To evaluate feasibility of the newly developed CST program, oncologists who participated it were assessed their communication performances (behaviors and utterances) during simulated consultation at the pre- and post-CST. Participants also rated their confidence communicating with patients at the pre-, post-, and 3-months after CST, burnout at pre and 3 months after CST, and the helpfulness of the program at post-CST.

Results:

Sixteen oncologists attended a newly developed CST. A comparison of pre-post measures showed improvement of oncologists' communication performances, especially skills of emotional support and consideration for how to deliver information. Their confidence in communicating bad news was rated higher score at post-CST than at pre-CST and was persisted at 3-months after the CST. Emotional exhaustion scores decreased at 3-months after CST. In addition, oncologists rated high satisfaction with all components of the program.

Significance of results:

This pilot study suggests that the newly developed CST program based on patient preferences seemed feasible and potentially effective on improving oncologists' communication behaviors what patients prefer and confidence in communicating with patients.

Copyright

Corresponding author

Address correspondence and reprint requests to: Yosuke Uchitomi, Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan. E-mail: uchitomi@okayama-u.ac.jp

References

Hide All
Back, A.L., Arnold, R.M., Baile, W.F., et al. (2007). Efficacy of communication skills training for giving bad news and discussing transitions to palliative care. Archives of Internal Medicine, 167, 453460.
Baile, F.W., Lenzi, R., Kudelka, A.P., et al. (1997). Improving physician-patient communication in cancer care: outcome of a workshop for oncologists. Journal of Cancer Education, 12, 166173.
Baile, W.F., Kudelka, A.P., Beale, E.A., et al. (1999). Communication skills training in oncology. Description and preliminary outcomes of workshops on breaking bad news and managing patient reactions to illness. Cancer, 86, 887897.
Baile, W.F., Buckman, R., Lenzi, R., et al. (2000). SPIKES-A six-step protocol for delivering bad news: Application to the patient with cancer. Oncologist, 5, 302311.
Butow, P.N., Kazemi, J.N., Beeney, L.J., et al. (1996). When the diagnosis is cancer: patient communication experiences and preferences. Cancer, 77, 26302637.
Cegala, D.J. & Lenzmeier Broz, S. (2002), Physician communication skills training: A review of theoretical backgrounds, objectives and skills. Medical Education, 36, 10041016.
Fallowfield, L., Jenkins, V., Farewell, V., et al. (2002). Efficacy of a cancer research UK communication skills training model for oncologists: A randomised controlled trial. Lancet, 359, 650656.
Fellowes, D., Wilkinson, S. & Moore, P. (2004). Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database System Review, 2, CD003751.
Fujimori, M., Oba, A., Koike, M., et al. (2003). Communication skills training for Japanese oncologists on how to break bad news. Journal of Cancer Education, 18, 194201.
Fujimori, M., Akechi, T., Akizuki, N., et al. (2005). Good communication with patients receiving bad news about cancer in Japan. Psychooncology, 14, 10431051.
Fujimori, M., Akechi, T., Morita, T., et al. (2007). Preferences of cancer patients regarding the disclosure of bad news. Psychooncology, 16, 573581.
Fujimori, M. & Uchitomi, Y. (2009). Preferences of cancer patients regarding communication of bad news: A systematic literature review. Japanese Journal of Clinical Oncology, 39, 201216.
Girgis, A., Sanson-Fisher, R. & Schofield, M.J. (1999). Is there consensus between breast cancer patients and providers on guidelines for breaking bad news? Journal of Behavioral Medicine, 25, 6977.
Higashiguchi, K., Morikawa, Y., Miura, K., et al. (1998). The development of the Japanese version of the Maslach burnout inventory and the examination of the factor structure. Nippon Eiseigaku Zassi, 53, 447555(in Japanese).
Ishikawa, H., Takayama, T., Yamazaki, Y., et al. (2002). The interaction between physician and patient communication behaviors in Japanese cancer consultations and the influence of personal and consultation characteristics. Patient Education and Counseling, 46, 277285.
Jenkins, V. & Fallowfield, L. (2002). Can communication skills training alter physicians' beliefs and behavior in clinics? Journal of Clinical Oncology, 20, 765769.
Lenzi, R., Baile, W.F., Costantini, A., et al. (2010). Communication training in oncology: Results of intensive communication workshops for Italian oncologists. European Journal of Cancer Care, 20, 196203.
Maslach, C. & Jackson, S. (1986). Maslach Burnout Inventory. Palo Alto: Consulting Psychologist's Press.
Morita, T., Akechi, T., Ikenaga, M., et al. (2004). Communication about the ending of anticancer treatment and transition to palliative care. Annals of Oncology; 15, 15511557.
Parker, P.A., Baile, W.F., de Moor, C., et al. (2001). Breaking bad news about cancer: patients' preferences for communication. Journal of Clinical Oncology, 19, 20492056.
Ramirez, A.J., Graham, J., Richards, M.A., et al. (1995). Burnout and psychiatric disorder among cancer clinicians. British Journal of Cancer, 71, 12631269.
Roter, D.L., Hall, J.A., Kern, D.E., et al. (1995). Improving physicians' interviewing skills and reducing patients' emotional distress. Randomized clinical trial. Achieve of Intern Medicine, 155, 18771884.
Schofield, P.E., Butow, P.N., Thompson, J.F., et al. (2003). Psychological responses of patients receiving a diagnosis of cancer. Annual of Oncology, 14, 4856.
Shilling, V., Jenkins, V. & Fallowfield, L. (2003). Factors affecting patient and clinician satisfaction with the clinical consultation: Can communication skills training for clinicians improve satisfaction? Psychooncology, 12, 599611.
Uchitomi, Y., Mikami, I., Kugaya, A., et al. (2001). Physician support and patient psychologic responses after surgery for nonsmall cell lung carcinoma: A prospective observational study. Cancer, 92, 19261935.

Keywords

Development and preliminary evaluation of communication skills training program for oncologists based on patient preferences for communicating bad news

  • Maiko Fujimori (a1) (a2), Yuki Shirai (a1) (a3), Mariko Asai (a4), Nobuya Akizuki (a5), Noriyuki Katsumata (a6), Kaoru Kubota (a7) and Yosuke Uchitomi (a8)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed