| Autor: |
N, Harnischfeger, H M, Rath, B, Alt-Epping, H, Brand, K, Haller, A, Letsch, N, Rieder, P, Thuss-Patience, C, Bokemeyer, C, Bergelt, K, Oechsle |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
ESMO Open. 7:100623 |
| ISSN: |
2059-7029 |
| DOI: |
10.1016/j.esmoop.2022.100623 |
| Popis: |
In advanced cancer care, early communication about palliative care (PC) and end-of-life (EoL)-related issues is recommended, but is often impeded by physicians' communication insecurities. We investigated the effect of a newly developed compact communication skills training 'PALLI-COM' on oncologists' competencies to early address PC/EoL-related issues.We conducted a randomized, controlled trial (RCT) with an intervention group (IG; 2 × 90 min training) and a wait list control group (CG) at five sites. At two assessment points, participating oncologists led videotaped medical consultations with simulated patients (SPs) via a privacy compliant video conference platform. SPs were represented by trained actors. The taped conversations were rated for primary outcome (communication skills assessed by adapted COM-ON-checklist and COM-ON-coaching rating scales) by raters blinded for study group. Secondary outcomes included oncologists' self-reported communication skills (Self-Efficacy in Palliative Care Scale, Thanatophobia-Scale, Communication about End of Life Survey, study-specific items) as well as external rating of the SPs. Univariate analyses of covariance with baseline adjustment were used to analyze intervention effects.A total of 141 oncologists [age: mean (standard deviation) = 32.7 (6.3) years, 60% female (nFindings indicate that the compact communication skills training PALLI-COM increases oncologists' competencies in early addressing PC/EoL-related issues from different perspectives. Implementation in routine oncology residency might improve advanced cancer care by strengthening these communication skills. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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