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Physicians are different when they learn communication skills: influence of the locus of control

Onglets principaux

Libert, Yves [UCL] Merckaert, Isabelle Reynaert, Christine [MONT] Delvaux, Nicole Marchal, Serge Scalliet, Pierre [UCL] Razavi, Darius

Purpose: Although it is widely recognised that educational interventions may be more effective for people with an 'internal' Locus of Control (who believe that life outcomes are controlled by their own characteristics or actions) compared to people with an 'external' Locus of Control (who believe that life outcomes are controlled by external forces such as luck, fate or others), no study has yet assessed the influence of physicians' Locus of Control (LOC) on communication skills learning. This study aims to test the hypothesis that, in a communication skills training program, physicians with an 'internal' LOC would demonstrate communication skills acquisition to a greater degree than those with an 'external' LOC. Methods: A non-randomised longitudinal intervention study was conducted between January 1999 and April 2001. Sixty-seven volunteer physicians from private and institutional practice in Belgium participated in a learner-centred, skills-focused, practice-oriented communication skills training program. Communication skills changes were assessed in 2 standardised simulated interviews before and after training (one two-person and one three-person interview). Communication skills were assessed using the Cancer Research Campaign Workshop Evaluation Manual. Physicians' LOC was assessed using the Rotter I-E scale. Communication skills changes of the upper and lower third of physicians in respect of their scores on this scale were compared using group by time repeated measures of variance. Results: In the two-person and three-person interviews, changes in the use of open directive questions were more important among physicians with an "internal" LOC compared with changes observed among physicians with an 'external' LOC (P = 0.066 and P = 0.004, respectively). In the three-person interview, changes in the use of directive questions, assessing functions and moderate feelings stated explicitly were more important among physicians with an 'internal' LOC compared with changes observed among physicians with an 'external' LOC (P = 0.001; P = 0.002 and P = 0.011 respectively). Conclusion: This study shows that physicians' LOC is a psychological characteristic that could influence the efficacy of a communication skills training program. This evidence supports the idea that a psychological characteristic such as 'internal' LOC may facilitate communication skills acquisition through physicians' belief that communication with patients may be controlled by physicians themselves. Copyright (c) 2006 John Wiley & Sons, Ltd.

Type de document Article de périodique (Journal article) – Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't
Type d'accès Accès restreint
Année de publication 2007
Langue Anglais
Information sur le périodique "Psycho-Oncology : journal of the psychological, social and behavioral dimensions of cancer" - Vol. 16, no. 6, p. 553-62 (2007)
Peer reviewed oui
Editeur John Wiley & Sons Ltd (Chichester)
issn 1057-9249
e-issn 1099-1611
Statut de la publication Publié
Affiliations UCL - (MGD) Service de médecine psychosomatique
UCL - MD/NOPS - Département de neurologie et de psychiatrie
UCL - MD/RAIM - Département de radiologie et d'imagerie médicale
UCL - (SLuc) Centre du cancer
UCL - (SLuc) Service de radiothérapie oncologique
UCL - PSP/PSP - Faculté de psychologie et des sciences de l'éducation
MESH Subject Physician-Patient Relations ; Multivariate Analysis ; Medical Oncology - education ; Male ; Learning ; Internal-External Control ; Humans ; Female ; Educational Measurement ; Education, Medical, Continuing ; Communication ; Belgium ; Adult
Mots-clés physician ; communication skills training ; Locos of Control ; oncology
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Référence bibliographique Libert, Yves ; Merckaert, Isabelle ; Reynaert, Christine ; Delvaux, Nicole ; Marchal, Serge ; et. al. Physicians are different when they learn communication skills: influence of the locus of control. In: Psycho-Oncology : journal of the psychological, social and behavioral dimensions of cancer, Vol. 16, no. 6, p. 553-62 (2007)
Permalien http://hdl.handle.net/2078.1/37928