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Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients.

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Libert, Yves Peternelj, Livia Bragard, Isabelle Liénard, Aurore Merckaert, Isabelle Reynaert, Christine [UCL] Razavi, Darius

(eng) BACKGROUND: Although previous studies have reported the efficacy of communication skills training (CST) programs, specific training addressing communication about uncertainty and hope in oncology has not yet been studied. This paper describes the study protocol of a randomized controlled trial assessing the efficacy of a CST program aimed at improving physician ability to communicate about uncertainty and hope in encounters with cancer patients. METHODS/DESIGN: Physician participants will be randomly assigned in groups (n = 3/group) to a 30-h CST program (experimental group) or to a waiting list (control group). The training program will include learner-centered, skills-focused, practice-oriented techniques. Training efficacy is assessed in the context of an encounter with a simulated advanced stage cancer patient at baseline and after the CST for the experimental group, and after four months for the waiting-list group. Efficacy assessments will include communicational, psychological and physiological measures. Group-by-time effects will be analyzed using a generalized estimating equation (GEE). A power analysis indicated that a sample size of 60 (30 experimental and 30 control) participants will be sufficient to detect effects. DISCUSSION: The current study will aid in the development of effective CST programs to improve physician ability to communicate about uncertainty and hope in encounters with cancer patients. TRIAL REGISTRATION: US Clinical Trials Register NCT02836197 .

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2017
Language Anglais
Journal information "BMC cancer" - Vol. 17, no. 1, p. 476-782 (2017)
Peer reviewed yes
Publisher BioMed Central Ltd. ((United Kingdom) London)
e-issn 1471-2407
Publication status Publié
Affiliations UCL - (MGD) Service de médecine psychosomatique
UCL - SSS/IREC/MONT - Pôle Mont Godinne
Keywords Cancer ; Communication skills training ; Hope ; Physicians ; Uncertainty
Links
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Bibliographic reference Libert, Yves ; Peternelj, Livia ; Bragard, Isabelle ; Liénard, Aurore ; Merckaert, Isabelle ; et. al. Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients.. In: BMC cancer, Vol. 17, no. 1, p. 476-782 (2017)
Permanent URL http://hdl.handle.net/2078.1/201144