Can communication skills training alter physicians' beliefs and behavior in clinics?

Fallowfield, Lesley J. and Jenkins, Valerie (2002) Can communication skills training alter physicians' beliefs and behavior in clinics? Journal of Clinical Oncology, 20 (3). pp. 765-769. ISSN 0732-183X

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PURPOSE: To measure the psychosocial attitudes and beliefs of physicians working within oncology in the United Kingdom and to examine whether beliefs alter after communication skills training. Additionally, to investigate whether physicians' attitudes are reflected in communication behaviors with patients during interviews. METHODS: Ninety-three physicians completed a 32-item Physician Psychosocial Belief (PPSB) questionnaire at baseline (T1) before randomization to attendance at a 3-day residential communication skills course (n = 48) or a control group (n = 45). Three months later (T2), both groups completed another PPSB and a self-assessment questionnaire recording perceived changes in communication with patients. At both time points, physicians' consultations with two consenting patients were videotaped. Communication behaviors were measured using the Medical Interaction Processing System. RESULTS: Physicians who attended the course showed significantly improved attitudes and beliefs toward psychosocial issues compared with controls (P =.002). This improvement was reflected in the analysis of the videotaped recordings of their communication behaviors with patients. Expressions of empathy were more likely for the course group at T2 than the controls (P =.02), as were open questions (P =.001), appropriate responses to patient cues (P =.005), and psychosocial probing (P =.041). These objective findings were supported by physicians' self report of changes in communication style during interviews with patients. CONCLUSION: Our results show that a communication skills training intervention using behavioral, cognitive, and affective components not only increases potentially beneficial and more effective interviewing styles but can also alter attitudes and beliefs, thus increasing the likelihood that such skills will be used in the clinical setting.

Item Type: Article
Additional Information: Originally published by the American Society of Clinical Oncology. Valerie Jenkins and Lesley Fallowfield: Journal of Clinical Oncology 20(3),February 1, 2002: pp765-769
Keywords: Attitude of Health Personnel *Communication Great Britain Medical Oncology/*education *Physician-Patient Relations Physicians/*psychology Questionnaires Research Support, Non-U.S. Gov't Self Assessment (Psychology) Video Recording
Schools and Departments: Brighton and Sussex Medical School > Sussex Health Outcomes Research & Education in Cancer (SHORE-C)
Subjects: R Medicine > R Medicine (General) > R690 Medicine as a profession. Physicians
R Medicine > R Medicine (General) > R735 Medical education
Depositing User: Tracy Woodcock
Date Deposited: 19 Mar 2012 09:40
Last Modified: 15 Mar 2017 03:24

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