Fallowfield, L and Jenkins, V and Farewell, V and Solis-Trapala, I (2003) Enduring impact of communication skills training: results of a 12-month follow-up. British Journal of Cancer, 89 (8). 1445 -1449. ISSN 1532-1827

[img]
Preview
Text
Enduring impact of communication skills training: results of a 12-month follow-up.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial Share Alike.

Download (85kB) | Preview

Abstract

The efficacy of a communication skills training programme was shown through a randomised trial. Oncologists (N=160) from 34 cancer centres were allocated to written feedback plus course; course alone; written feedback alone or control. Each clinician had 6 - 10 interviews with patients videotaped at baseline and 3 months postintervention. Analysis of videotapes revealed improvements in the communication skills of clinicians randomised to training (n=80) compared with others (n=80). A 12-month follow-up assessment is reported here. Robust Poisson conditional analyses of counts of changes in communication behaviours revealed no demonstrable attrition in those who had shown improvement previously, including fewer leading questions, appropriate use of focused and open-ended questions and responses to patient cues. Additional skills, not apparent at 3 months, were now evident; the estimated effect sizes corresponded to 81% fewer interruptions (P=0.001) and increased summarising of information to 38% (P=0.038). However, expressions of empathy (54%, P=0.001) declined. The overall results show that 12 - 15 months postintervention, clinicians had integrated key communication skills into clinical practice and were applying others. This is the first RCT to show an enduring effect of communication skills training with transfer into the clinic.

Item Type: Article
Uncontrolled Keywords: communication skills training, medical education
Subjects: L Education > LB Theory and practice of education > LB2300 Higher Education
R Medicine > R Medicine (General)
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 16 Dec 2015 09:14
Last Modified: 16 Dec 2015 09:18
URI: http://eprints.keele.ac.uk/id/eprint/1298

Actions (login required)

View Item View Item