Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module.
Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module.
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DOI：
10.1016/j.pec.2020.04.032
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发表时间：
2020-11
影响因子：
3.5
通讯作者：
Korc-Grodzicki B
中科院分区：
文献类型：
--
作者：
Shen MJ;Manna R;Banerjee SC;Nelson CJ;Alexander K;Alici Y;Gangai N;Parker PA;Korc-Grodzicki B
本研究的目的是评估医疗保健提供者 (HCP) 的沟通技巧培训 (CST) 模块，在与患有癌症的老年人及其家人会面时应用共同决策方法。来自美国东北部社区中心、癌症中心和医院的 99 名 HCP（主要与老年患者一起工作）参加了题为“老年共享决策”的 CST 模块。参与者完成了培训前和培训后的标准化患者评估 (SPA) 以及关于他们对使用所教授技能的信心和意图的调查。结果表明 HCP 对该模块非常满意，超过 95% 的参与者对所有五个评估项目表示高度认可。医疗保健专业人员在利用与老年共同决策相关的沟通技巧方面的自我效能在培训前后显着提高。在对一小部分提供者 (n=30) 进行的标准化患者评估中，HCP 表现出了三项共同决策技能的改进：宣布议程、邀请议程和检查偏好。为 HCP 举办的老年人共享决策 CST 研讨会展示了可行性、可接受性以及自我效能和技能吸收方面的改进。
The purpose of this study was to evaluate a Communication Skills Training (CST) module for health care providers (HCPs) applying a shared decision-making approach to a meeting with an older adult with cancer and his/her family. Ninety-nine HCPs from community-based centers, cancer centers, and hospitals in the Northeastern U.S. who worked primarily with older adult patients participated in a CST module entitled Geriatric Shared Decision Making. Participants completed pre- and post-training Standardized Patient Assessments (SPAs) and a survey on their confidence in and intent to utilize skills taught. Results indicated high HCP satisfaction with the module, with over 95% of participants reporting high endorsement to all five evaluation items. HCPs’ self-efficacy in utilizing communication skills related to geriatric shared decision making significantly increased pre- to post-training. In standardized patient assessments among a subset of providers (n=30), HCPs demonstrated improvements in three shared decision-making skills: declare agenda, invite agenda, and check preference. A geriatric shared decision-making CST workshop for HCPs showed feasibility, acceptability, and improvement in self-efficacy as well as skill uptake.
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影响因子：
1.6
作者：
Bylund, Carma L.;Brown, Richard F.;Kissane, David W.
通讯作者：
Kissane, David W.
影响因子：
4.2
作者：
Thorsteinsson, LS
通讯作者：
Thorsteinsson, LS
影响因子：
105.7
作者：
FALLOWFIELD, LJ;HALL, A;BAUM, M
通讯作者：
BAUM, M
影响因子：
7.4
作者：
Brown, Richard F.;Bylund, Carma L.
通讯作者：
Bylund, Carma L.
影响因子：
--
作者：
FALLOWFIELD, LJ;HALL, A;AHERN, RPA
通讯作者：
AHERN, RPA