Oncology Care Provider Training in Empathic Communication Skills to Reduce Lung Cancer Stigma
Oncology Care Provider Training in Empathic Communication Skills to Reduce Lung Cancer Stigma
复制标题
DOI：
10.1016/j.chest.2020.11.024
复制
发表时间：
2021-05-05
期刊：
影响因子：
9.6
通讯作者：
Ostroff, Jamie S.
中科院分区：
文献类型：
--
作者：
Banerjee, Smita C.;Haque, Noshin;Ostroff, Jamie S.
背景技术背景：尽管评估吸烟史并建议吸烟患者戒烟具有临床重要性，但肺癌患者在与肿瘤护理提供者（OCP）的临床接触中经常会感到责备和耻辱。在这些遭遇中促进移情沟通可能有助于减少患者的耻辱感，并改善相关的临床结果。本文介绍了OCP和病人报告的数据的有用性的OCP有针对性的共情沟通技巧（ECS）的培训，以减少肺癌的耻辱和改善communication.RESEARCH问题的评估：什么是影响的ECS干预OCP的沟通技巧摄取和病人报告的结果（肺癌的耻辱，沟通满意度，和感知OCP共情）？方法：研究对象包括30名多学科OCP治疗肺癌患者参加了2.25小时ECS培训。在培训之前和之后进行标准化患者评估，以评估OCP中的ECS摄取。此外，在计划的180名目前或以前吸烟的患者中，（每个OCP 6名独特患者[3名培训前，3名培训后]），175名患者（89名培训前，86名培训后）完成OCP后访问调查，引发他们与OCP互动质量的反馈。结果：OCP在使用移情沟通技巧方面表现出整体增长[t（28）=-2.37; P <.05]、减轻耻辱技能[t（28）=-3.88; P <.001]和沟通技能使用广度[t（28）=-2.91; P <.01]。与训练前相比，ECS训练后患者对沟通的总体满意度显著更高[t（121）= 2.15; P = 0.034; Cohen d = 0.35]。有没有显着差异，从培训前到培训后的患者报告的耻辱或感知OCP empathy.Interpretation：同情为基础的，减少耻辱的沟通可能会导致改善评估吸烟相关癌症患者的烟草使用和戒烟。这些研究结果支持传播和进一步测试一种新的ECS模型，用于培训OCP评估吸烟史的最佳实践，并使目前吸烟的患者参与烟草治疗。
BACKGROUND: Despite the clinical importance of assessing smoking history and advising patients who smoke to quit, patients with lung cancer often experience feelings of blame and stigma during clinical encounters with their oncology care providers (OCPs). Promoting empathic communication during these encounters may help reduce patients' experience of stigma and improve related clinical outcomes. This paper presents the evaluation of OCP- and patient-reported data on the usefulness of an OCP-targeted empathic communication skills (ECS) training to reduce the stigma of lung cancer and improve communication.RESEARCH QUESTION: What is the impact of the ECS intervention on OCPs' communication skills uptake and patient-reported outcomes (lung cancer stigma, satisfaction with communication, and perceived OCP empathy)?METHODS: Study subjects included 30 multidisciplinary OCPs treating patients with lung cancer who participated in a 2.25 h ECS training. Standardized Patient Assessments were conducted prior to and following training to assess ECS uptake among OCPs. In addition, of a planned 180 patients who currently or formerly smoked (six unique patients per OCP [three pretraining, three posttraining]), 175 patients (89 pretraining, 86 posttraining) completed post-OCP visit surveys eliciting feedback on the quality of their interaction with their OCP.RESULTS: OCPs exhibited an overall increase in use of empathic communication skills [t(28) = -2.37; P < .05], stigma-mitigating skills [t(28) = -3.88; P < .001], and breadth of communication skill use [t(28) = -2.91; P < .01]. Patients reported significantly higher overall satisfaction with communication post-ECS training, compared with pretraining [t(121) = 2.15; P = .034; Cohen d = 0.35]. There were no significant differences from pretraining to posttraining for patient-reported stigma or perceived OCP empathy.INTERPRETATION: Empathy-based, stigma-reducing communication may lead to improved assessments of tobacco use and smoking cessation for patients with smoking-related cancers. These findings support the dissemination and further testing of a new ECS model for training OCPs in best practices for assessment of smoking history and engagement of patients who currently smoke in tobacco treatment delivery.