The effect of a communication skills training based on coaching method for physician specializing in stroke

点击翻译按钮获取中文摘要

The aims of this study were as follows; 1) to develop the less demanding and high-precision measurement methodology of patient-reported outcomes, 2) to develop the curriculum of medical communication skill training (MCST) for stroke specialist based on coaching strategy, and 3) to examine the effectiveness of MCST on the satisfaction and quality of life of patients. The participants of this study were 34 physicians who charged stroke survivors. They received two day MCST which combined lecture and role-playing exercise and received the topics by the e-mail for 2 months after MCST study.Physician participants asked their patients with stroke and family caregivers to complete the questionnaire before the MCST, one month, five months and ten months after the MCST. The questionnaire for patients involved the measures of satisfaction with communication to their doctor (satisfaction with communication, total satisfaction, and act toward the goal) and health-related quality of life (the SF-36). The family caregivers reported their burden of care giving (The Burden Index of Caregiving: BIC11). The physicians evaluated themselves concerning their communication skills.The participants who complete all questionnaires were 23 physicians (mean age, 42.0; SD, 8.2), 73 patients (mean age, 63.6; SD, 10.1). The change score of physician's self evaluation between before and after the MCST were not significant. The satisfaction with communication (before MCST vs after MCST; 46.8 ± 7.1 vs 48.6 ± 6.3 [p<0.001]), the total satisfaction (16.8 ± 2.3 vs 17.4 ± 2.3 [p<0.001]) and act toward the goal (14.6 ± 3.1 vs 15.2 ± 3.0 [p<0.05]) were improved significantly. The score of the SF-36 and BIC11 did not significantly change.This study has found that the MCST for physicians can improve the patient's satisfaction and facilitate them toward the goal.