Development and evaluation of a Four habits-based communication training for German general practitioners (CoTrain)

全科医生与患者之间沟通的性质和质量对治疗的成功有着重要的影响。在包括德国在内的许多国家，医患沟通仍有待改善。本研究建议的目的是为家庭医生设计一种专门定制的沟通培训。这种培训的理论基础是国际上建立的适应德国初级保健条件的四个习惯模式。为了使沟通培训适应德国全科医生和患者的需要，将与患者和全科医生进行重点小组讨论，并列出沟通培训的具体要求。因此，将为德国全科医生设计定制的沟通培训。这项培训将在随后与家庭医生小组进行的三次反馈过程中进行、评估和完善。通过一般做法的预试，将确定录像记录和评估的可行性，随后应审查所制定的培训的有效性。该项目旨在为全科医生开发有效的沟通培训。在随后的沟通培训项目(后续应用)中，在对其有效性进行随机对照试验的背景下进行了审查。

The nature and quality of communication between GPs and patients have a significant impact on treatment success. In many nations, including Germany, the physician-patient communication is still in need of improvement. The purpose of this research proposal is to design a specifically tailored communication training for family physicians. The theoretical basis of this training is the internationally established Four Habits model to be adapted to the conditions of German primary care. To adapt the communication training to the needs of patients and physicians in German general practices, focus group discussions with both patients and general practitioners will be conducted and the specific requirements on communication trainings will be set out. As a result, a customized communication training for German GPs will be designed. This training will be carried out evaluated and refined within a triple subsequent feedback process with small groups of family doctors. Through a pre-test in general practice the feasibility of a video documentation and evaluation will be worked out, in which later the developed training should be reviewed for effectiveness. The project aims to develop an effective communication training for GPs. In a subsequent project (follow-up application) to the communication training are reviewed in the context of a randomized controlled trial of its effectiveness.