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faculty: "FMG" and publication year: "2011"
| Authors||J.C.M. van Weert, J. Jansen, P.M.M. Spreeuwenberg, S. van Dulmen, J.M. Bensing|
|Title||Effects of communication skills training and a Question Prompt Sheet to improve communication with older cancer patients: a randomized controlled trial|
|Journal||Critical Reviews in Oncology/Hematology|
|Faculty||Faculty of Social and Behavioural Sciences|
|Institute/dept.||FMG: Amsterdam School of Communication Research (ASCoR)|
|Abstract||A randomized pre- and post-test control group design was conducted in 12 oncology wards to investigate the effectiveness of an intervention, existing of a communication skills training with web-enabled video feedback and a Question Prompt Sheet (QPS), which aimed to improve patient education to older cancer patients (≥65 years). The effects were studied by analyzing questionnaires and video recordings of patient education sessions preceding chemotherapy with 210 different patients.|
Patients’ recall of information was the primary outcome of the study. Recall was checked against the actual communication in the video-recordings. Moreover, communication skills were assessed by observing the extent to which nurses implemented 67 communication aspects, categorized in seven dimensions, using the QUOTEchemo. Experimental nurses demonstrated a significant intervention effect on communicating realistic expectations. Within-group improvements were measured in the experimental group for tailored communication, affective communication and interpersonal communication. Although the use of a QPS significantly increased question asking, only limited results were found on older patients’ recall scores. The overall proportion recall of recommendations showed a marginally significant pre-/post-change in proportion recall in favour of the experimental group and there was a significant pre-/post-change in two out of six sub-categories. The results indicate that nurses’ communication skills can be improved by communication skills training. More research is needed to understand the difficult relationship between patient–provider communication and recall of information.
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