Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized controlled trial.

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Abstract

The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication.

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Most cited references 19

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The Delphi Technique in Nursing and Health Research

Sinead Keeney, Felicity Hasson, Hugh McKenna (2011)

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Screening for psychological distress in Japanese cancer patients.

T Akechi, A Kugaya, T. Okuyama … (1998)

Psychological distress is frequently observed, however, it is underestimated in cancer patients. The aim of this study is to develop a simple battery for screening for psychological distress, adjustment disorder and major depressive disorder in Japanese cancer patients. One hundred and twenty-eight cancer patients were interviewed by psychiatrists and tested using the Hospital Anxiety and Depression Scale (HADS), a 14-item self-assessment questionnaire. Psychiatric diagnoses were performed according to the Diagnostic and Statistical Manual of Mental Disorders, third edition-revised. Cronbach alpha values of the Japanese version of the scale were 0.77 for the subscale for anxiety and 0.79 for depression. By a receiver operating characteristic analysis, we determined that an optimal cut-off point for screening for adjustment disorder and major depressive disorder was 10/11, which gave high enough sensitivity and specificity (91.5 and 65.4%, respectively). To screen for major depressive disorder alone, 19/20 was an optimal cut-off point with 82.4% sensitivity and 96.3% specificity. The subscales of HADS (anxiety and depression) also had high screening performance. The Japanese version of HADS is a sensitive and specific tool for screening for psychological distress in Japanese cancer patients. This scale can be used for an early detection of patients' psychological distress which may be followed by psychiatric interventions.

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Preferences of cancer patients regarding communication of bad news: a systematic literature review.

Yosuke Uchitomi, M Fujimori (2009)

Most physicians regard the communication of bad news to be a difficult issue in clinical oncology practice. The optimal manner of communicating bad news to patients so that physicians can create maximal understanding in patients and facilitate their psychological adjustment is unknown. A systematic review of the literature was conducted to clarify available knowledge on patient preferences regarding the communication of bad news and associated factors. A comprehensive computer search of databases (MEDLINE and PsychINFO) and a manual search identified 24 studies. The above issue has been discussed mainly in Western countries. Most studies used different measures to obtain information on patient preferences and have provided mostly descriptive evidence. The findings in this review suggest that patient preferences with regard to the communication of bad news by physicians consist of four components: setting, manner of communicating bad news, what and how much information is provided and emotional support, and that patients' preferences are associated with demographic factors. Younger patients, female patients and more highly educated patients consistently expressed a desire to receive as much detailed information as possible and to receive emotional support. Asian patients were shown to prefer that relatives be present when receiving bad news more than Westerners do and to prefer to discuss their life expectancy less than Westerners. Physicians need to recognize these preferences to help patients understand.

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Author and article information

Journal

Journal ID (iso-abbrev): J. Clin. Oncol.

Title: Journal of clinical oncology : official journal of the American Society of Clinical Oncology

ISSN (Electronic): 1527-7755

ISSN (Print): 0732-183X

Publication date (Electronic): Jul 10 2014

Volume: 32

Issue: 20

Affiliations

[1 ] Maiko Fujimori, Yuki Shirai, Mariko Asai, and Yosuke Uchitomi, National Cancer Center Hospital East, Kashiwa; Maiko Fujimori, National Cancer Center Hospital and National Institute of Mental Health, National Center for Neurology and Psychiatry; Yuki Shirai, University of Tokyo; Mariko Asai, Teikyo Heisei University; Kaoru Kubota, Nippon Medical School, Tokyo; Noriyuki Katsumata, Nippon Medical School, Musashikosugi Hospital, Kawasaki; and Yosuke Uchitomi, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

[2 ] Maiko Fujimori, Yuki Shirai, Mariko Asai, and Yosuke Uchitomi, National Cancer Center Hospital East, Kashiwa; Maiko Fujimori, National Cancer Center Hospital and National Institute of Mental Health, National Center for Neurology and Psychiatry; Yuki Shirai, University of Tokyo; Mariko Asai, Teikyo Heisei University; Kaoru Kubota, Nippon Medical School, Tokyo; Noriyuki Katsumata, Nippon Medical School, Musashikosugi Hospital, Kawasaki; and Yosuke Uchitomi, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. uchitomi@md.okayama-u.ac.jp.

Article

Publisher Item ID: JCO.2013.51.2756

DOI: 10.1200/JCO.2013.51.2756

PubMed ID: 24912901

SO-VID: d5e126c9-4c08-4f33-a070-f5658c8ce822

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Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized controlled trial.

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Most cited references 19

The Delphi Technique in Nursing and Health Research

Screening for psychological distress in Japanese cancer patients.

Preferences of cancer patients regarding communication of bad news: a systematic literature review.

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