Oncology Care Provider Training in Empathic Communication Skills to Reduce Lung Cancer Stigma

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...

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Vydáno v:Chest Ročník 159; číslo 5; s. 2040
Hlavní autoři: Banerjee, Smita C, Haque, Noshin, Schofield, Elizabeth A, Williamson, Timothy J, Martin, Chloe M, Bylund, Carma L, Shen, Megan J, Rigney, Maureen, Hamann, Heidi A, Parker, Patricia A, McFarland, Daniel C, Park, Bernard J, Molena, Daniela, Moreno, Aimee, Ostroff, Jamie S
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.05.2021
Témata:
Adult
Communication
Empathy
Female
Humans
Inservice Training
Lung Neoplasms - psychology
Male
Medical History Taking
Medical Oncology - education
Patient Satisfaction
Professional-Patient Relations
Smokers - psychology
Social Stigma
lung cancer
stigma
empathic communication
standardized patient assessment
smoking
communication skills training
oncology
satisfaction with communication
ISSN:1931-3543, 1931-3543
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Abstract 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. 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)? 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. 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. 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.
AbstractList 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.BACKGROUNDDespite 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.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)?RESEARCH QUESTIONWhat 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)?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.METHODSStudy 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.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.RESULTSOCPs 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.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.INTERPRETATIONEmpathy-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.
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. 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)? 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. 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. 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.
Author Banerjee, Smita C
Haque, Noshin
Rigney, Maureen
Moreno, Aimee
Ostroff, Jamie S
Williamson, Timothy J
Schofield, Elizabeth A
Bylund, Carma L
Park, Bernard J
Hamann, Heidi A
Molena, Daniela
Parker, Patricia A
McFarland, Daniel C
Shen, Megan J
Martin, Chloe M
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  organization: From the Department of Psychiatry and Behavioral Sciences (S. C. Banerjee, N. Haque, E. A. Schofield, T. J. Williamson, C. M. Martin, P. A. Parker, D. C. McFarland, A. Moreno, J. S. Ostroff), Memorial Sloan Kettering Cancer Center, New York, NY; Department of Public Relations (C. L. Bylund), Division of Hematology & Oncology, College of Medicine, University of Florida, Gainesville, FL; Department of Medicine (M. J. Shen), Weill Cornell Medical College, New York, NY; Support Initiatives, GO2 Foundation for Lung Cancer (M. Rigney), Washington, DC; Department of Psychology and the Department of Family and Community Medicine (H. A. Hamann), University of Arizona, Tucson, AZ; and Department of Surgery (B. J. Park, D. Molena), Memorial Sloan Kettering Cancer Center, New York, NY
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33338443$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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Issue 5
Keywords lung cancer
stigma
empathic communication
standardized patient assessment
smoking
communication skills training
oncology
satisfaction with communication
Language English
License Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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PublicationTitle Chest
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References 33965131 - Chest. 2021 May;159(5):1721-1722
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SubjectTerms Adult
Communication
Empathy
Female
Humans
Inservice Training
Lung Neoplasms - psychology
Male
Medical History Taking
Medical Oncology - education
Patient Satisfaction
Professional-Patient Relations
Smokers - psychology
Social Stigma
Title Oncology Care Provider Training in Empathic Communication Skills to Reduce Lung Cancer Stigma
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