Improving patient-centered communication: Results of a randomized controlled trial

Patient Education and Counseling

Volumn 99, Issue 1, 2016, Pages 117-124

  Maatouk Bürmann, Barbara ^a   Ringel, Nadja ^a   Spang, Jochen ^a,d   Weiss, Carmen ^a   Möltner, Andreas ^a   Riemann, Urs ^b,e   Langewitz, Wolf ^c   Schultz, Jobst Hendrik ^a   Jünger, Jana ^a  

^a UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

^b SLK Clinic Heilbronn   (Germany)

^c UNIVERSITY HOSPITAL BASEL   (Switzerland)

^d ROBERT BOSCH HOSPITAL   (Germany)

^e Kardiologische Gemeinschaftspraxis   (Germany)

Author keywords

Communication training; Doctor patient relationship; Patient centeredness; Patient centered communication; RCT; RIAS

Indexed keywords

ARTICLE; CLINICAL PRACTICE; CONTROLLED STUDY; DOCTOR PATIENT RELATION; ECONOMIC ASPECT; HEALTH CARE QUALITY; HUMAN; INTERNIST; INTERPERSONAL COMMUNICATION; LEARNING; NEEDS ASSESSMENT; PATIENT CENTERED COMMUNICATION; PATIENT CENTEREDNESS; PATIENT PARTICIPATION; PHYSICIAN ATTITUDE; POSTGRADUATE EDUCATION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TIME; WORKPLACE; FEMALE; MEDICAL EDUCATION; PATIENT CARE; PATIENT SATISFACTION; PHYSICIAN; PROCEDURES; PROGRAM EVALUATION; PSYCHOLOGY; TEACHING; TREATMENT OUTCOME;

COMMUNICATION; EDUCATION, MEDICAL, CONTINUING; EDUCATION, MEDICAL, GRADUATE; FEMALE; HUMANS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT PARTICIPATION; PATIENT SATISFACTION; PATIENT SIMULATION; PATIENT-CENTERED CARE; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS; PROGRAM EVALUATION; QUALITY OF HEALTH CARE;

EID: 84951855669     PISSN: 07383991     EISSN: 18735134     Source Type: Journal    
DOI: 10.1016/j.pec.2015.08.012     Document Type: Article

References (71)

1. Griffin S.J., Kinmonth A.L., Veltmn M.W.M., Gillard S., Grant J., Steward M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Ann. Fam. Med. 2004, 2:595-608.
2. Trummer U.F., Mueller U.O., Nowak P., Stidl T., Pelikan J.M. Does physician-patient communication that aims at empowering patients improve clinical outcome? A case study. Patient Educ. Couns. 2006, 61:299-306.
3. Street J.R.L., Makoul G., Arora N.K., Epstein R.M. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Educ. Couns. 2009, 74:295-301.
4. Zandbelt L.C., Smets E.M.A., Oort F.J., Godfried M.H., de Haes H.C.J.M. Medical specialists' patient-centered communication and patient-reported outcomes. Med. Care 2007, 45:330-339.
5. Silverman J., Kurtz S., Draper J. Skills for Communicating with Patients 2005, Radcliffe Publishing, Oxford. 2nd ed. J. Silverman, S. Kurtz, J. Draper (Eds.).
6. Bensing J. Bridging the gap. The separate worlds of evidence-based medicine and patient-centered medicine. Patient Educ. Couns. 2000, 39:17-25.
7. Mead N., Bower P., Hann M. The impact of general practitioners' patient-centredness on patients' post-consultation satisfaction and enablement. Soc. Sci. Med. 2002, 55:283-299.
8. Schmid-Mast M., Hall J.A., Roter D.L. Disentangling physician sex and physician communication style: their effects on patient satisfaction in a virtual medical visit. Patient Educ. Couns. 2007, 68:16-22.
9. Mallinger J., Griggs J., Shields C. Patient-centered care and breast cancer survivors' satisfaction with information. Patient Educ. Couns. 2005, 57:342-349.
10. Venetis M.K., Robinson J.D., LaPlant Turkiewicz K., Allen M. An evidence base for patient-centered cancer care: a meta-analysis of studies of observed communication between cancer specialists and their patients. Patient Educ. Couns. 2009, 77:379-383.
11. Bertakis K.D., Azari R. Determinants and outcomes of patient-centered care. Patient Educ. Couns. 2011, 46-52.
12. Goedhuys J., Rethans J.J. On the relationship between the efficiency and the quality of the consultation. A validity study. Fam. Pract. 2001, 18:592-596.
13. Kerse N. Physician-patient relationship and medication compliance: a primary care investigation. Ann. Fam. Med. 2004, 2:455-461.
14. Lewin S.A., Skea Z.C., Entwistle V., Zwarenstein M., Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst. Rev. 2001, CD003267.
15. Stewart M.A., Brown J.B., Weston W.W., McWhinney I.R., McWilliam C.L., Freedman T.R. Patient-Centered Medicine Transforming the Clinical Method 2006, Radcliffe Medical Press, Abingdon.
16. Dwamena F., Holmes-Rovner M., Gaulden C.M., Jorgenson S., Sadigh G., Sikorskii A., et al. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst. Rev. 2012, 12.
17. van Dulmen A.M., Holl R.A. Effects of continuing paediatric education in interpersonal communication skills. Eur. J. Pediatr. 2000, 159:489-495.
18. Brinkman W., Geraghty S.R., Lanphear B.P., et al. Effect of multisource feedback on resident communication skills and professionalism: a randomized controlled trial. Arch. Pediatr. Adolesc. Med. 2007, 161:44-49.
19. Berkhof M., van Rijssen H.J., Schellart A.J.M., Anema J.R., van der Beek A.J. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ. Couns. 2011, 84:152-162.
20. Back A.L., Arnold R.M., Baile W.F., Fryer-Edwards K.A., Alexander S.C., Barley G.E., et al. Efficacy of communication skills training for giving bad news and discussing transitions to palliative care. Arch. Intern. Med. 2007, 167:453-460.
21. Langewitz W. Patientenzentrierte Kommunikation. Psychosomatische Medizin: theoretische Modelle und klinische Praxis 2011, 338-347. Elsevier, Urban & Fischer, München. 7 ed. T. von Uexküll, R. Adler, W. Herzog, P. Joraschky, K. Köhle, W. Langewitz (Eds.).
22. Langewitz W., Heydrich L., Nubling M., Szirt L., Weber H., Grossman P. Swiss Cancer League communication skills training programme for oncology nurses: an evaluation. J. Adv. Nurs. 2010, 66:2266-2277.
23. Langewitz W.A., Edlhaimb H.P., Hofner C., Koschier A., Nubling M., Leitner A. Evaluation of a two year curriculum in psychosocial and psychosomatic medicine - handling emotions and communicating in a patient centred manner. Psychother. Psychosom. Med. Psychol. 2010, 60:451-456.
24. Ericsson K.A. Deliberate practice and acquisition of expert performance: a general overview. Acad. Emerg. Med.: Off. J. Soc. Acad. Emerg. Med. 2008, 15:988-994.
25. Kuehn B.M. Patient-centered care model demands better physician-patient communication. J Amer Med Assoc 2012, 307:441-442.
26. Jean-Jacques M., Wynia M.K. Practicing the fundamentals of patient-centered care. J. Gen. Intern. Med. 2012, 27:398-400.
27. Ericsson K.A., Krampe R.T., Tesch-Römer C. The role of deliberate practice in the acquisition of expert performance. Psychol. Rev. 1993, 100:363-406.
28. Wouda J.C., van de Wiel H.B. The communication competency of medical students, residents and consultants. Patient Educ. Couns. 2012, 86:57-62.
29. Kurtz S., Silverman J., Benson J., Draper J. Marrying content and process in clinical method teaching: enhancing the Calgary-Cambridge guides. Acad. Med. 2003, 78:802-809.
30. Rao J.K., Anderson L.A., Inui T.S., Frankel R.M. Communication interventions make a difference in conversations between physicians and patients. A systematic review of the evidence. Med. Care 2007, 45:340-349.
31. Brown R.F., Bylund C.L. Communication skills training: describing a new conceptual model. Acad. Med. 2008, 83:37-44.
32. Curtis J.R., Back A.L., Ford D.W., Downey L., Shannon S.E., Doorenbos A.Z., et al. Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial. J. Am. Med. Assoc. 2013, 310:2271-2281.
33. Smith R.C., Dwamena F.C., Grover M., Coffey J., Frankel R.M. Behaviorally defined patient-centered communication-a narrative review of the literature. J. Gen. Intern. Med. 2011, 26:185-191.
34. Hulsman R.L., Ros W.J., Winnubst J.A., Bensing J.M. Teaching clinically experienced physicians communication skills. A review of evaluation studies. Med. Educ. 1999, 33:655-668.
35. Salmon P., Young B. Creativity in clinical communication: from communication skills to skilled communication. Med. Educ. 2011, 45:217-226.
36. Fallowfield L., Jenkins V., Farewell V., Solis-Trapala I. Enduring impact of communication skills training: results of a 12-month follow-up. Br. J. Cancer 2003, 89:1445-1449.
37. Price-Haywood E.G., Roth K.G., Shelby K., Cooper L.A. Cancer risk communication with low health literacy patients: a continuing medical education program. J. Gen. Intern. Med. 2010, 25:126-129.
38. Butow P., Cockburn J., Girgis A., Bowman D., Schofield P., D'Este C., et al. Increasing oncologists' skills in eliciting and responding to emotional cues: evaluation of a communication skills training program. Psychooncology 2008, 17:209-218.
39. Bylund C.L., Brown R., Gueguen J.A., Diamond C., Bianculli J., Kissane D.W. The implementation and assessment of a comprehensive communication skills training curriculum for oncologists. Psychooncology 2010, 19:583-593.
40. Mjaaland T.A., Finset A. Communication skills training for general practitioners to promote patient coping: the GRIP approach. Patient Educ. Couns. 2009, 76:84-90.
41. Vail L., Sandhu H., Fisher J., Cooke H., Dale J., Barnett M. Hospital consultants breaking bad news with simulated patients: an analysis of communication using the Roter Interaction Analysis System. Patient Educ. Couns. 2011, 83:185-194.
42. Ungar L., Alperin M., Amiel G.E., Beharier Z., Reis S. Breaking bad news: structured training for family medicine residents. Patient Educ. Couns. 2002, 48:63-68.
43. Lienard A., Merckaert I., Libert Y., Bragard I., Delvaux N., Etienne A.M., et al. Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program. Br. J. Cancer 2010, 103:171-177.
44. Sehgal N.L., Fox M., Vidyarthi A.R., Sharpe B.A., Gearhart S., Bookwalter T., et al. A multidisciplinary teamwork training program: the triad for optimal patient safety (TOPS) experience. J. Gen. Intern. Med. 2008, 23:2053-2057.
45. Fossli Jensen B., Gulbrandsen P., Dahl F.A., Krupat E., Frankel R.M., Finset A. Effectiveness of a short course in clinical communication skills for hospital doctors: results of a crossover randomized controlled trial (ISRCTN22153332). Patient Educ. Couns. 2011, 84:163-169.
46. Ratanawongsa N., Federowicz M.A., Christmas C., Hanyok L.A., Record J.D., Hellmann D.B., et al. Effects of a focused patient-centered care curriculum on the experiences of internal medicine residents and their patients. J. Gen. Intern. Med. 2011, 27:473-477.
47. Haskard K.B., Williams S.L., DiMatteo M.R., Rosenthal R., White M.K., Goldstein M.G. Physician and patient communication training in primary care: effects on participation and satisfaction. Health Psychol. 2008, 27:513-522.
48. Powell R.A., Single H.M. Focus groups. Int. J. Qual. Health Care 1996, 8:499-504.
49. Freeman T. "Best practice" in focus groups research: making sense of different views. J. Adv. Nurs. 2006, 56:491-497.
50. Barbour R.S. Making sense of focus groups. Med. Educ. 2005, 39:742-750.
51. Mayring P. Qualitative Inhaltsanalyse. Grundlagen und Techniken 1983, Beltz, Weinheim.
52. Mayring P. Qualitative Inhaltsanalyse. Grundlagen und Techniken 2003, Beltz, Weinheim.
53. Roter D.L. The Roter Method of Interaction Process Analysis. RIAS Manual 1991, John Hopkins University, Baltimore.
54. Ong L.M., de Haes J.C., Hoos A.M., Lammes F.B. Doctor-patient communication: a review of the literature. Soc. Sci. Med. 1995, 40:903-918.
55. Roter D.L., Larson S. The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. Patient Educ. Couns. 2002, 46:243-251.
56. Kindler C.H., Szirt L., Sommer D., Hausler R., Langewitz W. A quantitative analysis of anaesthetist-patient communication during the pre-operative visit. Anaesthesia 2005, 60:53-59.
57. Mead N., Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc. Sci. Med. 2000, 51:1087-1110.
58. Cooper L.A., Roter D.L., Johnson R.L., Ford D.E., Steinwachs D.M., Powe N.R. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann. Intern. Med. 2003, 139:907-915.
59. Miller M.D., Towers A. Manual of Guidelines for Scoring the Cumulative Illness Rating Scale for geriatrics (CIRS-G) 1991, University of Pittsburgh, Pittsburgh, PA.
60. Strube E., Hock G., Nosper M. Skala zur kumulierten Bewertung von Erkrankungen (Übersetzung). MDK Rheinland-Pfalz 2003.
61. Cooper L.A., Roter D.L., Carson K.A., Bone L.R., Larson S.M., Miller E.R., et al. A randomized trial to improve patient-centered care and hypertension control in underserved primary care patients. J. Gen. Intern. Med. 2011, 26:1297-1304.
62. Nikendei C., Bosse H.M., Hoffmann K., Möltner A., Hancke R., Conrad C., et al. Outcome of parent-physician communication skills training for pediatric residents. Patient Educ. Couns. 2011, 82:94-99.
63. Bonvicini K.A., Perlin M.J., Bylund C.L., Carroll G., Rouse R.A., Goldstein M.G. Impact of communication training on physician expression of empathy in patient encounters. Patient Educ. Couns. 2009, 75:3-10.
64. Helitzer D.L., Lanoue M., Wilson B., de Hernandez B.U., Warner T., Roter D. A randomized controlled trial of communication training with primary care providers to improve patient-centeredness and health risk communication. Patient Educ. Couns. 2011, 82:21-29.
65. Liénard A., Merckaert I., Libert Y., Bragard I., Delvaux N., Etienne A.M., et al. Transfer of communication skills to the workplace during clinical rounds: impact of a program for residents. PLoS ONE 2010, 5:e12426.
66. Langewitz W., Nubling M., Weber H. A theory-based approach to analysing conversation sequences. Epidemiol. Psichiatr. Soc. 2003, 12:103-108.
67. Roter D.L., Stewart M., Putnam S.M., Lipkin M., Stiles W., Inui T.S. Communication patterns of primary care physicians. J Amer Med Assoc 1997, 277:350-356.
68. Bensing J.M., Tromp F., van Dulmen S., van den Brink-Muinen A., Verheul W., Schellevis F.G. Shifts in doctor-patient communication between 1986 and 2002: a study of videotaped General Practice consultations with hypertension patients. BMC Fam. Pract. 2006, 7:62.
69. Weber H., Stöckli M., Nübling M., Langewitz W.A. Communication during ward rounds in internal medicine. An analysis of patient-nurse-physician interactions using RIAS. Patient Educ. Couns. 2007, 67:343-348.
70. Roter D.L., Hall J.A., Kern D.E., Barker L.R., Cole K.A., Roca R.P. Improving physicians' interviewing skills and reducing patients' emotional distress. A randomized clinical trial. Arch. Intern. Med. 1995, 155:1877-1884.
71. de Ridder D.T., Theunissen N.C., van Dulmen S.M. Does training general practitioners to elicit patients' illness representations and action plans influence their communication as a whole?. Patient Educ. Couns. 2007, 66:327-336.