Department of Clinical Sciences, Colorado State University, Fort Collins, CO 80525, USA.
Patient Educ Couns. 2010 Sep;80(3):337-44. doi: 10.1016/j.pec.2010.06.012. Epub 2010 Jul 6.
To provide communication skills education to veterinary professionals in the practice setting and evaluate the training by measuring veterinarian communication pre- and post-intervention.
This is a case-based pre-test/post-test intervention study of a veterinary practice in Denver, CO. Four veterinarians from a single practice and 48 clients (selected to represent wellness and problem visits) were recruited to the study. The veterinarians took part in a training intervention consisting of a year-long curriculum, including interactive communication modules, individual coaching and communication laboratories. Six visit interactions were measured for each of the 4 veterinarians pre- and post-skill training. The Roter interaction analysis system (RIAS) was used to analyze the study's 48 videotapes.
Compared to the pre-training visits, veterinarians gathered twice as much lifestyle-social data (p<0.02), and used 1.5 times more partnership building (p<0.03) and positive rapport-building (p<0.01) communication. Clients provided 1.4 times more lifestyle/social information (p<0.02) and expressed 1.7 times more emotional statements (p<0.01) in post-training visits.
The training intervention promoted a more client-centered approach to veterinarian-client communication.
Practice-based communication training is novel to veterinary practice. As a case study, generalization of the findings are limited, however the findings support the efficacy of the communication intervention and enhanced utilization of veterinarian-client communication skills by these veterinarians.
在实践环境中为兽医专业人员提供沟通技巧教育,并通过测量兽医在干预前后的沟通能力来评估培训效果。
这是科罗拉多州丹佛市一家兽医诊所的基于案例的预测试/后测试干预研究。从一家诊所招募了 4 名兽医和 48 名客户(选择代表健康和有问题的就诊)参与研究。兽医们参加了一项为期一年的课程培训,包括互动沟通模块、个人辅导和沟通实验室。在技能培训前后,对 4 名兽医的 6 次就诊互动进行了测量。使用 Roter 互动分析系统(RIAS)分析了研究的 48 个视频。
与培训前的就诊相比,兽医收集了两倍的生活方式-社会数据(p<0.02),并使用了 1.5 倍更多的合作建立(p<0.03)和积极的关系建立(p<0.01)沟通。客户在培训后的就诊中提供了 1.4 倍的生活方式/社会信息(p<0.02),并表达了 1.7 倍更多的情感陈述(p<0.01)。
培训干预促进了兽医-客户沟通更以客户为中心的方法。
基于实践的沟通培训对兽医实践来说是新颖的。作为一项案例研究,研究结果的推广受到限制,但这些发现支持了沟通干预的有效性,并增强了这些兽医对兽医-客户沟通技巧的利用。