Division of Social and Behavioral Health Research, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Division of Social and Behavioral Health Research, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Ann Oncol. 2011 May;22(5):1030-1040. doi: 10.1093/annonc/mdq441. Epub 2010 Oct 25.
Group training in communication skills [communication skills training (CST)] has become partly mandatory for oncology staff. However, so far, a comprehensive meta-analysis on the efficacy is lacking.
Included studies either compare the efficacy of a specific training with a control group or look at the additional effect of booster sessions on communication behaviour, attitudes or patient outcomes.
Four electronic databases were searched up to July 2008 without language restriction, and reference lists of earlier reviews were screened. Effect sizes (ESs) were extracted and pooled in random effects meta-analyses.
We included 13 trials (three non-randomised), 10 with no specific intervention in the control group. Meta-analysis showed a moderate effect of CST on communication behaviour ES = 0.54. Three trials compared basic training courses with more extensive training courses and showed a small additional effect on communication skills ES = 0.37. Trials investigating participants' attitudes ES = 0.35 and patient outcomes ES = 0.13 (trend) confirmed this effect.
Training health professionals by CST is a promising approach to change communication behaviour and attitudes. Patients might also benefit from specifically trained health professionals but strong studies are lacking. However, feasibility and economic aspects have to be kept in mind when considering providing a training of optimal length.
团队沟通技巧培训[沟通技巧培训（CST）]已经成为肿瘤学专业人员的必修课程之一。然而，到目前为止，其疗效还缺乏全面的荟萃分析。
纳入的研究要么比较特定培训与对照组的疗效，要么观察强化课程对沟通行为、态度或患者结局的额外影响。
截至 2008 年 7 月，我们在四个电子数据库中进行了无语言限制的检索，并对早期综述的参考文献进行了筛选。提取并汇总了随机效应荟萃分析的效应量（ES）。
我们纳入了 13 项试验（其中 3 项为非随机试验），对照组中没有特定干预措施。荟萃分析显示 CST 对沟通行为的影响中等，ES = 0.54。三项试验比较了基础培训课程和更广泛的培训课程，显示沟通技能的额外小效应，ES = 0.37。调查参与者态度的试验，ES = 0.35 和患者结局 ES = 0.13（趋势）证实了这一效果。
通过 CST 培训卫生专业人员是改变沟通行为和态度的一种很有前途的方法。患者也可能从接受过专门培训的卫生专业人员中受益，但缺乏强有力的研究。然而，在考虑提供最佳长度的培训时，必须考虑可行性和经济性方面。
