Liénard Aurore, Delevallez France, Razavi Darius, Gibon Anne-Sophie, Libert Yves, Delvaux Nicole, Marchal Serge, Etienne Anne-Marie, Bragard Isabelle, Reynaert Christine, Slachmuylder Jean-Louis, Durieux Jean-François, Farvacques Christine, Scalliet Pierre, Van Houtte Paul, Coucke Philippe, Merckaert Isabelle
Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Belgium; Institut Jules Bordet, Université Libre de Bruxelles, Belgium.
Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Belgium.
Radiother Oncol. 2016 May;119(2):361-7. doi: 10.1016/j.radonc.2016.03.016. Epub 2016 Apr 9.
The aim of this study was to assess the efficacy of a 38-h communication skills training program designed for multidisciplinary radiotherapy teams.
Four radiotherapy teams were randomly assigned to a training program or to a waiting list. Assessments were scheduled at baseline (T1) and then after the training was completed or four months later (T2), respectively. Communication around radiotherapy delivery was assessed based on audio recordings of the first and last radiotherapy sessions in order to assess team members' communication skills and the expression of concerns by breast cancer patients (analyzed with content analysis software LaComm).
198 radiotherapy sessions were recorded. During the first radiotherapy sessions, members of the trained teams exhibited more assessment skills (p=0.048), provided more setting information (p<0.001), and used more social words (p=0.019) compared to the members of the untrained teams. During the last radiotherapy session, members of the trained teams used more assessment skills (p=0.004) and patients interacting with members of the trained teams expressed more sadness words (p=0.023).
Training of multidisciplinary teams has the potential to transfer skills that affect the short exchanges that take place around radiotherapy delivery.
本研究旨在评估为多学科放疗团队设计的为期38小时的沟通技能培训项目的效果。
四个放疗团队被随机分配到培训项目组或等待名单组。评估分别在基线期（T1）以及培训结束后或四个月后（T2）进行。基于首次和末次放疗疗程的音频记录，对放疗实施过程中的沟通进行评估，以评估团队成员的沟通技能以及乳腺癌患者的担忧表达情况（使用内容分析软件LaComm进行分析）。
共记录了198个放疗疗程。在首次放疗疗程中，与未接受培训的团队成员相比，接受培训的团队成员表现出更多的评估技能（p = 0.048），提供了更多的背景信息（p < 0.001），并使用了更多的社交性词汇（p = 0.019）。在末次放疗疗程中，接受培训的团队成员使用了更多的评估技能（p = 0.004），并且与接受培训的团队成员互动的患者表达了更多的悲伤词汇（p = 0.023）。
对多学科团队的培训有可能传递影响放疗实施过程中短暂交流的技能。
