Libert Yves, Peternelj Livia, Bragard Isabelle, Liénard Aurore, Merckaert Isabelle, Reynaert Christine, Razavi Darius
Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Av. F. Roosevelt, 50 (CP 191), 1050, Brussels, Belgium.
Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
BMC Cancer. 2017 Jul 10;17(1):476. doi: 10.1186/s12885-017-3437-8.
Although previous studies have reported the efficacy of communication skills training (CST) programs, specific training addressing communication about uncertainty and hope in oncology has not yet been studied. This paper describes the study protocol of a randomized controlled trial assessing the efficacy of a CST program aimed at improving physician ability to communicate about uncertainty and hope in encounters with cancer patients.
METHODS/DESIGN: Physician participants will be randomly assigned in groups (n = 3/group) to a 30-h CST program (experimental group) or to a waiting list (control group). The training program will include learner-centered, skills-focused, practice-oriented techniques. Training efficacy is assessed in the context of an encounter with a simulated advanced stage cancer patient at baseline and after the CST for the experimental group, and after four months for the waiting-list group. Efficacy assessments will include communicational, psychological and physiological measures. Group-by-time effects will be analyzed using a generalized estimating equation (GEE). A power analysis indicated that a sample size of 60 (30 experimental and 30 control) participants will be sufficient to detect effects.
The current study will aid in the development of effective CST programs to improve physician ability to communicate about uncertainty and hope in encounters with cancer patients.
US Clinical Trials Register NCT02836197 .
尽管先前的研究报告了沟通技能培训（CST）项目的效果，但针对肿瘤学中不确定性和希望方面沟通的特定培训尚未得到研究。本文描述了一项随机对照试验的研究方案，该试验旨在评估一个CST项目的效果，该项目旨在提高医生在与癌症患者交流时处理不确定性和希望方面的沟通能力。
方法/设计：医生参与者将被随机分组（每组n = 3），分为接受30小时CST项目的组（实验组）或等待名单组（对照组）。培训项目将包括以学习者为中心、以技能为重点、注重实践的技术。在基线时以及实验组完成CST后，以及等待名单组在四个月后，在与模拟晚期癌症患者的交流中评估培训效果。效果评估将包括沟通、心理和生理指标。将使用广义估计方程（GEE）分析组间时间效应。功效分析表明，60名参与者（30名实验组和30名对照组）的样本量足以检测到效果。
当前的研究将有助于开发有效的CST项目，以提高医生在与癌症患者交流时处理不确定性和希望方面的沟通能力。
美国临床试验注册NCT02836197 。
