Cancer Prevention and Control, Duke Cancer Institute, Durham, NC 27710, United States of America.
Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC 27710, United States of America; Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC 27705, United States of America.
Contemp Clin Trials. 2021 Jun;105:106389. doi: 10.1016/j.cct.2021.106389. Epub 2021 Mar 30.
Given the role of effective communication in improving patient adherence and satisfaction, high quality patient-clinician communication is critical. Building on previous communication interventions in oncology and pediatrics, we developed a tailored communication coaching intervention to improve empathic communication quality and patient-centered care. In this randomized controlled trial, cardiologists record their patient encounters for review by a communication coach who provides tailored feedback. We are recruiting 40 cardiologists and 400 patients, or 4 patients per cardiologist in the Pre-intervention phase and 6 patients per cardiologists in the Post-intervention phase, from outpatient cardiology clinics within the Duke Health System. The primary goal of the trial is to determine the efficacy of the clinician communication coaching versus usual care in the post-intervention phase (240 patient encounters). In this paper, we describe the development of the communication coaching intervention. We also describe the details of the methods and outcomes of the ongoing trial. Finally, we discuss the challenges, solutions, and lessons learned during the start-up phase of the study.
鉴于有效的沟通在提高患者依从性和满意度方面的作用，高质量的医患沟通至关重要。本研究基于肿瘤学和儿科学领域的先前沟通干预措施，制定了一项针对性的沟通辅导干预措施，以改善共情沟通质量和以患者为中心的护理。在这项随机对照试验中，心脏病专家记录他们的患者就诊情况，由沟通教练进行审查，提供针对性的反馈。我们正在杜克健康系统的门诊心脏病学诊所招募 40 名心脏病专家和 400 名患者，或在干预前阶段每位心脏病专家 4 名患者，在干预后阶段每位心脏病专家 6 名患者。试验的主要目标是确定在干预后阶段（240 次患者就诊）临床医生沟通辅导与常规护理相比的效果。本文介绍了沟通辅导干预措施的制定过程。我们还描述了正在进行的试验的方法和结果的详细信息。最后，我们讨论了研究启动阶段遇到的挑战、解决方案和经验教训。
