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多方面干预措施提高医患沟通中医师人际沟通技能的有效性研究(EPECREM):一项随机对照试验方案。

Effectiveness of a multifaceted intervention to improve interpersonal skills of physicians in medical consultations (EPECREM): protocol for a randomised controlled trial.

机构信息

Computational and Mathematical Biology Team, TIMC-IMAG UMR 5525, CNRS, Université Grenoble Alpes, Saint-Martin-d'Heres, Rhône-Alpes, France

Clinical Epidemiology Unit, CHU Grenoble Alpes, Grenoble, Auvergne-Rhone-Alpes, France.

出版信息

BMJ Open. 2022 Feb 15;12(2):e051600. doi: 10.1136/bmjopen-2021-051600.

Abstract

INTRODUCTION

Interpersonal skills, encompassing communication and empathy, are key components of effective medical consultations. Although many organisations have implemented structured training programmes, limited evidence exists on their effectiveness in improving physician interpersonal skills. This study aims to evaluate the effectiveness of a standardised, multifaceted, interpersonal skills development programme for hospital physicians.

METHODS AND ANALYSIS

This study is a prospective, randomised (with a 1:1 allocation ratio), controlled, open-label, two parallel arm, superiority trial conducted at a single university hospital. Physicians will be randomised to receive either a multifaceted training programme or no intervention. The experimental intervention combines two 4-hour training sessions, dissemination of interactive educational materials, review of video-recorded consultations and individual feedback. The primary outcome measure is the overall 4-Habits Coding Scheme score assessed by two independent raters blinded to the study arm, based on video-recorded consultations, before and after intervention. The secondary outcomes include patient satisfaction, therapeutic alliance, physician self-actualisation and the length of medical consultation.

ETHICS AND DISSEMINATION

The study protocol was approved on 21 October 2020 by the CECIC Rhône-Alpes Auvergne, Clermont-Ferrand, France (IRB 5891). All participants will provide written informed consent. Efforts will be made to release the primary results within 6 to 9 months of study completion, regardless of whether they confirm or deny the research hypothesis.

TRIAL REGISTRATION NUMBER

NCT04703816.

摘要

简介

人际交往技巧,包括沟通和同理心,是有效医疗咨询的关键组成部分。尽管许多组织已经实施了结构化的培训计划,但关于这些计划在提高医生人际交往技巧方面的有效性的证据有限。本研究旨在评估针对医院医生的标准化、多方面的人际交往技巧发展计划的有效性。

方法和分析

这是一项在单家大学医院进行的前瞻性、随机(1:1 分配比)、对照、开放性、两平行臂、优效性试验。医生将被随机分配接受多方面的培训计划或不干预。实验干预结合了两次 4 小时的培训课程、互动教育材料的传播、视频记录的咨询回顾和个人反馈。主要结局指标是基于视频记录的咨询,在干预前后由两名独立评估者根据 4-Habits 编码方案评分进行评估的总体评分。次要结局包括患者满意度、治疗联盟、医生自我实现和医疗咨询的长度。

伦理和传播

该研究方案于 2020 年 10 月 21 日获得法国罗纳-阿尔卑斯大区克莱蒙费朗 CECIC(IRB 5891)的批准。所有参与者将提供书面知情同意书。无论研究假设是否得到证实或否认,都将努力在研究完成后 6 至 9 个月内发布主要结果。

试验注册号

NCT04703816。

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Measurement of physician-patient communication--a systematic review.医患沟通的测量——一项系统综述。
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