This study is aimed at evaluating the effectiveness of a physician-centered communication skills training program on cancer patient anxiety levels.
In this quasi-experimental study, physicians from 9 units of 5 general hospitals and 1 cancer research institute were recruited. The unit heads chose which physicians would attend the training program (treatment group) and which would not (control group). The effectiveness of the course was evaluated by assessing the evolution of state anxiety in a sample of cancer patients before and after clinical consultations.
Thirty-eight physicians and 339 outpatients were assessed. Patients from the treatment and control groups did not differ in pre-examination anxiety or psychological distress levels. Patients examined by physicians from the treatment group displayed a higher decrease in state-anxiety levels compared with those examined by physicians from the control group. A higher proportion of high anxiety levels was found in women, in less educated patients, and in those with a high distress level.
Our findings suggest the effectiveness of the communication skills training program with reference to patient anxiety levels. Given the potential gap between training and clinical impact, further studies investigating the effect of communication training on patient outcomes are needed.
Tumori 2015; 101(1): 131 - 137
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsGabriella Morasso, Anita Caruso, Valentina Belbusti, Tiziana Carucci, Carlo Chiorri, Valentina Clavarezza, Gabriella De Benedetta, Silvia D’Ovidio, Maria Domenica Iuvaro, Angela Piattelli, Marco Romeo, Wissya Santoni, Silvia Di Leo
- • Accepted on 23/06/2014
- • Available online on 29/01/2015
- • Published in print on 20/03/2015
This article is available as full text PDF.
- Morasso, Gabriella [PubMed] [Google Scholar] 1
- Caruso, Anita [PubMed] [Google Scholar] 2
- Belbusti, Valentina [PubMed] [Google Scholar] 3
- Carucci, Tiziana [PubMed] [Google Scholar] 2
- Chiorri, Carlo [PubMed] [Google Scholar] 4
- Clavarezza, Valentina [PubMed] [Google Scholar] 4, * Corresponding Author (firstname.lastname@example.org)
- Benedetta, Gabriella De [PubMed] [Google Scholar] 5
- D’Ovidio, Silvia [PubMed] [Google Scholar] 5
- Iuvaro, Maria Domenica [PubMed] [Google Scholar] 6
- Piattelli, Angela [PubMed] [Google Scholar] 6
- Romeo, Marco [PubMed] [Google Scholar] 7
- Santoni, Wissya [PubMed] [Google Scholar] 2
- Leo, Silvia Di [PubMed] [Google Scholar] 8
IRCCS AOU San Martino-IST, Genoa - Italy
Department for Training, Istituti Fisioterapici Ospitalieri, Rome - Italy
Adamo Onlus (Oncological Home Care Assistance Association), Fano - Italy
DISFOR - Department of Educational Sciences, Psychology Unit, University of Genoa, Genoa - Italy
Hematology-Oncology and Stem Cell Transplantation Unit, Department of Hematology, IRCCS G. Pascale Foundation, Naples - Italy
Division of Medical Oncology, Mariano Santo Hospital, Azienda Ospedaliera, Cosenza - Italy
Department of Medical Oncology, Urbino Hospital, Urbino - Italy
Palliative Care Unit, IRCCS Arcispedale Santa Maria Nuova, Reggio Emilia - Italy