Empathic Communication Skills Training to Reduce Lung Cancer Stigma
概览
- 阶段
- 不适用
- 干预措施
- Empathic Communication Skills (ECS) training
- 疾病 / 适应症
- Lung Cancer
- 发起方
- Memorial Sloan Kettering Cancer Center
- 入组人数
- 1232
- 试验地点
- 21
- 主要终点
- Uptake of communication skills using standardized patient assessment/SPAs
- 状态
- 招募中
- 最后更新
- 上个月
概览
简要总结
Research indicates that perceived stigma within medical encounters is prevalent and problematic for lung cancer patients' well-being and quality of cancer care. Promoting empathic communication appears to be a potentially effective intervention target to help reduce patients' perceptions of stigma within clinical encounters; however, no formal trainings exist that focus on teaching empathic communication to oncology care providers (OCPs). Building upon favorable findings from a prior R21 (R21CA202793) and the importance of developing interventions to address lung cancer stigma, our goal is to conduct a national trial of empathic communication skills (ECS) training to facilitate improvements in the medical and psychosocial care of patients through de-stigmatizing interactions with OCPs for patients diagnosed with lung cancer.
详细描述
The aims of this study are: 1. to evaluate the effect of the ECS training on OCP primary outcomes (communication and empathic skill uptake) and secondary outcomes (ECS training appraisal - relevance, novelty, clarity; self-efficacy, empathy, compassion burn-out); 2. to evaluate the effect of the ECS training vs. WLC on patients' reported primary outcomes (lung cancer stigma), and secondary outcomes (perceived clinician empathy, satisfaction with communication, psychological distress, patients' experience of clinical encounter, and overall patient satisfaction). Additionally, acceptance of referral to tobacco cessation (for those currently smoking) will be explored; and 3. to examine potential moderators of OCP (e.g., demographic characteristics, professional role characteristics) and patient outcomes (e.g., demographic characteristics, illness characteristics). Our central hypothesis is that the ECS training will demonstrate significant short-term improvements in clinicians' uptake of empathic skills and self-efficacy and will be superior to WLC with regards to patient reported measures of stigma, clinician empathy, satisfaction, and overall experience.
研究者
入排标准
入选标准
- •Site Eligibility
- •Employs at least 15 FTE OCPs (i.e., oncologists, nurse practitioners and physician assistants) as per self report
- •Reports a clinic volume of at least 20 new lung cancer patients per month as per self report
- •OCP Participant Eligibility
- •OCPs who are thoracic oncology physicians (radiologists, medical oncologists, pulmonologists, and surgeons), NPs, or PAs and currently treating lung cancer patients, as per self-report;
- •OCP conducts consultations with lung cancer patients, as per self-report;
- •OCP sees at least 1 lung cancer patient per week, as per self-report;
- •Patient Eligibility
- •Patient under the care of a participating OCP as per self report;
- •English and/or Spanish speaking;
排除标准
- •Patient Exclusion
- •Individuals of impaired decision-making capacity as per a clinician's judgment or as documented in the EMR.
- •Site and OCP Exclusion
研究组 & 干预措施
Oncology Care Providers/OCP-intervention group
Providers participate in Empathic Communication Skills (ECS) training
干预措施: Empathic Communication Skills (ECS) training
Oncology Care Providers/OCP-control group
Providers complete all study measures and are offered ECS training after data collection is completed at their site.
干预措施: Standard of Care participant interaction
Participants with Lung Cancer-intervention group
Participants will engage with oncology care providers/OCP who have undergone Empathic Communication Skills (ECS) training
干预措施: Empathic Communication Skills (ECS) training
Participants with Lung Cancer-control group
Waitlist control group - WLC
干预措施: Standard of Care participant interaction
结局指标
主要结局
Uptake of communication skills using standardized patient assessment/SPAs
时间窗: 3 months
A SPA involves a 12-minute video recorded interaction between the Oncology Care Provider/OCP and the Standardized Patient/SP on a given clinical scenario, using standardized scripts by the SP. Each OCP will participate in one SPA prior to their ECS training and one SPA following training or the timed control period. In contrast to clinical consultation recordings with varied clinical situations that do not necessitate the use of all strategies and skills, the semi-structured nature of SPAs permits appraisal of all desired elements of training.
Uptake of empathy skills using standardized patient assessment/SPAs
时间窗: 3 months
A SPA involves a 12-minute video recorded interaction between the Oncology Care Provider/OCP and the Standardized Patient/SP on a given clinical scenario, using standardized scripts by the SP. Each OCP will participate in one SPA prior to their ECS training and one SPA following training or the timed control period. In contrast to clinical consultation recordings with varied clinical situations that do not necessitate the use of all strategies and skills, the semi-structured nature of SPAs permits appraisal of all desired elements of training.