Testing two competitive models of empathic communication in cancer care encounters: A factorial analysis of the CARE measure

Details

Serval ID
serval:BIB_F5D4249AF894
Type
Article: article from journal or magazin.
Collection
Publications
Title
Testing two competitive models of empathic communication in cancer care encounters: A factorial analysis of the CARE measure
Journal
European Journal of Cancer Care
Author(s)
Gehenne Lucie, Lelorain Sophie, Anota Amélie, Brédart Anne, Dolbeault Sylvie, Sultan Serge, Piessen Guillaume, Grynberg Delphine, Baudry Anne-Sophie, Christophe Véronique
Working group(s)
Group, FREGAT Working
ISSN
1365-2354
Publication state
Published
Issued date
11/2020
Volume
29
Number
6
Pages
e13306
Language
english
Abstract
OBJECTIVE: The mechanisms associating physician empathy (PE) with patient outcomes remain unclear. PE can be considered as a whole (one process) or three subcomponents can be identified (an establishing rapport process; an emotional process; a cognitive process). The objective was to test two competitive models of PE in cancer care: a three-process model adapted from Neumann’s model versus a one-process model, with the use of the Consultation and Relational Empathy measure (CARE).
METHODS: The CARE was completed by 488 oesogastric cancer patients from the national French database FREGAT. A confirmatory factor analysis (CFA) and a bifactor model were performed to test the two competitive models.
RESULTS: The CFA revealed that the one-factor structure showed a moderate fit to the data whereas the three-factor structure showed a good fit. However, the bifactor model favoured unidimensionality.
CONCLUSION: We cannot provide a clear-cut conclusion about whether PE should be considered as on unique process or not. Further work is still needed. Meanwhile, one should not preclude the use of three subscores in cancer care if specific elements of the encounter need to be assessed.
Keywords
Attitude of Health Personnel, cancer, CARE questionnaire, communication, Communication, empathy, Empathy, Humans, neoplasms, Neoplasms, Physician-Patient Relations, physicians, Referral and Consultation
Pubmed
Create date
21/10/2021 11:54
Last modification date
25/10/2021 22:29
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