Working alliance in communication skills training for oncology clinicians: A controlled trial.

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State: Public
Version: author
Serval ID
serval:BIB_FEFBC5B8F3BB
Type
Article: article from journal or magazin.
Collection
Publications
Title
Working alliance in communication skills training for oncology clinicians: A controlled trial.
Journal
Patient Education and Counseling
Author(s)
Meystre C., Bourquin C., Despland J.N., Stiefel F., de Roten Y.
ISSN
1873-5134 (Electronic)
ISSN-L
0738-3991
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
90
Number
2
Pages
233-238
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
OBJECTIVE: The aim of this study was to evaluate the impact of communication skills training (CST) on working alliance and to identify specific communicational elements related to working alliance.
METHODS: Pre- and post-training simulated patient interviews (6-month interval) of oncology physicians and nurses (N=56) who benefited from CST were compared to two simulated patient interviews with a 6-month interval of oncology physicians and nurses (N=57) who did not benefit from CST. The patient-clinician interaction was analyzed by means of the Roter Interaction Analysis System (RIAS). Alliance was measured by the Working Alliance Inventory - Short Revised Form.
RESULTS: While working alliance did not improve with CST, generalized linear mixed effect models demonstrated that the quality of verbal communication was related to alliance. Positive talk and psychosocial counseling fostered alliance whereas negative talk, biomedical information and patient's questions diminished alliance.
CONCLUSION: Patient-clinician alliance is related to specific verbal communication behaviors.
PRACTICE IMPLICATIONS: Working alliance is a key element of patient-physician communication which deserves further investigation as a new marker and efficacy criterion of CST outcome.
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Web of science
Create date
17/01/2013 15:34
Last modification date
20/08/2019 17:29
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