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Cited by 47Patient-Provider Communication in HealthcareInnovations in Medical EducationEmpathy and Medical Education

Communication skills training in obstetrics and gynaecology: whom should we train? A randomized controlled trial

Alder, Judith, Christen, Regula, Zemp, Elisabeth, Bitzer, Johannes·2007·Archives of Gynecology and Obstetrics
DOI 10.1007/s00404-007-0399-0
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Abstract

Objective To determine whether patient-physician communication in obstetrics and gynaecology can be improved by a training program and to investigate if physicians with poorer performance before the training show greater improvement in communication skills scores over the course of the study.Design Intervention study with randomisation in training (n = 16) and control group (n = 16) and patient satisfaction and communication skills of physicians as outcome variables. Physicians' communication skills were assessed by independent raters using a standardised evaluation instrument (adapted version of the MAAS-R) to analyse video recorded interviews before and after the training. Patient satisfaction was assessed with a patient satisfaction questionnaire.Results Using general linear model (GLM) for repeated measures no group x time interaction nor time effects were found for physicians' communication skills. No group x time interaction was found for patients' satisfaction scores; however the significant time effect was mostly attributable to positive changes in patients' rating of the training group. Physicians with poorer performance at the beginning showed greater improvements over the course of the study, especially in the training group.Conclusions In this randomized controlled trial marginal intervention effects for the improvement of communication skills and only partial changes in patient satisfaction scores from pre to post training were shown. However, physicians with poorer performance at the beginning showed greater improvements, suggesting that competence levels were already relatively high at the beginning of the study. Also, formation of communication training groups should be based on specific skill deficits rather than being implemented unspecifically for an entire team of physicians.

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43 of 43 references verified0 citation errors · 0 not checkable

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  • We judged sequence allocation and/or concealment to be adequate in six other studies, even though they were only partially described.

    “We judged sequence allocation and/or concealment to be adequate in six other studies, even though they were only partially described (Alder 2007; Brown 2001; Glasgow 2004; Haskard 2008; Hobma 2006; Pill 1998).”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alder 2007

  • Thirty-two included studies randomized health providers or practices/clinics to intervention or control groups and then collected some data at the level of the individual patient or provider.

    “Thirty‐two of the studies included in this review (Alamo 2002; Alder 2007; Bieber 2008; Briel 2006; Chassany 2006; Chenoweth 2009; Clark 2000; Dijkstra 2006; Fallowfield 2002; Glasgow 2004; Harmsen 2005; Haskard 2008; Hobma 2006; Joos 1996; Kennedy 2004; Kinmonth 1998; Krones 2008; Levinson 1993; Lewis 1991; Loh 2007; Longo 2006; Margalit 2005; Meland 1997; Merckaert 2008; Moral 2003; Pill 1998;”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alder 2007

  • In the other 19 studies, it was either unlikely or unclear that an ITT approach had been used.

    “In the other 19 studies, it was either unlikely or unclear that this approach had been used (Alder 2007; Clark 2000; Dijkstra 2006; Harmsen 2005; Haskard 2008; Heaven 2006; Krones 2008; Langewitz 1998; Levinson 1993; Lewis 1991; Loh 2007; Longo 2006; McLean 2004; Merckaert 2008; Pill 1998; Putnam 1988; Smith 1998; Stewart 2007; Wolf 2008).”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alder 2007

  • Twenty-eight studies made adjustments for clustering in the analysis.

    “However, 28 made adjustments for clustering in the analysis (Alder 2007; Bieber 2008; Briel 2006; Chassany 2006; Chenoweth 2009; Clark 2000; Dijkstra 2006; Fallowfield 2002; Glasgow 2004; Harmsen 2005; Haskard 2008; Howe 1996; Joos 1996; Kennedy 2004; Kinmonth 1998; Krones 2008; Levinson 1993; Lewis 1991; Loh 2007; Longo 2006; Margalit 2005; Merckaert 2008; Moral 2003; Putnam 1988; Roter 1995;”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alder 2007

  • In 21 studies, no significant differences were found across study groups before the intervention.

    “In 21 studies, no significant differences were found across study groups before the intervention (Alder 2007; Bieber 2008 (except lower depression scores in the non‐randomized comparison group); Briel 2006; Brown 2001; Chassany 2006; Dijkstra 2006; Glasgow 2004; Howe 1996; Joos 1996; Kinmonth 1998; Langewitz 1998; Meland 1997; Pill 1998 (except for two measures); Putnam 1988; Robbins 1979; Smith 1”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alder 2007

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Authors
Alder, J., Christen, R., Zemp, E., & Bitzer, J.
Affiliations
  • University Hospital of Basel (CH)
  • Universitäre Psychiatrische Kliniken Basel (CH)
  • University of Basel (CH)
Corresponding author
Alder, Judith
ORCID
Bitzer, Johannes
Venue
Archives of Gynecology and Obstetrics
Publisher
Springer Science and Business Media LLC
Published
2007-06-19
Volume
276
Issue
6
Pages
605-612
ISSN
  • 0003-9128 (ISSN-L)
  • 0932-0067
  • 1432-0711
DOI
10.1007/s00404-007-0399-0
OpenAlex
W2046603710
Cited by
47
References
43
Citations by year
2026: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 6
FWCI
4.59
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Archives of Gynecology and Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
  • reroDoc Digital Library (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Keywords
physician-patient communication, communication skills training, obstetrics and gynecology, patient satisfaction, physician competence, video-recorded interviews
MeSH terms
Communication, Female, Gynecology, Hospitals, University, Humans, Inservice Training, Obstetrics, Physician-Patient Relations, Physicians, Professional Competence, Patient Simulation, Patient Satisfaction

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