Physician and patient communication training in primary care: effects on participation and satisfaction.
Abstract
OBJECTIVE: To assess the effects of a communication skills training program for physicians and patients. DESIGN: A randomized experiment to improve physician communication skills was assessed 1 and 6 months after a training intervention; patient training to be active participants was assessed after 1 month. Across three primary medical care settings, 156 physicians treating 2,196 patients were randomly assigned to control group or one of three conditions (physician, patient, or both trained). MAIN OUTCOME MEASURES: Patient satisfaction and perceptions of choice, decision-making, information, and lifestyle counseling; physicians' satisfaction and stress; and global ratings of the communication process. RESULTS: The following significant (p < .05) effects emerged: physician training improved patients' satisfaction with information and overall care; increased willingness to recommend the physician; increased physicians' counseling (as reported by patients) about weight loss, exercise, and quitting smoking and alcohol; increased physician satisfaction with physical exam detail; increased independent ratings of physicians' sensitive, connected communication with their patients, and decreased physician satisfaction with interpersonal aspects of professional life. Patient training improved physicians' satisfaction with data collection; if only physician or patient was trained, physician stress increased and physician satisfaction decreased. CONCLUSION: Implications for improving physician-patient relationship outcomes through communication skills training are discussed.
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- Authors
- Haskard, K. B., Williams, S. L., DiMatteo, M. R., Rosenthal, R., White, M. K., & Goldstein, M. G.
- Affiliations
- University of California, Riverside (US)
- ORCID
- Williams, Summer L.
- Venue
- Health Psychology
- Published
- 2008
- Volume
- 27
- Issue
- 5
- Pages
- 513-522
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2014038791
- Cited by
- 153
- References
- 46
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 13 · 2023: 10 · 2022: 8 · 2021: 18 · 2020: 7 · 2019: 7 · 2018: 9 · 2017: 5 · 2016: 7 · 2015: 12 · 2014: 11 · 2013: 6 · 2012: 9
- FWCI
- 15.43
- Type
- journal article
- Language
- en
- Update notices
- correction (2009-03-16)
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- UC Riverside Academic Senate
- Bayer Pharmaceutical Corporation
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- physician-patient communication, communication skills training, patient participation, patient satisfaction, physician satisfaction, physician stress, shared decision-making, lifestyle counseling, primary care, physician-patient relationship, patient training
- MeSH terms
- Adult, Aged, Communication, Female, Humans, Male, Middle Aged, Patient Participation, Personal Satisfaction, Physician-Patient Relations, Primary Health Care, Surveys and Questionnaires
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