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科学、技術、工学、医学(STEM)分野に焦点を当てています | ISSN: 2995-8067  G o o g l e  Scholar

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Medicine Group Research Article 記事ID: igmin261

Communication Training at Medical School: A Quantitative Analysis

Medical Research Family MedicineClinical Medicine Affiliation

Affiliation

    Centre for Research in Patient Communication, Clinical Institute, Department of Health Sciences, University of Southern Denmark, 5000 Odense, Denmark | 3Clinical Institute, The Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark | School of Medicine, Faculty of Health, Deakin University, Victoria, Australia

    Centre for Research in Patient Communication, Clinical Institute, Department of Health Sciences, University of Southern Denmark, 5000 Odense, Denmark | 3Clinical Institute, The Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark | School of Medicine, Faculty of Health, Deakin University, Victoria, Australia

    Department of Gynaecology and Obstetrics. Odense University Hospital | Clinical Institute, The Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark

要約

Background: There is an increasing focus on communication between doctors and patients, and recent systematic reviews argue that teaching doctors necessary communication skills benefits patients at large. Moreover, patients report the lack of communication as their second-leading complaint. Motivational interviewing has proved to be person-centered in healthcare in communication between patients and doctors.
Aim: To examine how being inspired by motivational interviewing theory and using the Calgary Cambridge guide could improve medical students' communication skills at the master level using a mixed-method approach.
Methods: A cohort study with an exposed cohort compared to a non-exposed historical cohort. 
The participants were students in their sixth year of medical training from the Clinical Department of the University of Southern Denmark. 
The non-exposed cohort received laboratory training based on the Calgary Cambridge Guide. After this training, they participated in a two-month clinical "stay" and recorded two digital audio files of a real conversation with a patient about delivering information. The exposed cohort followed the same schedule but received additional special training in MI. All audio files were analyzed using the Motivational Interviewing Integrity method (MITI). 
An additional focus group interview was conducted to support the results.
Results: Medical students demonstrated improvements in several essential areas of their communication style favorable to the MI approach, particularly empathy, and person-centeredness. The focus group interviews supported these findings.

数字

参考文献

    1. Skär L, Söderberg S. Patients' complaints regarding healthcare encounters and communication. Nurs Open. 2018 Feb 26;5(2):224-232. doi: 10.1002/nop2.132. PMID: 29599998; PMCID: PMC5867282.
    2. Haroutunian P, Alsabri M, Kerdiles FJ, Adel Ahmed Abdullah H, Bellou A. Analysis of Factors and Medical Errors Involved in Patient Complaints in a European Emergency Department. Adv J Emerg Med. 2017 Dec 11;2(1):e4. doi: 10.22114/AJEM.v0i0.34. PMID: 31172067; PMCID: PMC6548105.
    3. Riedl D, Schüßler G. The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review. Z Psychosom Med Psychother. 2017 Jun;63(2):131-150. doi: 10.13109/zptm.2017.63.2.131. PMID: 28585507.
    4. Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf. 2014 Aug;23(8):678-89. doi: 10.1136/bmjqs-2013-002437. Epub 2014 May 29. PMID: 24876289; PMCID: PMC4112446.
    5. Stanley DE, Sehon SR. Medical reasoning and doctor-patient communication. J Eval Clin Pract. 2019 Dec;25(6):962-969. doi: 10.1111/jep.13235. Epub 2019 Jul 16. PMID: 31309663.
    6. Ruben BD. Communication Theory and Health Communication Practice: The More Things Change, the More They Stay the Same. Health Commun. 2016;31(1):1-11. doi: 10.1080/10410236.2014.923086. Epub 2014 Nov 3. PMID: 25365726.
    7. Thygesen MK, Fuglsang M, Miiller MM. Factors affecting patients' ratings of health-care satisfaction. Dan Med J. 2015 Oct;62(10):A5150. PMID: 26441393.
    8. Lindhardt CL, Rubak S, Mogensen O, Hansen HP, Goldstein H, Lamont RF, Joergensen JS. Healthcare professionals experience with motivational interviewing in their encounter with obese pregnant women. Midwifery. 2015 Jul;31(7):678-84. doi: 10.1016/j.midw.2015.03.010. Epub 2015 Apr 8. PMID: 25931276.
    9. Graf J, Smolka R, Simoes E, Zipfel S, Junne F, Holderried F, Wosnik A, Doherty AM, Menzel K, Herrmann-Werner A. Communication skills of medical students during the OSCE: Gender-specific differences in a longitudinal trend study. BMC Med Educ. 2017 May 2;17(1):75. doi: 10.1186/s12909-017-0913-4. PMID: 28464857; PMCID: PMC5414383.
    10. Matthews MG, Van Wyk JM. Exploring a communication curriculum through a focus on social accountability: A case study at a South African medical school. Afr J Prim Health Care Fam Med. 2018 May 28;10(1):e1-e10. doi: 10.4102/phcfm.v10i1.1634. PMID: 29943599; PMCID: PMC6018691.
    11. Silverman J, Kurtz SM, Draper J, van Dalen J, Platt FW. Skills for communicating with patients: Radcliffe Pub. Oxford, UK; 2005.
    12. Hess R, Hagemeier NE, Blackwelder R, Rose D, Ansari N, Branham T. Teaching Communication Skills to Medical and Pharmacy Students Through a Blended Learning Course. Am J Pharm Educ. 2016 May 25;80(4):64. doi: 10.5688/ajpe80464. PMID: 27293231; PMCID: PMC4891862.
    13. Fujimori M, Shirai Y, Asai M, Kubota K, Katsumata N, Uchitomi Y. Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized controlled trial. J Clin Oncol. 2014 Jul 10;32(20):2166-72. doi: 10.1200/JCO.2013.51.2756. Epub 2014 Jun 9. PMID: 24912901.
    14. Aiarzaguena JM, Grandes G, Gaminde I, Salazar A, Sánchez A, Ariño J. A randomized controlled clinical trial of a psychosocial and communication intervention carried out by GPs for patients with medically unexplained symptoms. Psychol Med. 2007 Feb;37(2):283-94. doi: 10.1017/S0033291706009536. Epub 2006 Dec 13. PMID: 17164029.
    15. Rollnick S, Butler CC, McCambridge J, Kinnersley P, Elwyn G, Resnicow K. Consultations about changing behaviour. BMJ. 2005 Oct 22;331(7522):961-3. doi: 10.1136/bmj.331.7522.961. PMID: 16239696; PMCID: PMC1261200.
    16. Bischof G, Bischof A, Rumpf HJ. Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice. Dtsch Arztebl Int. 2021 Feb 19;118(7):109-115. doi: 10.3238/arztebl.m2021.0014. PMID: 33835006; PMCID: PMC8200683.
    17. Vallentin-Holbech L, Karsberg SH, Nielsen AS, Feldstein Ewing SW, Rømer Thomsen K. Preliminary evaluation of a novel group-based motivational interviewing intervention with adolescents: a feasibility study. Front Public Health. 2024 Mar 6;12:1344286. doi: 10.3389/fpubh.2024.1344286. PMID: 38510360; PMCID: PMC10951374.
    18. Lindhardt CL, Rubak S, Mogensen O, Hansen HP, Lamont RF, Jørgensen JS. Training in motivational interviewing in obstetrics: a quantitative analytical tool. Acta Obstet Gynecol Scand. 2014 Jul;93(7):698-704. doi: 10.1111/aogs.12401. Epub 2014 May 24. PMID: 24773133.
    19. Boom SM, Oberink R, Zonneveld AJE, van Dijk N, Visser MRM. Implementation of motivational interviewing in the general practice setting: a qualitative study. BMC Prim Care. 2022 Jan 28;23(1):21. doi: 10.1186/s12875-022-01623-z. PMID: 35172737; PMCID: PMC8800318.
    20. Correll CU. Using Patient-Centered Assessment in Schizophrenia Care: Defining Recovery and Discussing Concerns and Preferences. J Clin Psychiatry. 2020 Apr 14;81(3):MS19053BR2C. doi: 10.4088/JCP.MS19053BR2C. PMID: 32297720.
    21. Rollnick S, Miller WR, Butler C. Motivational interviewing in health care: helping patients change behavior: Guilford Press; 2008.
    22. Moyers T, Martin T, Manuel J, Miller W, Ernst D. Revised global scales: Motivational interviewing treatment integrity 3.1. 1 (MITI 3.1. 1). Unpublished manuscript Albuquerque: Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico. 2010.
    23. Kurtz S, Draper J, Silverman J. Teaching and Learning Communication Skills in Medicine. 2nd ed. London 2017; 388.
    24. Illeris K. Læring: Samfundslitteratur; 2015.
    25. Miller RW, Rollnick S. Motivational Interviewing. Helping People Change,: Guilford Press; 2012.
    26. Miller W, Rollnick S. Motivational Interviewing. 2nd ed. New York: The Guilford Press; 2002.
    27. Allen IE, Seaman CA. Likert scales and data analyses. Quality Progress. 2007;40(7):64-5.
    28. Braun V, Clarke V. Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing Int J Transgend Health. 2022 Oct 25;24(1):1-6. doi: 10.1080/26895269.2022.2129597. PMID: 36713144; PMCID: PMC9879167.
    29. Ammentorp J, Bigi S, Silverman J, Sator M, Gillen P, Ryan W, Rosenbaum M, Chiswell M, Doherty E, Martin P. Upscaling communication skills training - lessons learned from international initiatives. Patient Educ Couns. 2021 Feb;104(2):352-359. doi: 10.1016/j.pec.2020.08.028. Epub 2020 Aug 28. PMID: 32888756.
    30. Pollak KI, Alexander SC, Tulsky JA, Lyna P, Coffman CJ, Dolor RJ, Gulbrandsen P, Ostbye T. Physician empathy and listening: associations with patient satisfaction and autonomy. J Am Board Fam Med. 2011 Nov-Dec;24(6):665-72. doi: 10.3122/jabfm.2011.06.110025. PMID: 22086809; PMCID: PMC3363295.
    31. Kisely S, Wyder M, Dietrich J, Robinson G, Siskind D, Crompton D. Motivational aftercare planning to better care: Applying the principles of advanced directives and motivational interviewing to discharge planning for people with mental illness. Int J Ment Health Nurs. 2017 Feb;26(1):41-48. doi: 10.1111/inm.12261. Epub 2016 Sep 28. PMID: 27681041.
    32. Lei LYC, Chew KS, Chai CS, Chen YY. Evidence for motivational interviewing in educational settings among medical schools: a scoping review. BMC Med Educ. 2024 Aug 8;24(1):856. doi: 10.1186/s12909-024-05845-w. PMID: 39118104; PMCID: PMC11312404.
    33. Patel S, Pelletier-Bui A, Smith S, Roberts MB, Kilgannon H, Trzeciak S, Roberts BW. Curricula for empathy and compassion training in medical education: A systematic review. PLoS One. 2019 Aug 22;14(8):e0221412. doi: 10.1371/journal.pone.0221412. PMID: 31437225; PMCID: PMC6705835.
    34. Kaltman S, Tankersley A. Teaching Motivational Interviewing to Medical Students: A Systematic Review. Acad Med. 2020 Mar;95(3):458-469. doi: 10.1097/ACM.0000000000003011. PMID: 31577585.
    35. Novack TA, Kurowicki J, Issa K, Pierce TP, Festa A, McInerney VK, Scillia AJ. Accelerated Discharge following Total Knee Arthroplasty May Be Safe in a Teaching Institution. J Knee Surg. 2020 Jan;33(1):8-11. doi: 10.1055/s-0038-1676066. Epub 2018 Nov 30. PMID: 30500972.
    36. Wolderslund M, Kofoed PE, Ammentorp J. The effectiveness of a person-centred communication skills training programme for the health care professionals of a large hospital in Denmark. Patient Educ Couns. 2021 Jun;104(6):1423-1430. doi: 10.1016/j.pec.2020.11.018. Epub 2020 Nov 17. PMID: 33303282.
    37. Zachariae R, O'Connor M, Lassesen B, Olesen M, Kjær LB, Thygesen M, Mørcke AM. The self-efficacy in patient-centeredness questionnaire - a new measure of medical student and physician confidence in exhibiting patient-centered behaviors. BMC Med Educ. 2015 Sep 15;15:150. doi: 10.1186/s12909-015-0427-x. Erratum in: BMC Med Educ. 2015 Oct 08;15:170. doi: 10.1186/s12909-015-0454-7. PMID: 26374729; PMCID: PMC4572680.
    38. Keifenheim KE, Velten-Schurian K, Fahse B, Erschens R, Loda T, Wiesner L, Zipfel S, Herrmann-Werner A. "A change would do you good": Training medical students in Motivational Interviewing using a blended-learning approach - A pilot evaluation. Patient Educ Couns. 2019 Apr;102(4):663-669. doi: 10.1016/j.pec.2018.10.027. Epub 2018 Nov 1. PMID: 30448043.
    39. Ammentorp J, Graugaard LT, Lau ME, Andersen TP, Waidtløw K, Kofoed PE. Mandatory communication training of all employees with patient contact. Patient Educ Couns. 2014 Jun;95(3):429-32. doi: 10.1016/j.pec.2014.03.005. Epub 2014 Mar 12. PMID: 24666773.
    40. Ammentorp J, Bigi S, Silverman J, Sator M, Gillen P, Ryan W, Rosenbaum M, Chiswell M, Doherty E, Martin P. Upscaling communication skills training - lessons learned from international initiatives. Patient Educ Couns. 2021 Feb;104(2):352-359. doi: 10.1016/j.pec.2020.08.028. Epub 2020 Aug 28. PMID: 32888756.
    41. Iversen ED, Wolderslund MO, Kofoed PE, Gulbrandsen P, Poulsen H, Cold S, Ammentorp J. Codebook for rating clinical communication skills based on the Calgary-Cambridge Guide. BMC Med Educ. 2020 May 6;20(1):140. doi: 10.1186/s12909-020-02050-3. PMID: 32375756; PMCID: PMC7201796.
    42. Epstein RM, Beach MC. "I don't need your pills, I need your attention:" Steps toward deep listening in medical encounters. Curr Opin Psychol. 2023 Oct;53:101685. doi: 10.1016/j.copsyc.2023.101685. Epub 2023 Aug 10. PMID: 37659284.
    43. The Region of Southern Denmark. Further Education for Medical Doctors: The Region of Southern Denmark; 2021. Available from: http://www.videreuddannelsen-syd.dk/wm130319.
    44. Epstein RM, Street RL Jr. The values and value of patient-centered care. Ann Fam Med. 2011 Mar-Apr;9(2):100-3. doi: 10.1370/afm.1239. PMID: 21403134; PMCID: PMC3056855

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