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Addressing the quality of communication with older cancer patients with cognitive deficits: Development of a communication skills training module

Published online by Cambridge University Press:  16 April 2020

Beatriz Korc-Grodzicki ,
Yesne Alici ,
Christian Nelson ,
Koshy Alexander ,
Ruth Manna ,
Natalie Gangai ,
Megan J. Shen Open the ORCID record for Megan J. Shen [Opens in a new window] ,
Patricia A. Parker  and
Smita C. Banerjee Open the ORCID record for Smita C. Banerjee [Opens in a new window]
Beatriz Korc-Grodzicki*
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
Yesne Alici
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
Christian Nelson
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
Koshy Alexander
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
Ruth Manna
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
Natalie Gangai
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
Megan J. Shen
Affiliation:
Weill Cornell Medical College, New York, NY
Patricia A. Parker
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
Smita C. Banerjee
Affiliation:
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY
*
Author for correspondence: Beatriz Korc-Grodzicki, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY10065, USA. E-mail: korcgrob@mskcc.org
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Abstract

Objective

Effective communication is an essential part of patient-centered care. The complexity of cancer care in older adults makes communication challenging, particularly when older patients have cognitive deficits and lose their autonomy. This paper describes the development, implementation, and evaluation of a communication skills training module for health care providers (HCPs) who work with older adults with cancer, with or at risk of developing cognitive deficits.

Method

Using a pre-post single arm study design, 99 HCPs from a comprehensive cancer center in North-East USA, who worked primarily with geriatric patients, participated in the study. Participants included Advance Practice Providers (including Nurse Practitioners and Physician Assistants; n = 24, 24.2%); nurses (n = 23, 23.2%), social workers (n = 14, 14.1%), physicians (n = 13, 13.1%), and “other” HCPs (including occupational therapists, physical therapists, and psychologists; n = 20, 20.2%). The HCPs participated in a one-day geriatric communication skills training program in groups of 12–15 over a 2-year period. Participants complete pre-post surveys on module evaluation and perception of self-efficacy as well as pre-post video-recorded Standardized Patient Assessment (SPA) to evaluate communication skill uptake.

Results

Most participants evaluated the module positively; over 90% indicated that they agreed or strongly agreed with five of the six module evaluation items. HCPs’ self-efficacy in communicating with cancer patients with cognitive deficits significantly increased from pre- to post-module training. There was a significant increase in the following communication skill use from pre- to post-training: checking patient preferences, declaring agenda, and inviting agenda.

Significance of results

Results demonstrated a successful implementation of the program as evidenced through favorable program evaluation, significant gains in self-efficacy, as well as significant improvement in several communication skills.

Keywords

Cognitive syndromeCommunication skills trainingGeriatricsOncologyStandardized patient assessments
Type
Original Article
Information
Palliative & Supportive Care , Volume 18 , Special Issue 4: Palliative and Supportive Care During The COVID-19 Pandemic , August 2020 , pp. 419 - 424
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Copyright
Copyright © Cambridge University Press 2020

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