Relationships between Physicians' Communication Skills, the Psychological Symptoms of Cancer Patients, and their Satisfaction with the Treatment
Physicians’ communication skills and satisfaction of cancer patients
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Background: The communication skills of treating physicians can affect the psychological burden of cancer patients and the prevalence of mental illness among these patients. This study investigated the communication skills of physicians and their relationship to the psychological symptoms of cancer patients and their satisfaction with the treatment they received.
Methods: This cross-sectional descriptive study was carried out in 2019. A total of 160 cancer patients who fulfilled the inclusion criteria and referred to Omid Hospital in Isfahan, Iran, and the Iranian Cancer Control Center (MACSA) took part in the study. Demographic information, including age, sex, marital status, education, and type and stage of the disease, was collected using the Demographic Information Questionnaire. The patients' psychological states and satisfaction were then measured using the Patient's Depression, Anxiety, and Stress Scale (DASS), the Short Assessment of Patient Satisfaction (SAPS), and the Communication Assessment Tool (CAT). Correlation coefficients and multiple linear regression were performed using the SPSS software to analyze data.
Results: There was a significant direct relationship between the two quantitative variables of CAT and SAPS scores (r = 0.752; P < 0.001). There was also a significant relationship between the depression (r = -0.318; P < 0.001) and stress (r = -0.303; P < 0.001) scores and the CAT score. The mean SAPS score in patients undergoing radiotherapy was significantly lower than in the stages of chemotherapy (beta (SE) = -3.14 (1.05); P = 0.003).
Conclusion: It was found that physicians' communication skills play an essential role in patients' satisfaction and are directly correlated. We also showed that the physician communication skills score was inversely related to patients' depression.
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Aghamolaei, T., Tavafian, S. S., Hasani, L., & Moeini, B. (2012). Nurses' perception of nurse-physician communication: A questionnaire-based study in Iran. Int J Hosp Res, 1(2), 77-84.
Allenbaugh, J., Corbelli, J., Rack, L., Rubio, D., & Spagnoletti, C. (2019). A brief communication curriculum improves resident and nurse communication skills and patient satisfaction. J Gen.Intern Med, 34(7), 1167-1173. doi:10.1007/s11606-019-04951-6 [pii];4951 [pii];10.1007/s11606-019-04951-6 [doi]. Retrieved from PM:30997637
Amani, O., & Sharbafchi, M. R. (2020). Psycho-oncology curriculum needs assessment in postgraduate education. Int J Body Mind Culture, 7(2), 98-109. doi:10.22122/ijbmc.v7i2.215 [doi]
Bragard, I., Razavi, D., Marchal, S., Merckaert, I., Delvaux, N., Libert, Y. et al. (2006). Teaching communication and stress management skills to junior physicians dealing with cancer patients: a Belgian Interuniversity Curriculum. Support Care Cancer, 14(5), 454-461. doi:10.1007/s00520-005-0008-3 [doi]. Retrieved from PM:16418828
Cordeiro, P. G., Albornoz, C. R., McCormick, B., Hu, Q., & Van, Z. K. (2014). The impact of postmastectomy radiotherapy on two-stage implant breast reconstruction: an analysis of long-term surgical outcomes, aesthetic results, and satisfaction over 13 years. Plast.Reconstr.Surg., 134(4), 588-595. doi:00006534-201410000-00004 [pii];10.1097/PRS.0000000000000523 [doi]. Retrieved from PM:25357021
Delvaux, N., Razavi, D., Marchal, S., Bredart, A., Farvacques, C., & Slachmuylder, J. L. (2004). Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: A randomised study. Br.J Cancer, 90(1), 106-114. doi:6601459 [pii];10.1038/sj.bjc.6601459 [doi]. Retrieved from PM:14710215
Eğeci, I. S., & Gençöz, T. (2006). Factors Associated with Relationship Satisfaction: Importance of Communication Skills. Contemp Fam Ther, 28(3), 383-391. doi:10.1007/s10591-006-9010-2 [doi]
Fallowfield, L. J. (2008). Treatment decision-making in breast cancer: The patient-doctor relationship. Breast.Cancer Res Treat., 112 Suppl 1, 5-13. doi:10.1007/s10549-008-0077-3 [doi]. Retrieved from PM:18546072
Ferranti, D. E., Makoul, G., Forth, V. E., Rauworth, J., Lee, J., & Williams, M. V. (2010). Assessing patient perceptions of hospitalist communication skills using the Communication Assessment Tool (CAT). J Hosp Med, 5(9), 522-527. doi:10.1002/jhm.787 [doi]. Retrieved from PM:21162155
Garrett, J. H. (2016). Effective Perioperative Communication to Enhance Patient Care. AORN.J, 104(2), 111-120. doi:S0001-2092(16)30283-6 [pii];10.1016/j.aorn.2016.06.001 [doi]. Retrieved from PM:27472971
Ghods, B. K., Roter, D. L., Ford, D. E., Larson, S., Arbelaez, J. J., & Cooper, L. A. (2008). Patient-physician communication in the primary care visits of African Americans and whites with depression. J Gen.Intern Med, 23(5), 600-606. doi:539 [pii];10.1007/s11606-008-0539-7 [doi]. Retrieved from PM:18264834
Goelz, T., Wuensch, A., Stubenrauch, S., Ihorst, G., de, F. M., Bertz, H. et al. (2011). Specific training program improves oncologists' palliative care communication skills in a randomized controlled trial. J Clin Oncol., 29(25), 3402-3407. doi:JCO.2010.31.6372 [pii];10.1200/JCO.2010.31.6372 [doi]. Retrieved from PM:21825268
Hall, P., Keely, E., Dojeiji, S., Byszewski, A., & Marks, M. (2004). Communication skills, cultural challenges and individual support: challenges of international medical graduates in a Canadian healthcare environment. Med Teach., 26(2), 120-125. doi:UUMY26W54KFJQ4LT [pii];10.1080/01421590310001653982 [doi]. Retrieved from PM:15203520
Hawthorne, G., Sansoni J. & Marosszeky, N. (2009 Nov 4-7). An update on the development of the short assessment of patient satisfaction (SAPS). Proceedings of the 18th National Conference on Incontinence (Continence Foundation of Australia); 2009 Nov 4-7; Adelaide, Australia.
Jasemi, M., Rahmani, A., Aghakhani, N., Hosseini, F., & Eghtedar, S. (2013). Nurses and physicians' viewpoint toward interprofessional collaboration. Iran J Nurs, 26(81), 1-10.
Jun, D., Johnston, V., Kim, J. M., & O'Leary, S. (2018). Cross-cultural adaptation and validation of the Depression, Anxiety and Stress Scale-21 (DASS-21) in the Korean working population. Work, 59(1), 93-102. doi:WOR2661 [pii];10.3233/WOR-172661 [doi]. Retrieved from PM:29439379
Lee, B. T., Adesiyun, A., Colakoglu, S., Curtis, M. S., Yueh, J. H., Anderson, E. et al. (2010). Postmastectomy radiation therapy and breast reconstruction: an analysis of complications and patient satisfaction. Ann.Plast.Surg., 64(5), 679-683. doi:10.1097/SAP.0b013e3181db7585 [doi]. Retrieved from PM:20395800
Levinson, W., Lesser, C. S., & Epstein, R. M. (2010). Developing physician communication skills for patient-centered care. Health Aff.(Millwood.), 29(7), 1310-1318. doi:29/7/1310 [pii];10.1377/hlthaff.2009.0450 [doi]. Retrieved from PM:20606179
Makoul, G., Krupat, E., & Chang, C. H. (2007). Measuring patient views of physician communication skills: development and testing of the Communication Assessment Tool. Patient.Educ Couns, 67(3), 333-342. doi:S0738-3991(07)00178-4 [pii];10.1016/j.pec.2007.05.005 [doi]. Retrieved from PM:17574367
Miller, K. D., Nogueira, L., Mariotto, A. B., Rowland, J. H., Yabroff, K. R., Alfano, C. M. et al. (2019). Cancer treatment and survivorship statistics, 2019. CA.Cancer J Clin, 69(5), 363-385. doi:10.3322/caac.21565 [doi]. Retrieved from PM:31184787
Mullan, B. A., & Kothe, E. J. (2010). Evaluating a nursing communication skills training course: The relationships between self-rated ability, satisfaction, and actual performance. Nurse.Educ Pract, 10 (6), 374-378. doi:S1471-5953(10)00086-7 [pii];10.1016/j.nepr.2010.05.007 [doi]. Retrieved from PM:20541974
Murphy, N., Moreno, V., Hughes, D. J., Vodicka, L., Vodicka, P., Aglago, E. K. et al. (2019). Lifestyle and dietary environmental factors in colorectal cancer susceptibility. Mol Aspects.Med, 69, 2-9. doi:S0098-2997(19)30033-0 [pii];10.1016/j.mam.2019.06.005 [doi]. Retrieved from PM:31233770
Nelson, B. (2017). The case for empathy: Researchers differ on the finer points, but largely agree that stronger skills in empathy are needed for effective patient care. Cancer Cytopathol., 125(8), 589-590. doi:10.1002/cncy.21902 [doi]. Retrieved from PM:28805987
Niglio de, F. M., Krippeit, L., Ihorst, G., Sattel, H., Bylund, C. L., Joos, A. et al. (2018). ComOn-Coaching: The effect of a varied number of coaching sessions on transfer into clinical practice following communication skills training in oncology: Results of a randomized controlled trial. PLoS One, 13(10), e0205315. doi:PONE-D-17-35381 [pii];10.1371/journal.pone.0205315 [doi]. Retrieved from PM:30289905
Ong, L. M., Visser, M. R., Lammes, F. B., & de Haes, J. C. (2000). Doctor-patient communication and cancer patients' quality of life and satisfaction. Patient.Educ Couns, 41(2), 145-156. doi:S0738-3991(99)00108-1 [pii];10.1016/s0738-3991(99)00108-1 [doi]. Retrieved from PM:12024540
Poinsot, R., Altmeyer, A., Conroy, T., Savignoni, A., Asselain, B., Leonard, I. et al. (2006). [Multisite validation study of questionnaire assessing out-patient satisfaction with care questionnaire in ambulatory chemotherapy or radiotherapy treatment]. Bull Cancer, 93(3), 315-327. Retrieved from PM:16567319
Razavi, D., & Delvaux, N. (1997). Communication skills and psychological training in oncology. Eur J Cancer, 33 Suppl 6, S15-S21. doi:S0959-8049(97)00195-0 [pii];10.1016/s0959-8049(97)00195-0 [doi]. Retrieved from PM:9404235
Razavi, D., Merckaert, I., Marchal, S., Libert, Y., Conradt, S., Boniver, J. et al. (2003). How to optimize physicians' communication skills in cancer care: Results of a randomized study assessing the usefulness of posttraining consolidation workshops. J Clin Oncol., 21(16), 3141-3149. doi:JCO.2003.08.031 [pii];10.1200/JCO.2003.08.031 [doi]. Retrieved from PM:12915605
Sahebi, A. (2024). , Asghari, M. J., & Salari, R. S. (2005). Validation of Depression Anxiety and Stress Scale (DASS-21) for an Iranian Population. Developmental Psychology, 1(4), 36-54.
Schneeweiss, A., Lux, M. P., Janni, W., Hartkopf, A. D., Nabieva, N., Taran, F. A. et al. (2018). Update Breast Cancer 2018 (Part 2) - Advanced Breast Cancer, Quality of Life and Prevention. Geburtshilfe Frauenheilkd., 78(3), 246-259. doi:5654328 [pii];10.1055/s-0044-101614 [doi]. Retrieved from PM:29576630
Seiler, A., Knee, A., Shaaban, R., Bryson, C., Paadam, J., Harvey, R. et al. (2017). Physician communication coaching effects on patient experience. PLoS One, 12(7), e0180294. doi:PONE-D-16-40098 [pii];10.1371/journal.pone.0180294 [doi]. Retrieved from PM:28678872
Sharbafchi, M. R., Rajabi, F., Sheshboluki, F., Ghaderi, S., Fayazi, M., & Mousavi, S. Z. (2019). The effect of educational sessions for couples on quality of life among patients with breast cancer undergoing mastectomy. J Isfahan Med Sch, 37(513), 1-8. doi: 10.22122/JIMS.V37I513.9771 [doi]
Shilling, V., Jenkins, V., & Fallowfield, L. (2003). Factors affecting patient and clinician satisfaction with the clinical consultation: can communication skills training for clinicians improve satisfaction? Psychooncology., 12(6), 599-611. doi:10.1002/pon.731 [doi]. Retrieved from PM:12923800
Sitarz, R., Skierucha, M., Mielko, J., Offerhaus, G. J. A., Maciejewski, R., & Polkowski, W. P. (2018). Gastric cancer: epidemiology, prevention, classification, and treatment. Cancer Manag.Res, 10, 239-248. doi:cmar-10-239 [pii];10.2147/CMAR.S149619 [doi]. Retrieved from PM:29445300
Sitzia, J., & Wood, N. (1997). Patient satisfaction: a review of issues and concepts. Soc Sci.Med, 45(12), 1829-1843. doi:S0277953697001287 [pii];10.1016/s0277-9536(97)00128-7 [doi]. Retrieved from PM:9447632
Tavakoly Sany, S. B., Behzhad, F., Ferns, G., & Peyman, N. (2020). Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial. BMC Health Serv.Res, 20(1), 60. doi:10.1186/s12913-020-4901-8 [pii];4901 [pii];10.1186/s12913-020-4901-8 [doi]. Retrieved from PM:31973765
van der Meel, R., Sulheim, E., Shi, Y., Kiessling, F., Mulder, W. J. M., & Lammers, T. (2019). Smart cancer nanomedicine. Nat.Nanotechnol., 14(11), 1007-1017. doi:10.1038/s41565-019-0567-y [pii];10.1038/s41565-019-0567-y [doi]. Retrieved from PM:31695150
van, L. M., Husson, O., Alberti, P., Arraras, J. I., Chinot, O. L., Costantini, A. et al. (2018). Understanding the quality of life (QOL) issues in survivors of cancer: towards the development of an EORTC QOL cancer survivorship questionnaire. Health Qual.Life.Outcomes., 16(1), 114. doi:10.1186/s12955-018-0920-0 [pii];920 [pii];10.1186/s12955-018-0920-0 [doi]. Retrieved from PM:29866185
Vogel, B. A., Leonhart, R., & Helmes, A. W. (2009). Communication matters: the impact of communication and participation in decision making on breast cancer patients' depression and quality of life. Patient.Educ Couns, 77(3), 391-397. doi:S0738-3991(09)00421-2 [pii];10.1016/j.pec.2009.09.005 [doi]. Retrieved from PM:19796910
Wang, Y., Duan, Z., Ma, Z., Mao, Y., Li, X., Wilson, A. et al. (2020). Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl.Psychiatry, 10(1), 263. doi:10.1038/s41398-020-00950-y [pii];950 [pii];10.1038/s41398-020-00950-y [doi]. Retrieved from PM:32737292
World Health Organization. (2009) [Online]. Process of translation and adaptation of instruments [Online]. http://www.who. int/substance_abuse/research_tools/translation/en/. Access 2009.
Wuensch, A., Goelz, T., Ihorst, G., Terris, D. D., Bertz, H., Bengel, J. et al. (2017). Effect of individualized communication skills training on physicians' discussion of clinical trials in oncology: results from a randomized controlled trial. BMC Cancer, 17(1), 264. doi:10.1186/s12885-017-3238-0 [pii];3238 [pii];10.1186/s12885-017-3238-0 [doi]. Retrieved from PM:28403837
Yang, P. (2019). Maximizing quality of life remains an ultimate goal in the era of precision medicine: exemplified by lung cancer. Precis.Clin Med, 2(1), 8-12. doi:pbz001 [pii];10.1093/pcmedi/pbz001 [doi]. Retrieved from PM:35694702
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