Abstract: |
(from the chapter) Given the compelling evidence of the importance of doctor-patient communication to patient outcomes, there is a burgeoning interest in developing and evaluating effective ways of improving doctor-patient communication. Communication skills training (CST) research has shown promising results in changing doctors' communication behaviors. Successful CST in cancer has taken a learner-centered approach that is grounded in the assumptions of Adult Learning Theory. Adult learners need to know why they should learn something, prefer to learn the practical as well as the theoretical and are motivated to learn in participatory and active settings. They prefer to take responsibility for their decisions and want to be trusted as capable of self-direction. In this chapter, we outline evidence for the efficacy of CST in cancer care, provide a core curriculum for CST in oncology, and discuss principles in achieving competence in facilitators. We also consider a range of developmental research agendas, the use of decision aides, and question prompt sheets and finally review training that improves patient communication in the clinical encounter. (PsycINFO Database Record (c) 2011 APA, all rights reserved). |