Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module Journal Article
| Authors: | Shen, M. J.; Manna, R.; Banerjee, S. C.; Nelson, C. J.; Alexander, K.; Alici, Y.; Gangai, N.; Parker, P. A.; Korc-Grodzicki, B. |
| Article Title: | Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module |
| Abstract: | Objective: The purpose of this study was to evaluate a Communication Skills Training (CST) module for health care providers (HCPs) applying a shared decision-making approach to a meeting with an older adult with cancer and his/her family. Methods: Ninety-nine HCPs from community-based centers, cancer centers, and hospitals in the Northeastern U.S. who worked primarily with older adult patients participated in a CST module entitled Geriatric Shared Decision Making. Participants completed pre- and post-training Standardized Patient Assessments (SPAs) and a survey on their confidence in and intent to utilize skills taught. Results: Results indicated high HCP satisfaction with the module, with over 95 % of participants reporting high endorsement to all five evaluation items. HCPs’ self-efficacy in utilizing communication skills related to geriatric shared decision making significantly increased pre- to post-training. In standardized patient assessments among a subset of providers (n = 30), HCPs demonstrated improvements in three shared decision-making skills: declare agenda, invite agenda, and check preference. Conclusion: A geriatric shared decision-making CST workshop for HCPs showed feasibility, acceptability, and improvement in self-efficacy as well as skill uptake. Practice implications: This Geriatric Shared Decision-Making CST module provides an intervention for improving provider-patient-family member communication in the context of cancer care for older adults. © 2020 Elsevier B.V. |
| Keywords: | clinical article; controlled study; aged; patient assessment; cancer center; feasibility study; communication; health care personnel; communication skill; satisfaction; self concept; caregiver; older adult; geriatric; shared decision making; geriatric oncology; cancer; human; male; female; article |
| Journal Title: | Patient Education and Counseling |
| Volume: | 103 |
| Issue: | 11 |
| ISSN: | 0738-3991 |
| Publisher: | Elsevier Ireland Ltd. |
| Date Published: | 2020-11-01 |
| Start Page: | 2328 |
| End Page: | 2334 |
| Language: | English |
| DOI: | 10.1016/j.pec.2020.04.032 |
| PUBMED: | 32475710 |
| PROVIDER: | scopus |
| PMCID: | PMC7572605 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 2 November 2020 -- Source: Scopus |
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