dc.contributor.author
Bloedt, Susanne
dc.contributor.author
Mittring, Nadine
dc.contributor.author
Schuetzler, Lena
dc.contributor.author
Fischer, Felix
dc.contributor.author
Holmberg, Christine
dc.contributor.author
Horneber, Markus
dc.contributor.author
Stapf, Adele
dc.contributor.author
Witt, Claudia M.
dc.date.accessioned
2018-06-08T10:39:04Z
dc.date.available
2017-01-09T11:07:04.892Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/20807
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-24106
dc.description.abstract
Background The aim was to develop and evaluate a training program for
physicians for communicating with breast cancer patients about complementary
medicine (CM). Methods In a cluster-randomized pilot trial eight breast cancer
centers (two physicians per center) were randomized to either a complementary
communication training program (9 h e-learning + 20 h on-site skills training)
or to a control group without training. Each physician was asked to consult
ten patients for whom he or she is not the physician in charge. We used mixed
methods: Quantitative outcomes included physicians’ assessments (empathy,
complexity of consultation, knowledge transfer) and patients’ assessments
(satisfaction, empathy, knowledge transfer). For qualitative analyses, 15
(eight in the training and seven in the control group) videotaped
consultations were analyzed based on grounded theory, and separate focus
groups with the physicians of both groups were conducted. Results A total of
137 patients were included. Although cluster-randomized, physicians in the two
groups differed. Those in the training group were younger (33.4 ± 8.9 vs. 40.0
± 8.5 years) and had less work experience (5.4 ± 8.9 vs. 11.1 ± 7.4 years).
Patient satisfaction with the CM consultation was relatively high on a scale
from 0 to 24 and was comparable in the two groups (training group: 19.4 ± 4.6;
control group 20.5 ± 4.1). The qualitative findings showed that physicians
structured majority of consultations as taught during the training. Comparing
only the younger and less CM experienced physicians, those trained in CM
communication felt more confident discussing CM-related topics than those
without training. Conclusion A CM communication-training program might be
especially beneficial for physicians with less consulting experience when
communicating about CM-related issues. A larger trial using more suitable
quantitative outcomes needs to confirm this. Trial registration
ClinicalTrials.gov: NCT02223091, date of registration: 7 February 2014.
en
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/
dc.subject
Complementary and integrative medicine
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit
dc.title
A consultation training program for physicians for communication about
complementary medicine with breast cancer patients: a prospective, multi-
center, cluster-randomized, mixed-method pilot study
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation
BMC Cancer. - 16 (2016), Artikel Nr. 843
dcterms.bibliographicCitation.doi
10.1186/s12885-016-2884-y
dcterms.bibliographicCitation.url
http://bmccancer.biomedcentral.com/articles/10.1186/s12885-016-2884-y
refubium.affiliation
Charité - Universitätsmedizin Berlin
de
refubium.mycore.fudocsId
FUDOCS_document_000000026101
refubium.note.author
Der Artikel wurde in einer reinen Open-Access-Zeitschrift publiziert.
refubium.resourceType.isindependentpub
no
refubium.mycore.derivateId
FUDOCS_derivate_000000007489
dcterms.accessRights.openaire
open access