Clinical communication Not Applicable Communication
Conditions
Interventions
Participating physicians are given a 20-hour intensive course in clinical communication using the "Four habits" approach. 40 physicians will attend the training course in June 2007, and the other 40 p
Sponsors
Regional Authorities for Hospital Care, Eastern Norway (Helse Øst RHF)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Physicians under 60 years doing full or part-time clinical work in somatic departments of Akershus University Hospital. Altogether 8 real consultations or meetings with patients/relatives of patients per physician are recruited consecutively.
Exclusion criteria
Exclusion criteria: None for physicians. For consultations: 1. Anticipated consultation duration less than 5 minutes 2. Consultations or meetings with patients or relatives where they are in a particularly vulnerable situation and where videotaping would be inappropriate (e.g. when conveying serious messages)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The videotaped consultations/meetings were assessed using the ?Four Habits Coding Scheme? (Krupat et al, 2006). Krupat E, Frankel R, Stein T, Irish J. The Four Habits Coding Scheme: validation of an instrument to assess clinicians? communication behavior. Pat Educ Couns 2006; 62: 38-45. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Change in Habit 1 through 4 behaviours according to which habit the physicians particularly commit themselves to improve (physicians may want to implement all habits, but are prompted to give priority to one of them) 2. Changes in Habits in 20% of physicians with the lowest scores 3. Changes in Habits across age groups, gender, specialties, seniors/juniors 4. Change in physician communication specific self-efficacy 5. Change in patient satisfaction | — |
Countries
Norway
Outcome results
None listed