The impact of patient and physician computer mediated communication skill training on reported communication and patient satisfaction.

OBJECTIVE: The objective was to evaluate parallel patient and physician computer-mediated communication skill training on participants' report of skill use and patient satisfaction. METHODS: Separate patient and clinician web-tools comprised of over 500, 10-s video clips demonstrating patient-center...

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Published in:Patient Education & Counseling Vol. 88; no. 3; pp. 406 - 414
Main Authors: Roter DL, Wexler R, Naragon P, Forrest B, Dees J, Almodovar A, Wood J
Format: research randomized controlled trial Journal Article
Published: Elsevier B.V. Sep2012
Online Access:View this record in EBSCOhost
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      dt: Sep2012
      vid: 88
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      pub: Elsevier B.V.
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        2011636669
        10.1016/j.pec.2012.06.020
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        104486205
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        atl: The impact of patient and physician computer mediated communication skill training on reported communication and patient satisfaction.
      aug:
        au:
          Roter DL
          Wexler R
          Naragon P
          Forrest B
          Dees J
          Almodovar A
          Wood J
        affil: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
      sug:
        subj:
          Communication
          Computer-Assisted Instruction
          Patient Satisfaction
          Physician-Patient Relations
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Clinical Competence
          Education, Medical, Continuing
          Female
          Human
          Male
          Middle Age
          Patient Centered Care
          Patient Education Methods
          Program Evaluation
          Prospective Studies
          Questionnaires
          Randomized Controlled Trials
          Self Report
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: The objective was to evaluate parallel patient and physician computer-mediated communication skill training on participants' report of skill use and patient satisfaction. METHODS: Separate patient and clinician web-tools comprised of over 500, 10-s video clips demonstrating patient-centered skills in various ways. Four clinician members of the American Academy of Family Physicians National Research Network participated by enrolling 194 patients into a randomized patient trial and 29 physicians into a non-randomized clinician trial of respective interventions. All participants completed baseline and follow-up self-report measures of visit communication and satisfaction. RESULTS: Intervention patients reported using more skills than controls in five of six skill areas, including identification of problems/concerns, information exchange, treatment adherence, shared decision-making and interpersonal rapport (all p<.05); post intervention, physicians reported using more skills in the same 5 areas (all p<.01). Intervention group patients reported higher levels of satisfaction than controls in five of six domains (all p<.05). CONCLUSION: Communication skill training delivered in a computer mediated format had a positive and parallel impact on both patient and clinician reported use of patient-centered communication and in patient satisfaction. PRACTICE IMPLICATIONS: Computer-mediated interventions are cost and time effective thereby increasing patient and clinician willingness to undertake training.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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