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 |
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| Affiliation: | 1. Weill Cornell Medical College, Department of Medicine, United States;2. Memorial Sloan Kettering Cancer Center, Department of Geriatrics, United States;3. Memorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, United States;1. University of Sydney, Camperdown, NSW, Australia;2. St George Hospital, Kogarah, NSW, South Eastern Sydney Local Health District, Australia;3. Prince of Wales Hospital, Randwick, NSW, South Eastern Sydney Local Health District, Australia;1. Integrated Curriculum for Anthroposophic Medicine, Institute for Integrative Medicine, Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, 58448 Witten, Germany;2. Department of Psychosomatic Medicine, Gemeinschaftskrankenhaus Herdecke. Gerhard-Kienle-Weg 4, 58313 Herdecke, Germany;3. Department of Early Rehabilitation, Gemeinschaftskrankenhaus Herdecke. Gerhard-Kienle-Weg 4, 58313 Herdecke, Germany;4. Office for Student Affairs, Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, 58448 Witten, Germany;5. Student Council, Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, 58448 Witten, Germany;6. Department of Internal Medicine, Gemeinschaftskrankenhaus Herdecke. Gerhard-Kienle-Weg 4, 58313 Herdecke, Germany;7. Georgetown University, School of Medicine, Center for Innovation and Leadership in Education, USA;1. Department of Population Health, Azrieli Faculty of Medicine, Bar-Ilan University, Israel;2. MSR- The Israel Center for Medical Simulation, Israel;3. Center for Health and the Social Sciences, University of Chicago, United States;4. Faculty of hummanities, University of the Free State, South Africa;5. Department of Sociology & Anthropology, Bar-Ilan University, Israel;1. Department of Pharmacy Practice, Auburn University Harrison School of Pharmacy, Auburn, USA;2. Montgomery Family Medicine Residency Program, Baptist Health System, 4371 Narrow Lane Rd, Suite #100 / Montgomery, Alabama, 36116, USA;3. Department of Drug Discovery and Development, Auburn University Harrison School of Pharmacy, Auburn, USA;4. Culverhouse College of Business Institute of Business Analytics, The University of Alabama, Tuscaloosa, USA;5. Culverhouse College of Business Institute of Business Analytics, The University of Alabama, Tuscaloosa, USA |
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| Abstract: | ObjectiveThe 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.MethodsNinety-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.ResultsResults 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.ConclusionA geriatric shared decision-making CST workshop for HCPs showed feasibility, acceptability, and improvement in self-efficacy as well as skill uptake.Practice implicationsThis 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. |
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| Keywords: | Communication Geriatric Older adult Cancer Geriatric oncology Shared decision making |
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