Communication skills training for healthcare professionals in providing genetic counseling: A scoping literature review |
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| Authors: | Niki M Medendorp Lieke M van den Heuvel Paul KJ Han Marij A Hillen Ellen MA Smets |
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| Institution: | 1. Department of Medical Psychology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands;2. Amsterdam Public Health Research Institute, Amsterdam, the Netherlands;3. Department of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands;4. Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, USA;1. Surgical Outcomes Research Center (SORCE), Department of Surgery, University of Washington, Seattle, WA, USA;2. Office of Patient Experience, Seattle Cancer Care Alliance, Seattle, WA, USA;3. Seattle Cancer Care Alliance, Seattle, WA, USA;4. Department of Surgery, University of Washington, Seattle, WA, USA;5. Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA;6. Department of Urology, University of Washington, Seattle, WA, USA;1. Department of Bioethics and Humanities, University of Washington, Seattle, USA;2. Department of Behavioral Science, UT MD Anderson Cancer Center, Houston, USA;3. Department of Laboratory Medicine, University of Washington, Seattle, USA;4. Kaiser Permanente Washington Health Research Institute, Seattle, USA;5. Genetic Services, Kaiser Permanente Washington Health Research Institute, Seattle, USA;6. Department of Bioinformatics and Medical Education, University of Washington, Seattle, USA;7. Department of Pharmacy, University of Washington, Seattle, USA;8. Departments of Medicine (Medical Genetics) and Genome Sciences, University of Washington Medical Center, Seattle, USA;1. Department of Communication, Northwestern University, Chicago, IL, USA;2. Engineering and Public Policy, Carnegie Mellon University, Pittsburgh, PA, USA;3. Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA |
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| Abstract: | ObjectiveGenetic counselors need advanced communication skills, particularly when discussing tests involving massively parallel sequencing. Increasingly, non-genetic healthcare professionals (HCPs) also need to provide genetic counseling. Communication skills training (CST) may equip HCPs with the required communication skills. This scoping review provides an overview of the content, approach, effectiveness and effective features of CSTs aimed at improving genetic and non-genetic HCPs’ communication skills in providing genetic counseling.MethodsFollowing the PRISMA-ScR statement, four databases were searched for articles. Two researchers independently screened titles and abstracts, and extracted data. When applicable, information on effectiveness and effective features of CST was collated.ResultsTwenty-three articles were included. Sixteen CSTs targeted non-genetic HCPs, five targeted genetic HCPs and two targeted both. Most CSTs addressed multiple communication behaviors and consisted of role play. CSTs were found to be effective for improving HCPs (mainly self-reported) attitudes and skills. Limited evidence on specific effective features of CST was found.ConclusionsThere is a clear need for evidence on the effectiveness of CST on improving both HCPs’ communication skills in the context of genetic counseling, and patient outcomes, and its specific effective features.Practice implicationsClinical practice could benefit from evidence-based CST for genetic and non-genetic HCPs. |
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| Keywords: | Communication skills training Physicians Genetic information Genetics Scoping review |
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