title: Effectiveness of Japanese SHARE model in improving Taiwanese healthcare personnel's preference for cancer truth telling.
abstract: BACKGROUND
  Communication skills training (CST) based on the Japanese SHARE model of family-centered truth telling in Asian countries has been adopted in Taiwan. However, its effectiveness in Taiwan has only been preliminarily verified. This study aimed to test the effect of SHARE model-centered CST on Taiwanese healthcare providers' truth-telling preference, to determine the effect size, and to compare the effect of 1-day and 2-day CST programs on participants' truth-telling preference.
  
  
  METHODS
  For this one-group, pretest-posttest study, 10 CST programs were conducted from August 2010 to November 2011 under certified facilitators and with standard patients. Participants (257 healthcare personnel from northern, central, southern, and eastern Taiwan) chose the 1-day (n = 94) or 2-day (n = 163) CST program as convenient. Participants' self-reported truth-telling preference was measured before and immediately after CST programs, with CST program assessment afterward.
  
  
  RESULTS
  The CST programs significantly improved healthcare personnel's truth-telling preference (mean pretest and posttest scores ± standard deviation (SD): 263.8 ± 27.0 vs. 281.8 ± 22.9, p < 0.001). The CST programs effected a significant, large (d = 0.91) improvement in overall truth-telling preference and significantly improved method of disclosure, emotional support, and additional information (p < 0.001). Participation in 1-day or 2-day CST programs did not significantly affect participants' truth-telling preference (p > 0.05) except for the setting subscale. Most participants were satisfied with the CST programs (93.8%) and were willing to recommend them to colleagues (98.5%).
  
  
  CONCLUSIONS
  The SHARE model-centered CST programs significantly improved Taiwanese healthcare personnel's truth-telling preference. Future studies should objectively assess participants' truth-telling preference, for example, by cancer patients, their families, and other medical team personnel and at longer times after CST programs.
authors.affiliation: School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
authors.forename: Woung-Ru
authors.initials: WR
authors.lastname: Tang
authors.forename: Kuan-Yu
authors.initials: KY
authors.lastname: Chen
authors.forename: Sheng-Hui
authors.initials: SH
authors.lastname: Hsu
authors.forename: Yeong-Yuh
authors.initials: YY
authors.lastname: Juang
authors.forename: Shin-Che
authors.initials: SC
authors.lastname: Chiu
authors.forename: Shu-Chun
authors.initials: SC
authors.lastname: Hsiao
authors.forename: Maiko
authors.initials: M
authors.lastname: Fujimori
authors.forename: Chun-Kai
authors.initials: CK
authors.lastname: Fang
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology*; D011369:Professional-Patient Relations; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D013624:Taiwan; D014342:Truth Disclosure
keywords: SHARE model; cancer; communication skills training; oncology; truth telling