title: [Communication in the context of phase I clinical trials in oncology: implementation and evaluation of training programs].
abstract: Communication training programs in oncology have demonstrated some efficacy to improve doctors' communication skills. The goal of our study was to evaluate the impact of such training in the particular context of phase I clinical trials. Self-satisfaction and self-efficacy scales evaluating doctor-patient communication was completed by 6 medical oncologists (3 juniors and 3 seniors) before and after their communication training for a total of sixty visits. Two types of visit have been distinguished: the visits between the oncologist and the patient alone (a dual situation) and those with a third party (a trilateral situation). For all the doctors in dual and trialateral situations, self-efficacy scores improved significantly after training. This improvement was more pronounced for juniors oncologists in trilateral situations. Before training, satisfactory scores were worst in duel versus trilateral situations (P=0.01). This was particularly pronounced for junior compared to senior doctors (P=0.035). After training, in trilateral situations, the satisfaction scores of junior doctors matched that of the senior doctors. The communication training programs appear to benefit junior oncologists to a greater extent in trilateral situations.
authors.affiliation: Institut Gustave-Roussy, département interdisciplinaire de soins de support aux patients en oncohématologie, 114, rue Édouard-Vaillant, 94805 Villejuif, France. Electronic address: pascal.rouby@gustaveroussy.fr.
authors.forename: Pascal
authors.initials: P
authors.lastname: Rouby
authors.affiliation: Institut Gustave-Roussy, département d'innovation thérapeutiques et d'essais précoces, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Hollebecque
authors.affiliation: Institut Gustave-Roussy, département d'innovation thérapeutiques et d'essais précoces, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Ratislav
authors.initials: R
authors.lastname: Bahleda
authors.affiliation: Institut Gustave-Roussy, département de radiothérapie, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Deutsch
authors.affiliation: Institut Gustave-Roussy, département d'innovation thérapeutiques et d'essais précoces, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gomez-Rocca
authors.affiliation: Institut Gustave-Roussy, département d'innovation thérapeutiques et d'essais précoces, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Angevin
authors.affiliation: Institut Gustave-Roussy, département d'innovation thérapeutiques et d'essais précoces, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Thibault
authors.initials: T
authors.lastname: de La Motte Rouge
authors.affiliation: Institut Gustave-Roussy, département d'innovation thérapeutiques et d'essais précoces, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Jean-Charles
authors.initials: JC
authors.lastname: Soria
authors.affiliation: Institut Gustave-Roussy, département interdisciplinaire de soins de support aux patients en oncohématologie, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Sarah
authors.initials: S
authors.lastname: Dauchy
mesh_terms: D017321:Clinical Trials, Phase I as Topic; D003142:Communication; D006801:Humans; D061348:Medical Chaperones; D008495:Medical Oncology / Q000193:education*; D008503:Medical Staff / Q000523:psychology*; D010549:Personal Satisfaction; D010817:Physician-Patient Relations; D020377:Self Efficacy
keywords: Communication; Essais cliniques phase I; Formation; Oncologie; Oncology; Phase I clinical trials; Training