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dc.contributor.authorvan Beusekom, Mara Myrthe
dc.contributor.authorCameron, Josie
dc.contributor.authorBedi, Carolyn
dc.contributor.authorBanks, Elspeth
dc.contributor.authorHumphris, Gerald Michael
dc.identifier.citationvan Beusekom , M M , Cameron , J , Bedi , C , Banks , E & Humphris , G M 2019 , ' Communication skills training for the radiotherapy team to manage cancer patients’ emotional concerns : a systematic review ' , BMJ Open , vol. 9 , e025420 .
dc.identifier.otherPURE: 257823049
dc.identifier.otherPURE UUID: 94a04f4a-74cf-42a1-9477-ec374a8a9711
dc.identifier.otherScopus: 85064964307
dc.identifier.otherWOS: 000471157200115
dc.descriptionFunding: Breast Cancer Now, grant number 2017MayPR898.en
dc.description.abstractObjectives: Many cancer patients experience high levels of anxiety and concern during radiotherapy, often with long-lasting effects on their well-being. This systematic review aims to describe and determine the effectiveness of communication skills training (CST) for the radiotherapy team (RT) to improve conversations in this setting and to support patients with emotional concerns. Design: Systematic review. Interventions: CST for RT members. Data sources: On 17 April 2018, databases Medline, Embase, Scopus and PsycNET were searched. Eligibility criteria, Population, Intervention, Comparison, Outcome(PICO): Quantitative and/or qualitative articles were included that evaluate the effect of a CST for RT members (vs no CST) on communication behaviours and patients’ emotional concerns. Data extraction and synthesis: Articles were appraised using the mixed-methods appraisal tool, and a narrative synthesis was performed. Results: Of the nine included articles, five were randomised controlled trials, three were mixed-methods and one used repeated measurements. Four of the five different CST programmes managed to increase emotional communicative behaviour from the RT, and all studies measuring patient communicative behaviour found an improvement in at least one of the hypothesised outcomes. Two studies examining patient anxiety and concerns found a positive effect of the CST, although one found a negative effect; two other studies without a positive effect on mood made use of both empathic CST and tools. Conclusions: There are promising indications that CST can be successfully introduced to improve emotional conversations between RT members and patients. With the right support, the RT can play an important role to help patients cope with their emotional concerns. Future work is necessary to confirm initial promising results and to ensure the learnt communication skills are sustained.
dc.relation.ispartofBMJ Openen
dc.rightsCopyright © Author(s) (or their employer(s)) 2019. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.titleCommunication skills training for the radiotherapy team to manage cancer patients’ emotional concerns : a systematic reviewen
dc.typeJournal itemen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.description.statusPeer revieweden

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