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Evaluation of Communication Skills Among Physicians: A Reply to the Commentary by Smith, Kovar-Gough, and Grayson-Sneed.

Author(s): Boucher VG, Gemme C, Dragomir AI, Larue F, Bacon SL, Lavoie KL

Psychosom Med. 2020 Oct 14; : Authors: Boucher VG, Gemme C, Dragomir AI, Larue F, Bacon SL, Lavoie KL PMID: 33060452 [PubMed - as supplied by publisher]

Article GUID: 33060452
Evaluation of communication skills among physicians: A systematic review of existing assessment tools.

Author(s): Boucher VG, Gemme C, Dragomir AI, Bacon SL, Larue F, Lavoie KL

Psychosom Med. 2020 Mar 09;: Authors: Boucher VG, Gemme C, Dragomir AI, Bacon SL, Larue F, Lavoie KL

Article GUID: 32168109
An international Delphi consensus study to define motivational communication in the context of developing a training program for physicians.

Author(s): Dragomir AI, Boucher VG, Bacon SL, Gemme C, Szczepanik G, Corace K, Campbell TS, Vallis MT, Garber G, Rouleau C, Rabi D, Diodati JG, Ghali W, Lavoie KL

Transl Behav Med. 2020 Mar 07;: Authors: Dragomir AI, Boucher VG, Bacon SL, Gemme C, Szczepanik G, Corace K, Campbell TS, Vallis MT, Garber G, Rouleau C, Rabi D, Diodati JG, Ghali W, Lavoie KL

Article GUID: 32145022
Aerobic exercise alleviates depressive symptoms in patients with a major non-communicable chronic disease: a systematic review and meta-analysis.

Author(s): Béland M, Lavoie KL, Briand S, White UJ, Gemme C, Bacon SL

Br J Sports Med. 2019 Feb 06;: Authors: Béland M, Lavoie KL, Briand S, White UJ, Gemme C, Bacon SL

Article GUID: 30728127
Title:An international Delphi consensus study to define motivational communication in the context of developing a training program for physicians.
Authors:Dragomir AI,  Boucher VG,  Bacon SL,  Gemme C,  Szczepanik G,  Corace K,  Campbell TS,  Vallis MT,  Garber G,  Rouleau C,  Rabi D,  Diodati JG,  Ghali W,  Lavoie KL
Link:https://www.ncbi.nlm.nih.gov/pubmed/32145022?dopt=Abstract
DOI:10.1093/tbm/ibaa015
Category:Transl Behav Med
PMID:32145022
Dept Affiliation: HKAP
1 Montreal Behavioural Medicine Centre, Centre Intégré Universitaire de santé et services sociaux du Nord-de-l'Ile-de-Montréal (CIUSSS-NIM), Hôpital du Sacré-Coeur de Montréal, Montreal, Canada.
2 Department of Psychology, Université du Québec à Montréal, Montreal, Canada.
3 Department of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, Canada.
4 Department of Psychiatry, University of Ottawa, Ottawa, Canada.
5 TotalCardiology Rehabilitation, Calgary, AB, Canada.
6 Department of Psychology, University of Calgary, Calgary Canada.
7 Department of Family Medicine, Dalhousie University, Halifax, Canada.
8 Department of Medicine, University of Ottawa, Ottawa, Canada.
9 Department of Medicine, University of Toronto, Toronto, Canada.
10 Public Health Ontario, Ontario Agency for Health Protection and Promotion, Toronto, Canada.
11 Department of Community Health Sciences, University of Calgary, Calgary, Canada.

Description:

An international Delphi consensus study to define motivational communication in the context of developing a training program for physicians.

Transl Behav Med. 2020 Mar 07;:

Authors: Dragomir AI, Boucher VG, Bacon SL, Gemme C, Szczepanik G, Corace K, Campbell TS, Vallis MT, Garber G, Rouleau C, Rabi D, Diodati JG, Ghali W, Lavoie KL

Abstract

Poor health behaviors (e.g., smoking, poor diet, and physical inactivity) are major risk factors for noncommunicable chronic diseases (NCDs). Evidence supporting traditional advice-giving approaches to promote behavior change is weak or short lived. Training physicians to improve their behavior change counseling/communication skills is important, yet the evidence for the efficacy and acceptability of existing training programs is lacking and there is little consensus on the core competencies that physicians should master in the context of NCD management. The purpose of this study is to generate an acceptable, evidence-based, stakeholder-informed list of the core communication competencies that physicians should master in the context of NCD management. Using a modified Delphi process for consensus achievement, international behavior change experts, physicians, and allied health care professionals completed four phases of research, including eight rounds of online surveys and in-person meetings over 2 years (n = 13-17 participated in Phases I, III, and IV and n = 39-46 in Phase II). Eleven core communication competencies were identified: reflective listening, expressing empathy, demonstrating acceptance, tolerance, and respect, responding to resistance, (not) negatively judging or blaming, (not) expressing hostility or impatience, eliciting "change-talk"/evocation, (not) being argumentative or confrontational, setting goals, being collaborative, and providing information neutrally. These competencies were used to define a unified approach for conducting behavior change counseling in medical settings: Motivational Communication. The results may be used to inform and standardize physician training in behavior change counseling and communication skills to reduce morbidity and mortality related to poor health behaviors in the context of NCD prevention and management.

PMID: 32145022 [PubMed - as supplied by publisher]