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NCT05456841NARecruitingAccepts Healthy Volunteers

Empathic Communication Skills (ECS) Training

Memorial Sloan Kettering Cancer Center

Start Date

4/28/2023

Completion Date

8/31/2026

Summary

Research indicates that perceived stigma within medical encounters is prevalent and problematic for lung cancer patients' well-being and quality of cancer care. Promoting empathic communication appears to be a potentially effective intervention target to help reduce patients' perceptions of stigma within clinical encounters; however, no formal trainings exist that focus on teaching empathic communication to oncology care providers (OCPs). Building upon favorable findings from a prior R21 (R21CA202793) and the importance of developing interventions to address lung cancer stigma, our goal is to conduct a national trial of empathic communication skills (ECS) training to facilitate improvements in the medical and psychosocial care of patients through de-stigmatizing interactions with OCPs for patients diagnosed with lung cancer.

Detailed Description

The aims of this study are: 1. to evaluate the effect of the ECS training on OCP primary outcomes (communication and empathic skill uptake) and secondary outcomes (ECS training appraisal - relevance, novelty, clarity; self-efficacy, empathy, compassion burn-out); 2. to evaluate the effect of the ECS training vs. WLC on patients' reported primary outcomes (lung cancer stigma), and secondary outcomes (perceived clinician empathy, satisfaction with communication, psychological distress, patients' experience of clinical encounter, and overall patient satisfaction). Additionally, acceptance of referral to tobacco cessation (for those currently smoking) will be explored; and 3. to examine potential moderators of OCP (e.g., demographic characteristics, professional role characteristics) and patient outcomes (e.g., demographic characteristics, illness characteristics). Our central hypothesis is that the ECS training will demonstrate significant short-term improvements in clinicians' uptake of empathic skills and self-efficacy and will be superior to WLC with regards to patient reported measures of stigma, clinician empathy, satisfaction, and overall experience.

Eligibility Criteria

Age Range: 18 years to 100 years

Inclusion Criteria: Site Eligibility * Employs at least 15 FTE OCPs (i.e., oncologists, nurse practitioners and physician assistants) as per self report * Reports a clinic volume of at least 20 new lung cancer patients per month as per self report OCP Participant Eligibility * OCPs who are thoracic oncology physicians (radiologists, medical oncologists, pulmonologists, and surgeons), NPs, or PAs and currently treating lung cancer patients, as per self-report; * OCP conducts consultations with lung cancer patients, as per self-report; * OCP sees at least 1 lung cancer patient per week, as per self-report; Patient Eligibility * Patient under the care of a participating OCP as per self report; * English and/or Spanish speaking; * In general, which language do you prefer to receive your medical care, English/Spanish/both English and Spanish Equally? * If English, treat as fluent in English, no additional language questions * If Spanish, treat as fluent in Spanish, no additional language questions * If both English and Spanish equally, ask the follow-up questions and go with whichever language is endorsed as best. If endorsed equally, assign to category patient prefers * How well do you speak English? Not at all/ Not well/Well/Very well * How well do you speak Spanish? Not at all/Not well/Well/Very well * Is at least 18 years of age as per self report; * Has a history of suspicious lung mass or confirmed lung cancer diagnosis, as per clinician judgment or medical record note; * Is a former or current smoking as per self report; * Has had no more than 10 prior visits with the participating OCP, as per the medical record and/or self report Exclusion Criteria: Patient Exclusion * Individuals of impaired decision-making capacity as per a clinician's judgment or as documented in the EMR. Site and OCP Exclusion * None

Interventions

BEHAVIORAL

Empathic Communication Skills (ECS) training

OTHER

Standard of Care participant interaction

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Conditions

Lung Cancer

Locations

Providence St. Joseph Health (Data Collection Only)

Irvine, California 92612

United States

BAPTIST ALLIANCE - MCI (Data Collection Only)

Miami, Florida 33143

United States

Advocate Health Care Network

Libertyville, Illinois 60048

United States

University of Kentucky (Data Collection Only)

Lexington, Kentucky 40536-0093

United States

Munson Healthcare (Data Collection Only)

Traverse City, Michigan 49684

United States

Hackensack Meridian Health (Data collection only)

Hackensack, New Jersey 07601

United States

Roswell Park Cancer Institute (Data Collection Only)

Buffalo, New York 14263-0001

United States

Memorial Sloan Kettering Cancer Center (All Protocol Activities)

New York, New York 10065

United States

Virtua Health (Data Collection Only)

Philadelphia, Pennsylvania 08060

United States

University of Pennsylvania (Data Collection Only)

Philadelphia, Pennsylvania 19104-4283

United States

Fox Chase Cancer Center (Data Collection Only)

Philadelphia, Pennsylvania 19111

United States

Chesapeake Regional Healthcare (Data Collection Only)

Chesapeake, Virginia 23320

United States