Empathic Communication Skills (ECS) Training

Memorial Sloan Kettering Cancer Center (MSK)

Status: Enrolling

Conditions: Lung Cancer

Treatments: Behavioral: Empathic Communication Skills (ECS) training; Other: Standard of Care participant interaction

Study type: Interventional

Funder types: Other

Identifiers

NCT05456841

21-339

Details and patient eligibility

About

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.

Full 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.

Enrollment: 1,232 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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1,232 participants in 4 patient groups

Oncology Care Providers/OCP-intervention group

Experimental group

Description:

Providers participate in Empathic Communication Skills (ECS) training

Treatment:

Behavioral: Empathic Communication Skills (ECS) training

Oncology Care Providers/OCP-control group

Active Comparator group

Description:

Providers complete all study measures and are offered ECS training after data collection is completed at their site.

Treatment:

Other: Standard of Care participant interaction

Participants with Lung Cancer-intervention group

Experimental group

Description:

Participants will engage with oncology care providers/OCP who have undergone Empathic Communication Skills (ECS) training

Treatment:

Behavioral: Empathic Communication Skills (ECS) training

Participants with Lung Cancer-control group

Active Comparator group

Description:

Waitlist control group - WLC

Treatment:

Other: Standard of Care participant interaction