Chipo Malambo, Adéla Klepačová, Kateřina Brodská, Cain Craig Truman Clark, Martin Musálek
Relationship among some coordinative and dynamic strength capabilities and constructive and conceptual thinking among preschool-age children
Frontiers in psychology
need better implementation patientcentred pc communication shared decisionmaking sdm routine cancer care aim study assess whether programme implement sdm oncology effects pc communication clinical encounters study constitutes secondary analysis data derived implementation trial applying stepped wedge design among strategies incorporated training coaching enhance pc communication skills physicians analysed audio recordings clinical encounters collected three departments comprehensive cancer centre germany rolling implementation programme assessed pc communication skills physicians recording rated two researchers using german version four habits coding scheme 4hcs observerbased measure pc communication interrater reliability outcome measure acceptable moderate demographic data patients participating audio recordings analysed data analysed using descriptive statistics linear mixedeffects models total 146 encounters 74 72 implementation evaluated mean age patients 571 years sd 138 703 female largest portion patients medium formal education 324 self employed 378 statistically significant effect implementation programme physicians pc communication skills found results indicate investigated programme implement sdm oncology including training coaching effects pc communication clinical encounters results contrast studies report effects specific training coaching pc communication reasons lack effect include short duration training compared studies limited reliability moderate interrater reliability 4hcs scale limited reach intervention programme well inclusion physicians regardless exposure interventions research needed develop implementation strategies improve physicians pc communication skills data patients clinical encounters patients physicians analysed patient public involvement