Feasibility, acceptability, and initial efficacy of empathic communication skills training to reduce lung cancer stigma in Nigeria: a pilot study.

Journal: Journal of the National Cancer Institute. Monographs

Volume: 2024

Issue: 63

Year of Publication: 2024

Affiliated Institutions:  Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA. Psycho-oncology Unit, Department of Radiotherapy, University College Hospital, Ibadan, Nigeria. Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. African Research Group for Oncology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. Global Cancer Disparities Initiatives, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Abstract summary 

Effective communication about cancer diagnosis and prognosis in sub-Saharan African oncology settings is often challenged by the cancer-related shame and stigma patients and families experience. Enhancing empathic communication between health care providers, including physicians and nurses, and oncology patients and their families can not only reduce cancer stigma but also improve patient engagement, treatment satisfaction, and quality of life. To reduce lung cancer stigma, we adapted an evidence-based empathic communication skills training intervention to reduce patients' experience of stigma in Nigeria and conducted a pilot study examining the feasibility and acceptability of the empathic communication skills training. Thirty health care providers, recruited from University College Hospital, Ibadan, and Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, participated in a 2.25-hour didactic and experiential training session. Participant surveys were completed before and after the training. Overall, participants reported highly favorable training evaluations, with at least 85% of health care providers agreeing or strongly agreeing to survey items assessing training relevance, novelty, clarity, and facilitator effectiveness. Self-efficacy to communicate empathically with patients increased significantly from before-training (Mean [SD] = 3.93 [0.28]) to after-training (Mean [SD] = 4.55 [0.15]; t29 = 3.51, P < .05). Significant improvements were observed in health care provider reports of empathy toward lung cancer survivors and attitude toward lung cancer care as well as significant reductions in lung cancer blame were noted. The empathic communication skills training was feasible, well received by oncology clinicians in Nigeria, and demonstrated improvements in health care provider-reported outcomes from before- to after-training.

Authors & Co-authors:  Banerjee Smita C SC Asuzu Chioma C Mapayi Boladale B Olunloyo Blessing B Odiaka Emeka E Daramola Oluwafemi B OB Gilliland Jaime J Owoade Israel Adeyemi IA Kingham Peter P Alatise Olusegun I OI Fitzgerald Grace G Kahn Rivka R Olcese Cristina C Ostroff Jamie S JS

Study Outcome 

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Statistics
Citations : 
Authors :  14
Identifiers
Doi : 10.1093/jncimonographs/lgae006
SSN : 1745-6614
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Study Approach
Country of Study
Niger
Publication Country
United States