References of "Etienne, Anne-Marie"
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See detailPhysicians are different when they learn communication skills: influence of the locus of control
Libert, Yves; Merckaert, I.; Reynaert, C. et al

in Psycho-Oncology (2007), 16(6), 553-562

Purpose: Although it is widely recognised that educational interventions may be more effective for people with an 'internal' Locus of Control (who believe that life outcomes are controlled by their own ... [more ▼]

Purpose: Although it is widely recognised that educational interventions may be more effective for people with an 'internal' Locus of Control (who believe that life outcomes are controlled by their own characteristics or actions) compared to people with an 'external' Locus of Control (who believe that life outcomes are controlled by external forces such as luck, fate or others), no study has yet assessed the influence of physicians' Locus of Control (LOC) on communication skills learning. This study aims to test the hypothesis that, in a communication skills training program, physicians with an 'internal' LOC would demonstrate communication skills acquisition to a greater degree than those with an 'external' LOC. Methods: A non-randomised longitudinal intervention study was conducted between January 1999 and April 2001. Sixty-seven volunteer physicians from private and institutional practice in Belgium participated in a learner-centred, skills-focused, practice-oriented communication skills training program. Communication skills changes were assessed in 2 standardised simulated interviews before and after training (one two-person and one three-person interview). Communication skills were assessed using the Cancer Research Campaign Workshop Evaluation Manual. Physicians' LOC was assessed using the Rotter I-E scale. Communication skills changes of the upper and lower third of physicians in respect of their scores on this scale were compared using group by time repeated measures of variance. Results: In the two-person and three-person interviews, changes in the use of open directive questions were more important among physicians with an "internal" LOC compared with changes observed among physicians with an 'external' LOC (P = 0.066 and P = 0.004, respectively). In the three-person interview, changes in the use of directive questions, assessing functions and moderate feelings stated explicitly were more important among physicians with an 'internal' LOC compared with changes observed among physicians with an 'external' LOC (P = 0.001; P = 0.002 and P = 0.011 respectively). Conclusion: This study shows that physicians' LOC is a psychological characteristic that could influence the efficacy of a communication skills training program. This evidence supports the idea that a psychological characteristic such as 'internal' LOC may facilitate communication skills acquisition through physicians' belief that communication with patients may be controlled by physicians themselves. Copyright (c) 2006 John Wiley [less ▲]

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See detailUne "toxicité" sous-estimée : les impacts psychosociaux des traitements sur les proches aidants principaux
Libert, Y.; Merckaert, I.; Etienne, Anne-Marie ULg et al

in Oncologie (2007), 9

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See detailLa qualité de vie infantile : état actuel des connaissances
Missotten, Pierre ULg; Etienne, Anne-Marie ULg; DUPUIS, Gilles

in Revue Francophone de Clinique Comportementale et Cognitive (2007), 12(4), 14-27

The aim of this article is to analyse the concept of the children’s quality of life (QOL) on the basis of two main lines: the conceptual and methodological problems. The conceptual study highlights the ... [more ▼]

The aim of this article is to analyse the concept of the children’s quality of life (QOL) on the basis of two main lines: the conceptual and methodological problems. The conceptual study highlights the absence of QOL consensual definition as well as the weak development of the theoretical frameworks subjacent with the various instruments. The existing tools consider mainly the QOL evaluation in terms of State without taking into account the goalsand priorities of the children. The methodological study examines psychometric qualities of the tools. These are more and more developed via self-reporting, what requires to take into account the state of development of the child. Lastly, the study of this QOL concept is illustrated through the examination of the three types of instruments: generic, specific, modular. The discussion of the conceptual and methodological data leads to a wish to develop a new QOL tool. The evaluation would be carried out there in terms of Gap, with study of the concept of Goal for the child. [less ▲]

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See detailTeaching communication and stress management skills to junior physicians dealing with cancer patients: the Belgian interuniversity project
Meunier, J.; Merckaert, I.; Reynaert, C. et al

in Psycho-Oncology (2006, October), 15(2, Suppl. S), 326

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See detailFactors that influence physicians' burnout: Impact of a communication skills training program
Bragard, Isabelle ULg; Libert, Yves; Merckaert, Isabelle et al

in Psycho-Oncology (2006, October), 15(2, Suppl. S), 183-184

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See detailFactors that influence cancer patients' anxiety following a medical consultation: impact of a communication skills training programme for physicians
Lienard, Aurore; Merckaert, Isabelle; Libert, Yves et al

in Annals of Oncology (2006), 17(9), 1450-1458

Background: No study has yet assessed the impact of physicians' skills acquisition after a communication skills training programme on the evolution of patients' anxiety following a medical consultation ... [more ▼]

Background: No study has yet assessed the impact of physicians' skills acquisition after a communication skills training programme on the evolution of patients' anxiety following a medical consultation. This study aimed to compare the impact, on patients' anxiety, of a basic communication skills training programme (BT) and the same programme consolidated by consolidation workshops (CW), and to investigate physicians' communication variables associated with patients' anxiety. Patients and methods: Physicians, after attending the BT, were randomly assigned to CW or to a waiting list. The control group was not a non-intervention group. Consultations with a cancer patient were recorded. Patients' anxiety was assessed with the State Trait Anxiety Inventory before and after a consultation. Communication skills were analysed according to the Cancer Research Campaign Workshop Evaluation Manual. Results: No statistically significant change over time and between groups was observed. Mixed-effects modelling showed that a decrease in patients' anxiety was linked with screening questions (P = 0.045), physicians' satisfaction about support given (P = 0.004) and with patients' distress (P < 0.001). An increase in anxiety was linked with breaking bad news (P = 0.050) and with supportive skills (P = 0.013). No impact of the training programme was observed. Conclusions: This study shows the influence of some communication skills on the evolution of patients' anxiety. Physicians should be aware of these influences. [less ▲]

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See detailPourquoi les thérapies comportementales dans la prévention secondaire du patient coronarien ?
Etienne, Anne-Marie ULg

Conference given outside the academic context (2006)

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See detailDoes psychological characteristic influence physicians' communication styles? Impact of physicians' locus of control on interviews with a cancer patient and a relative
Libert, Yves; Merckaert, Isabelle; Reynaert, Christine et al

in Supportive Care in Cancer (2006), 14(3), 230-242

Context: Physicians' psychological characteristics may influence their communication styles and may thus interfere with patient-centred communication. Objective: Our aim was to test the hypothesis that ... [more ▼]

Context: Physicians' psychological characteristics may influence their communication styles and may thus interfere with patient-centred communication. Objective: Our aim was to test the hypothesis that, in interviews with a cancer patient and a relative, physicians with an "external" locus of control (LOC; who believe that life outcomes are controlled by external forces such as luck, fate or others) have a communication style different from that of physicians with an "internal" LOC (who believe that life outcomes are controlled by their own characteristics or actions). Design, setting, participants and intervention: Eighty-one voluntary physicians practising in the field of oncology were recorded while performing an actual and a simulated interview with a cancer patient and a relative. Main outcome measures: Physicians' communication skills were assessed using the Cancer Research Campaign Workshop Evaluation Manual. Physicians' LOC was assessed using the Rotter I-E scale. The communication skills of the upper and lower quartiles of physicians in respect of their scores on this scale were compared using Student's t test. Results: In actual interviews, physicians with an "external" LOC talked more to the relative (P=0.017) and used more utterances with an assessment function (P=0.010) than physicians with an "internal" LOC. In simulated interviews, physicians with an "external" LOC used less utterances that give premature information (P=0.031) and used more utterances with a supportive function, such as empathy and reassurance (P=0.029), than physicians with an "internal" LOC. Conclusion: These results provide evidence that physicians' LOC can influence their communication styles. Physicians' awareness of this influence constitutes a step towards a tailoring of their communication skills to every patient's and relative's concerns and needs and thus towards a patient-centred communication. [less ▲]

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See detailL'aide à l'arrêt du tabagisme : la réussite au long terme
Delvaux, Muriel ULg; Etienne, Anne-Marie ULg; Gaillard, Jean-François et al

in Revue Médicale de Liège (2006), 61(1), 27-30

This review deals with the pharmacological and psychological means to help in smoking cessation and compares the efficacy of the different methods. Pharmacological support results in a smoking cessation ... [more ▼]

This review deals with the pharmacological and psychological means to help in smoking cessation and compares the efficacy of the different methods. Pharmacological support results in a smoking cessation rate reaching at best 20-25%. The efficacy of behavioural and cognitive therapy have been much less validated so far. Multidisciplinary specialized centres for helping smokers have been raised under the care of FARES in the French Community of Belgium. [less ▲]

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See detailTeaching communication and stress management skills to junior physicians dealing with cancer patients: a Belgian Interuniversity Curriculum
Bragard, Isabelle ULg; Razavi, Darius; Marchal, Serge et al

in Supportive Care in Cancer (2006), 14(5), 454-461

Background: Ineffective physicians' communication skills have detrimental consequences for patients and their relatives, such as insufficient detection of psychological disturbances, dissatisfaction with ... [more ▼]

Background: Ineffective physicians' communication skills have detrimental consequences for patients and their relatives, such as insufficient detection of psychological disturbances, dissatisfaction with care, poor compliance, and increased risks of litigation for malpractice. These ineffective communication skills also contribute to everyday stress, lack of job satisfaction, and burnout among physicians. Literature shows that communication skills training programs may significantly improve physicians' key communication skills, contributing to improvements in patients' satisfaction with care and physicians' professional satisfaction. This paper describes a Belgian Interuniversity Curriculum (BIC) theoretical roots, principles, and techniques developed for junior physicians specializing in various disciplines dealing with cancer patients. Curriculum description: The 40-h training focuses on two domains: stress management skills and communication skills with cancer patients and their relatives. The teaching method is learner-centered and includes a cognitive, behavioral, and affective approach. The cognitive approach aims to improve physicians' knowledge and skills on the two domains cited. The behavioral approach offers learners the opportunity to practice these appropriate skills through practical exercises and role plays. The affective approach allows participants to express attitudes and feelings that communicating about difficult issues evoke. Such an intensive course seems to be necessary to facilitate the transfer of learned skills in clinical practice. Conclusions: The BIC is the first attempt to bring together a stress management training course and a communication training course that could lead not only to communication skills improvements but also to burnout prevention. [less ▲]

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See detailLes besoins psychosociaux et le soutien apporté aux patients atteints d'un cancer : une étude nationale belge
Libert, Yves; Merckaert, Isabelle; Etienne, Anne-Marie ULg et al

in Oncologie (2006), (8), 465-476

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See detailManuel de formation à la gestion du stress et à la communication avec des patients cancéreux et leurs proches
Etienne, Anne-Marie ULg; Bragard, Isabelle ULg; Libert, Yves et al

in CHASSEIGNE, Gérard (Ed.) Stress, santé, société (2006)

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See detailLe questionnaire d'interaction Travail-Famille de Nijmegen : resultats preliminaires et interet pour la clinique
Hansez, Isabelle ULg; Etienne, Anne-Marie ULg; Geurts, S.

in Revue Francophone de Clinique Comportementale et Cognitive (2006), 11(2), 1-13

The first purpose of this paper was to analyse the psychometric properties of the French version of the most frequently used survey for measuring work-home interaction, i.e. the Survey Work-home ... [more ▼]

The first purpose of this paper was to analyse the psychometric properties of the French version of the most frequently used survey for measuring work-home interaction, i.e. the Survey Work-home Interaction – Nijmegen (SWING). The second purpose was to determine the direction of influence (with an origin in one domain – work or home- and an impact in the other domain) and the quality of impact (being positive or negative). The third objective was to check the consistency of the scores across relevant sub-groups such as gender and working time. Three cross-sectional surveys (in total, N=254) were conducted. The French version of the SWING, including 24 items, presents acceptable internal consistency and reliability coefficients. The direction of work-home interaction shows a positive impact of work in the family domain. Finally there is some evidence for relevant gender and working time effects. The clinical interest of this questionnaire is also discussed. [less ▲]

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See detailL'aide à l'arrêt du tabagisme : une nécessité
Delvaux, Muriel ULg; Etienne, Anne-Marie ULg; Bartsch, Pierre ULg et al

in Revue Médicale de Liège (2005), 60(11), 863-866

Today the smoker carries a risk of mortality 70% higher compared to the nonsmoker. In Belgium active smoking is indisputably the most important cause of avoidable death. In 2004 it appears that 27% of the ... [more ▼]

Today the smoker carries a risk of mortality 70% higher compared to the nonsmoker. In Belgium active smoking is indisputably the most important cause of avoidable death. In 2004 it appears that 27% of the belgian population was smoking. This review describes the comorbidity associated with active tobacco consumption and defines the concepts of dependence and smoking cessation. It also identifies the three factors which determine the success of smoking cessation, i.e. the degree of nicotinic dependence, the presence of anxio-depressive disorders and the importance of the motivation to the stop. [less ▲]

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See detailFactors that influence physicians' detection of distress in patients with cancer - Can a communication skills training program improve physicians' detection?
Merckaert, Isabelle; Libert, Yves; Delvaux, Nicole et al

in Cancer (2005), 104(2), 411-421

BACKGROUND. No study to date has assessed the impact of skills acquisition after a communication skills training program on physicians' ability to detect distress in patients with cancer. METHODS. First ... [more ▼]

BACKGROUND. No study to date has assessed the impact of skills acquisition after a communication skills training program on physicians' ability to detect distress in patients with cancer. METHODS. First, the authors used a randomized design to assess the impact, on physicians' ability to detect patients' distress, of a 1-hour theoretical information course followed by 2 communication skills training programs: a 2.5-day basic training program and the same training program consolidated by 6 3-hour consolidation workshops. Then, the investigate contextual, patient, and communication variables or factors associated with physicians' detection of patients' distress were investigated. After they attended the basic communication skills training program, physicians were assigned randomly to consolidation workshops or to a waiting list. Interviews with a cancer patient were recorded before training, after consolidation workshops for the group that attended consolidation workshops, and approximate to 5 months after basic training for the group that attended basic training without the consolidation workshops. Patient distress was recorded with the Hospital Anxiety and Depression Scale before the interviews. Physicians rated their patients' distress on a visual analog scale after the interviews. Physicians' ability to detect patients' distress was measured through computing differences between physicians' ratings of patients' distress and patients' self-reported distress. Communication skills were analyzed according to the Cancer Research Campaign Workshop Evaluation Manual. RESULTS. Fifty-eight physicians were evaluable. Repeated -measures analysis of variance showed no statistically significant changes over time and between groups in physicians' ability to assess patient distress. Mixed-effects modeling showed that physicians' detection of patients' distress was associated negatively with patients' educational level (P = 0.042) and with patients' self-reported distress (P < 0.000). Mixed-effects modeling also showed that physicians' detection of patient distress was associated positively with physicians breaking bad news (P = 0.022) and using assessment skills (P = 0.015) and supportive skills (P = 0.045). CONCLUSIONS. Contrary to what was expected, no change was observed in physicians' ability to detect distress in patients with cancer after a communication skills training programs, regardless of whether physicians attended the basic training program or the basic training program followed by the consolidation workshops. The results indicated a need for further improvements in physicians' detection skills through specific training modules, including theoretical information about factors that interfere with physicians' detection and through role-playing exercises that focus on assessment and supportive skills that facilitate detection. (c) 2005 American Cancer Society. [less ▲]

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See detailPhysicians' communication with a cancer patient and a relative - A randomized study assessing the efficacy of consolidation workshops
Delvaux, N.; Merckaert, I.; Marchal, S. et al

in Cancer (2005), 103(11), 2397-2411

BACKGROUND. Although patients with cancer are often accompanied by a relative during medical interviews, to the authors' knowledge little is known regarding the efficacy of communication skills training ... [more ▼]

BACKGROUND. Although patients with cancer are often accompanied by a relative during medical interviews, to the authors' knowledge little is known regarding the efficacy of communication skills training programs on physicians' communication skills in this context. The objective of the current study was to assess the efficacy of 6 consolidation workshops, 3 hours in length, that were conducted after a 2.5-day basic training program. METHODS. After attending the basic training program, physicians were assigned randomly to consolidation workshops or to a waiting list. Training efficacy was assessed through simulated and actual interviews that were recorded on an audio tape at baseline, after consolidation workshops for the consolidation-workshops group, and 5 months after the end of basic training for the waiting-list group. Communication skills were assessed according to the Cancer Research Campaign Workshop Evaluation Manual. Patients' and relatives' perceptions of and satisfaction with physicians' communication performance were assessed using a 15-item questionnaire. RESULTS. Sixty-two physicians completed the training program. Compared with physicians who participated to the basic training program, when addressing the patient, physicians who were randomized to the consolidation workshops used more open, open directive, and screening questions (P = 0.011 in simulated patient interviews and P = 0.005 in actual patient interviews) and elicited and clarified psychologic concerns more often (P = 0.006 in simulated patient interviews and P < 0.001 in actual patient interviews). When they addressed the relative, physicians who were randomized to the consolidation workshops gave less premature information (P = 0.032 in simulated patient interviews and P < 0.001 in actual patient interviews). When they addressed the patient and the relative simultaneously, physicians who were randomized to the consolidation workshops used more empathy, educated guesses, alerting to reality, confronting, negotiating, and summarizing (P = 0.003 in simulated patient interviews and P = 0.024 in actual patient interviews). Patients, but not relatives, who interacted with physicians in the consolidation-workshops group were more satisfied globally with the interviews (P = 0.022). CONCLUSIONS. Six 3-hour consolidation workshops resulted in improved communication skills addressed to patients and to relatives. The current results showed that the transfer of skills addressing relatives' concerns remained limited and that consolidation workshops should focus even more systematically on the practice of three-person interviews. (c) 2005 American Cancer Society. [less ▲]

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