{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T07:47:20Z","timestamp":1773215240065,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of communication skill training (CST) from both physicians and patients' perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This case\u2010control study was conducted at five hospitals across Taiwan using purposive sampling. Physicians were matched by gender, seniority, and department; patients were matched by age, gender, cancer type, and stage. A total of 232 patients were included: 116 in the experimental group (physicians who received CST) and 116 in the control group (physicians without CST). Physicians' truth\u2010telling practices were evaluated immediately after CST using a 70\u2010item questionnaire. Patient emotional distress was assessed 3\u00a0months later using the Hospital Anxiety and Depression Scale and Distress Thermometer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A statistically significant difference in physicians' truth\u2010telling practices was found between the groups. Physicians in the experimental group demonstrated significantly better truth\u2010telling practices than those in the control group (265.23\u00a0\u00b1\u00a026.57 vs. 257.81\u00a0\u00b1\u00a029.84,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.047). Three months after receiving bad news, patients in the experimental group had lower levels of depression (5.98\u00a0\u00b1\u00a03.80 vs. 7.26\u00a0\u00b1\u00a04.90,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.049), anxiety (5.84\u00a0\u00b1\u00a03.47 vs. 6.80\u00a0\u00b1\u00a04.02,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.030), and emotional distress (3.39\u00a0\u00b1\u00a02.60 vs. 4.40\u00a0\u00b1\u00a02.97,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.013) compared to those in the control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CST can improve physicians' truth\u2010telling practices and reduce emotional distress in cancer patients. Regular CST should be integrated into medical education and in \u2013service training to sustain these skills. Further studies are needed to explore the long\u2010term benefits of CST and its impact on healthcare utilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70275","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T01:53:46Z","timestamp":1756950826000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of Communication Skills Training on Cancer Patients' Outcomes: A Case\u2010Control Study in Taiwan"],"prefix":"10.1002","volume":"34","author":[{"given":"Thi Ngoc","family":"Pham","sequence":"first","affiliation":[{"name":"School of Nursing College of Medicine Chang Gung University  Taoyuan Taiwan"},{"name":"Faculty of Nursing and Midwifery Hanoi Medical University  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u2010Tseng","family":"Fang","sequence":"additional","affiliation":[{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"},{"name":"Department of Nephrology Linkou Chang Gung Memorial Hospital  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih\u2010Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun\u2010Kai","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Hospice and Palliative Care Center Mackay Memorial Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maiko","family":"Fujimori","sequence":"additional","affiliation":[{"name":"Section of Psychological Science Division of Health Care Research\/Section of Behavior Research, Division of Behavioral Science, Behavioral Sciences and Survivorship Research Group Center for Public Health Sciences National Cancer Center  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2960-1841","authenticated-orcid":false,"given":"Woung\u2010Ru","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Nursing College of Medicine Chang Gung University  Taoyuan Taiwan"},{"name":"Department of Nephrology Linkou Chang Gung Memorial Hospital  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Council Overseas Community Affairs Council. \u201cCancer Top Cause of Death in Taiwan for 42nd Consecutive Year \u201d(2024) [Cited 2024 June 19] https:\/\/www.ocac.gov.tw\/OCAC\/Eng\/Pages\/Detail.aspx?nodeid=329&pid=65564405#:~:text=Taipei%2C%20June%2017%20(CNA) (MOHW)%20said%20on%20Monday."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010023\u201001261\u2010x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010022\u201000981\u2010w"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404\u2010024\u201007505\u20102"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2023.1111677"},{"key":"e_1_2_10_8_1","unstructured":"National Cancer Institute. \u201cAdjustment to Cancer: Anxiety and Distress (PDQ\u00ae)\u2013Health Professional Version \u201d (2023) [Cited 2023 October 15] https:\/\/www.cancer.gov\/about\u2010cancer\/coping\/feelings\/anxiety\u2010distress\u2010hp\u2010pdq."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4257"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/14737140.2019.1651648"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107791"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2013.51.2756"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3413"},{"issue":"1","key":"e_1_2_10_14_1","first-page":"29","article-title":"Patient\u2010Centered Communication: Basic Skills","volume":"95","author":"Hashim M. 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