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Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Migration remains a risk factor for unequal treatment in the healthcare system. Communication plays a key role in bridging linguistic and sociocultural differences, particularly in medically complex and ethically demanding fields such as paediatric oncology. We aim to improve the quality of intercultural conversations between paediatric patients with life-threatening diseases, their parents, and physicians.\u00a0This is a monocentric, single-blind, cluster randomised interventional feasibility trial which analysed intercultural conversations to develop a skills\u00a0training programme in migrant-sensitive communication for paediatric oncologists using an interventional approach. Initially, 16 conversations were observed in a non-participatory, open external observation in order to develop an observation-and interview catalogue. 10 additional observations followed by 20 interviews (10 patient families and 10 paediatric oncologists) were conducted. Based on the findings of this qualitative analysis, a literature review, and an advisory board workshop, a multimodal skills\u00a0training programme in migrant-sensitive communication was developed and conducted.\u00a0The observations and interview analysis identified the need for training in communication, cultural competence, and interpreter-assisted conversations. The subsequently developed skills training consisted of three modules on cultural competence, ethical issues, and interpreter-assisted conversations. The practical training included conversation simulations using three scripted patient scenarios.<\/jats:p>\n                    <jats:p>\n                      <jats:italic>Conclusion<\/jats:italic>\n                      :\u00a0Even experienced paediatric oncologists identified a need to establish ongoing training in communication in an intercultural, family-centered setting and benefited from the multimodal training.\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:table-wrap>\n                        <jats:table>\n                          <jats:tbody>\n                            <jats:tr>\n                              <jats:td align=\"left\" colspan=\"2\">\n                                <jats:bold>What is Known:<\/jats:bold>\n                                <jats:italic>\u2022 Communication barriers in the intercultural context may lead to substantial disadvantages in healthcare.<\/jats:italic>\n                                <jats:italic>\u2022 Medical patient-centered communication skills can be effectively improved through training.<\/jats:italic>\n                                <jats:bold>What is New:<\/jats:bold>\n                                <jats:italic>\u2022 Migrant children with cancer are particularly affected by communication deficits resulting from medical provider uncertainty regarding handling intercultural encounters.<\/jats:italic>\n                                <jats:italic>\u2022 Communication training aimed at continuously improving skills and attitudes is recommended as part of specialised medical training to overcome communication barriers.<\/jats:italic>\n                              <\/jats:td>\n                            <\/jats:tr>\n                          <\/jats:tbody>\n                        <\/jats:table>\n                      <\/jats:table-wrap>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00431-026-06787-9","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T05:32:28Z","timestamp":1772861548000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Talking to migrant children and adolescents with cancer: development of a multimodal skills training in migrant-sensitive communication for paediatric oncologists"],"prefix":"10.1007","volume":"185","author":[{"given":"Anne","family":"Oommen-Halbach","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasilija","family":"Rolfes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilara A. 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The Ethics Committee of the Faculty of Medicine of Heinrich Heine University, D\u00fcsseldorf, approved the study on February 16, 2022 (Study-ID 2022\u20131858), further approving the first amendment (Study-ID 2022\u20131858-1) on May 24, 2022, and the second amendment (Study-ID 2022\u20131858-2) on November 14, 2022. Amendment 1 included modifications to the pilot phase, while amendment 2 introduced the new implementation of interviews following observations of patient\u2013physician conversations in the status quo\u00a0analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent from both paediatric patients and their legal guardians was required prior to voluntary participation in the study. Therefore, age-appropriate information and consent documents for children and adolescents (children under 14 years, adolescents aged 14\u201315 years, and young people aged 16\u201317 years), and their legal guardians, were made available in four languages (Turkish, Arabic, Russian, and Polish). Translations into additional languages were provided as needed during the study. Consent was optional for patients aged 8 to 13, depending on each child's maturity and experience. For patients under 8 years of age, written consent was not required; however, age-appropriate information was provided, and oral consent was obtained. Furthermore, we obtained the informed consent of the doctors\u00a0involved.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study is registered under DRKS00029141 in the German Registry of Clinical Studies (DRKS).","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Registration"}},{"value":"Data management complied with the European General Data Protection Regulation (GDPR) and the German Federal Data Protection Act. All personal data were collected, saved, and analysed pseudonymously.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Data management"}}],"article-number":"166"}}