{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T08:24:26Z","timestamp":1787387066018,"version":"build-2736575974"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Pedersholm Foundation"},{"name":"The Research Council, Vejle Hospital"},{"name":"The Joint Research Pool of The Region of Southern Denmark and The Region of Zealand","award":["R38-A1420"],"award-info":[{"award-number":["R38-A1420"]}]},{"DOI":"10.13039\/100008363","name":"The Danish Cancer Society","doi-asserted-by":"publisher","award":["R344-A19470"],"award-info":[{"award-number":["R344-A19470"]}],"id":[{"id":"10.13039\/100008363","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>To evaluate the effect of On-site Supportive Communication Training (On-site SCT) on patient-rated doctor communication in outpatient oncology. In this Danish multicenter randomized trial, 89 oncology doctors were assigned to On-site SCT or usual practice. The intervention included three training days over 3-4 months with real-time observation, structured reflection, and individualized feedback integrated into routine consultations. Patients attending baseline and follow-up consultations completed the validated 14-item Communication Assessment Tool (CAT). The proportion of patients rating doctor communication as \u201cexcellent\u201d was the prespecified primary outcome. Of 3,989 patients, 3,562 completed the questionnaire. Core interpersonal behaviors were rated highly (68-73% \u201cexcellent\u201d), while active engagement behaviors \u2013 eliciting patient ideas (69%), checking understanding (61%), and encouraging questions (58%) \u2013 were lower. No significant differences were observed between groups. On-site SCT did not improve patient-rated communication but identified priorities for future communication training. High baseline communication ratings and resulting ceiling effects may have limited detection of intervention effects. The study provides a large multicenter benchmark for PREMs and underscores methodological challenges in evaluating communication interventions.<\/jats:p>","DOI":"10.1177\/23743735261480578","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T10:06:06Z","timestamp":1787220366000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of On-Site Supportive Communication Training in Oncology: A Multicenter Randomized Trial Assessing &gt;3500 Patient Experiences"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9202-3727","authenticated-orcid":false,"given":"Kerstin Kiis","family":"Antonsen","sequence":"first","affiliation":[{"name":"Vejle Hospital"},{"name":"University Hospital of Southern Denmark"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Signe","family":"Timm","sequence":"additional","affiliation":[{"name":"Vejle Hospital"},{"name":"University Hospital of Southern Denmark"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanne Dam","family":"Lyhne","sequence":"additional","affiliation":[{"name":"Vejle Hospital"},{"name":"University Hospital of Southern Denmark"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Thit","family":"Johnsen","sequence":"additional","affiliation":[{"name":"Zealand University Hospital"},{"name":"Copenhagen University Hospital Amager and Hvidovre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurids \u00d8stergaard","family":"Poulsen","sequence":"additional","affiliation":[{"name":"Aalborg University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Lund","sequence":"additional","affiliation":[{"name":"University of Southern Denmark"},{"name":"Vejle Hospital"},{"name":"University Hospital of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Henrik","family":"Jensen","sequence":"additional","affiliation":[{"name":"Vejle Hospital"},{"name":"University Hospital of Southern Denmark"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(99)00212-9"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00303-8"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.09.005"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1239"},{"key":"e_1_3_9_6_2","volume-title":"Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering","author":"Epstein RMSRJ","year":"2007","unstructured":"Epstein RMSRJ. Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. Bethesda, MD: National Cancer Institute; 2007. Available from. https:\/\/cancercontrol.cancer.gov\/sites\/default\/files\/2020-06\/pcc_monograph.pdf"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.75.2311"},{"issue":"1","key":"e_1_3_9_8_2","first-page":"41","article-title":"Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days","volume":"17","author":"Boulding W","year":"2011","unstructured":"Boulding W, Glickman SW, Manary MP, Schulman KA, Staelin R. Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. Am J Manag Care. 2011;17(1):41-48.","journal-title":"Am J Manag Care"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000409"},{"issue":"7","key":"e_1_3_9_10_2","first-page":"Cd003751","article-title":"Communication skills training for healthcare professionals working with people who have cancer","volume":"7","author":"Moore PM","year":"2018","unstructured":"Moore PM, Rivera S, Bravo-Soto GA, Olivares C, Lawrie TA. Communication skills training for healthcare professionals working with people who have cancer. The Cochrane database of systematic reviews. 2018;7(7):Cd003751.","journal-title":"The Cochrane database of systematic reviews"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5702"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.28607"},{"key":"e_1_3_9_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3474"},{"key":"e_1_3_9_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2005.08.008"},{"key":"e_1_3_9_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-021-02834-1"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12014"},{"key":"e_1_3_9_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-10951-y"},{"key":"e_1_3_9_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2007.05.005"},{"key":"e_1_3_9_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.1996.tb00724.x"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-05496-x"},{"key":"e_1_3_9_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/spc3.12176"},{"key":"e_1_3_9_22_2","doi-asserted-by":"publisher","DOI":"10.1108\/09696470210428840"},{"key":"e_1_3_9_23_2","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S261710"},{"key":"e_1_3_9_24_2","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-18-00711"},{"key":"e_1_3_9_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1411-9"},{"issue":"10","key":"e_1_3_9_26_2","first-page":"748","article-title":"Translation and cultural adaptation of the Communication Assessment Tool (CAT), developing a Danish and Norwegian version","volume":"31","author":"Iversen ED","year":"2019","unstructured":"Iversen ED, Steinsbekk A, Falbe VB, Bangsgaard A, Cold S, Ammentorp J. Translation and cultural adaptation of the Communication Assessment Tool (CAT), developing a Danish and Norwegian version. Int J Qual Health Care. 2019;31(10):748-751.","journal-title":"Int J Qual Health Care"},{"key":"e_1_3_9_27_2","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-13-00347.1"},{"key":"e_1_3_9_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2014.06.021"},{"key":"e_1_3_9_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-06710-0"},{"key":"e_1_3_9_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13187"},{"key":"e_1_3_9_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/14737167.2025.2451749"},{"key":"e_1_3_9_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077558714541480"},{"key":"e_1_3_9_33_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkw060"},{"key":"e_1_3_9_34_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0350"},{"key":"e_1_3_9_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-96"},{"key":"e_1_3_9_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/2374373521998839"},{"key":"e_1_3_9_37_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j4891"},{"key":"e_1_3_9_38_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0280547"},{"key":"e_1_3_9_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-020-00188-4"}],"container-title":["Journal of Patient Experience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23743735261480578","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23743735261480578","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23743735261480578","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T08:16:41Z","timestamp":1787386601000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23743735261480578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":38,"alternative-id":["10.1177\/23743735261480578"],"URL":"https:\/\/doi.org\/10.1177\/23743735261480578","relation":{},"ISSN":["2374-3735","2374-3743"],"issn-type":[{"value":"2374-3735","type":"print"},{"value":"2374-3743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"23743735261480578"}}