Effects of a communication course for clinicians on parents' perception of care - a randomized controlled trial

Introduction: In paediatric care, it is a great challenge to make sure that all parties feel involved and heard, they all have had the opportunity to take part in the decisions and all the participants experienced that their expectations to the consultation are fulfilled. Previous research in communication skills training has primarily focused on the behavioural changes of clinicians, and only few studies have investigated the effect from the perspective of the user. Method: A randomized controlled trial including medical doctors and nurses from paediatric outpatients' clinics was carried out. The intervention group completed a 5-day communication course, whereas the control group had no intervention. The intervention was evaluated using questionnaires measuring parents' perception of the communication and their satisfaction. The questionnaires were filled out by parents to children consulting a clinician in the outpatient's clinic. Results: Before the intervention, 75% (314/419) answered the questionnaire and 65% (271/419) were included in the precourse analysis. After the intervention, 68% (946/1395) answered the questionnaire and 55% (764/1395) were included in the postcourse analysis. There were no significant differences between the satisfaction of parents visiting clinicians from the intervention group and those visiting clinicians from the control group; however, the proportion of parents who had a positive perception of the communication was up to 9.8% higher in the intervention group compared with the control group. For example: 'the clinician told my child what he/she could do in order to feel better'. Discussion: Although no statistically significant differences were found, the study indicates that parents who had visited a clinician from the intervention group have experienced the communication as more positive.