On-site communication skills education increases client-centered communication in four companion animal practices.

OBJECTIVE To evaluate veterinarian-client communication before and after a 15-month on-site communication skills training intervention. PROCEDURES Multipractice, pretest-posttest intervention study. SAMPLE A convenience sample of 4 companion animal practices owned by a single practice group in Austin, Texas (n = 9 veterinarians; 170 audio recordings). RESULTS After intervention, visits were 8 minutes longer (P = .005), and veterinarians' client-centered scores increased significantly (2.30 vs 2.72; P = .006). Veterinarians' biomedical questions decreased by nearly a third (P = .0007), while veterinarians' facilitation (ie, partnership-building) statements were 1.15 times as great (P = .04) after intervention due to an increase in asking for the client's opinion (P = .03) and use of back-channel statements (P = .01). Agenda-setting skills, including agenda-setting questions (P = .009), summary of the client's agenda (P = < .0001), and a check for remaining concerns (P = .013), increased significantly after intervention. Clients asked 1.9 times as many lifestyle-social related questions (P = .02) and provided 1.3 times as much lifestyle-social information (P = .0004) after the intervention. Additionally, clients offered 1.4 times as many emotion-handling statements (P = .0001), including showing concern (P = .03) and optimism, reassurance, or encouragement (P < .0001), after intervention. Paraverbally, clients presented as more anxious/nervous (P = .03) and emotionally distressed/upset (P = .02) after the intervention. CLINICAL RELEVANCE Results suggest that client-centered communication skills increased after intervention. This study builds upon previous case-based studies examining practice-based communication training, emphasizing that long-term interventions positively enhance veterinarian-client communication, which is likely to have a positive impact on client and patient care.

[1]  J. Coe,et al.  Veterinary technicians contribute to shared decision-making during companion animal veterinary appointments. , 2022, Journal of the American Veterinary Medical Association.

[2]  J. Coe,et al.  On-site communication skills education increases appointment-specific client satisfaction in four companion animal practices in Texas. , 2022, Journal of the American Veterinary Medical Association.

[3]  T. O’Sullivan,et al.  Pet owners' and companion animal veterinarians' perceptions of weight-related veterinarian-client communication. , 2022, Journal of the American Veterinary Medical Association.

[4]  A. Tipold,et al.  Interprofessional survey on communication skills in veterinary and veterinary-related education in Germany , 2021, BMC medical education.

[5]  T. Bernardo,et al.  Pet owners’ and veterinarians’ perceptions of information exchange and clinical decision-making in companion animal practice , 2021, PloS one.

[6]  J. Kramer,et al.  Development of Advanced Veterinary Nursing Degrees: Rising Interest Levels for Careers as Advanced Practice Registered Veterinary Nurses. , 2020, Journal of veterinary medical education.

[7]  K. Bonvicini,et al.  Investigation of the effects of a practice-level communication training program on veterinary health-care team members' communication confidence, client satisfaction, and practice financial metrics. , 2019, Journal of the American Veterinary Medical Association.

[8]  S. Wolf,et al.  The Flipped Classroom: A Critical Appraisal , 2019, The western journal of emergency medicine.

[9]  C. Adams,et al.  Comparison of veterinarian and standardized client perceptions of communication during euthanasia discussions. , 2019, Journal of the American Veterinary Medical Association.

[10]  R. Merle,et al.  Being Nice Is Not Enough-Exploring Relationship-Centered Veterinary Care With Structural Equation Modeling. A Quantitative Study on German Pet Owners' Perception , 2019, Front. Vet. Sci..

[11]  Chi Baik,et al.  Expectations of Graduate Communication Skills in Professional Veterinary Practice. , 2017, Journal of veterinary medical education.

[12]  A. Hill,et al.  Outcomes assessment of on-site communication skills education in a companion animal practice. , 2016, Journal of the American Veterinary Medical Association.

[13]  M. McArthur,et al.  Evaluation of a Communication Skills Training Program for Companion-Animal Veterinarians: A Pilot Study Using RIAS Coding. , 2016, Journal of veterinary medical education.

[14]  M. Mcdermott,et al.  Veterinarian-Client Communication Skills: Current State, Relevance, and Opportunities for Improvement. , 2015, Journal of veterinary medical education.

[15]  Debbie L Stoewen,et al.  Qualitative study of the communication expectations of clients accessing oncology care at a tertiary referral center for dogs with life-limiting cancer. , 2014, Journal of the American Veterinary Medical Association.

[16]  S. Baillie,et al.  A survey of the opinions of recent veterinary graduates and employers regarding early career business skills , 2013, Veterinary Record.

[17]  D. Roter,et al.  Veterinarian satisfaction with companion animal visits. , 2012, Journal of the American Veterinary Medical Association.

[18]  C. Adams,et al.  Effect of veterinarian-client-patient interactions on client adherence to dentistry and surgery recommendations in companion-animal practice. , 2012, Journal of the American Veterinary Medical Association.

[19]  D. Shaw,et al.  The transition into veterinary practice: Opinions of recent graduates and final year students , 2011, BMC medical education.

[20]  C. Adams,et al.  Analysis of solicitation of client concerns in companion animal practice. , 2011, Journal of the American Veterinary Medical Association.

[21]  C. Manser,et al.  Perceptions of clients and veterinarians on what attributes constitute ‘a good vet’ , 2011, Veterinary Record.

[22]  C. Adams,et al.  Use of the measure of patient-centered communication to analyze euthanasia discussions in companion animal practice. , 2010, Journal of the American Veterinary Medical Association.

[23]  A. Hill,et al.  Communication skills education onsite in a veterinary practice. , 2010, Patient education and counseling.

[24]  D. Roter,et al.  Veterinarian-client-patient communication during wellness appointments versus appointments related to a health problem in companion animal practice. , 2008, Journal of the American Veterinary Medical Association.

[25]  C. Adams,et al.  A focus group study of veterinarians' and pet owners' perceptions of veterinarian-client communication in companion animal practice. , 2008, Journal of the American Veterinary Medical Association.

[26]  Phillip M. Crawford,et al.  Impact of the owner-pet and client-veterinarian bond on the care that pets receive. , 2008, Journal of the American Veterinary Medical Association.

[27]  Jocelyn Lockyer,et al.  A meta‐analysis of continuing medical education effectiveness , 2007, The Journal of continuing education in the health professions.

[28]  D. Roter,et al.  Veterinarian-client-patient communication patterns used during clinical appointments in companion animal practice. , 2006, Journal of the American Veterinary Medical Association.

[29]  C. Waldner,et al.  Evaluation of client compliance with short-term administration of antimicrobials to dogs. , 2005, Journal of the American Veterinary Medical Association.

[30]  N. Powe,et al.  Patient race/ethnicity and quality of patient-physician communication during medical visits. , 2004, American journal of public health.

[31]  D. Roter,et al.  Use of the roter interaction analysis system to analyze veterinarian-client-patient communication in companion animal practice. , 2004, Journal of the American Veterinary Medical Association.

[32]  C. Adams,et al.  What can veterinarians learn from studies of physician-patient communication about veterinarian-client-patient communication? , 2004, Journal of the American Veterinary Medical Association.

[33]  Debra L Roter,et al.  Use of an innovative video feedback technique to enhance communication skills training , 2004, Medical education.

[34]  Debra L Roter,et al.  Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race , 2003, Annals of Internal Medicine.

[35]  D. Roter,et al.  Mechanisms behind the failure of residents' longitudinal primary care to promote disclosure and discussion of psychosocial issues. , 2002, Archives of pediatrics & adolescent medicine.

[36]  F. Lang,et al.  Sequenced questioning to elicit the patient's perspective on illness: effects on information disclosure, patient satisfaction, and time expenditure. , 2002, Family medicine.

[37]  D. Roter,et al.  The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. , 2002, Patient education and counseling.

[38]  C. Adams,et al.  Predictors of owner response to companion animal death in 177 clients from 14 practices in Ontario. , 2000, Journal of the American Veterinary Medical Association.

[39]  M. Stewart,et al.  Communication patterns of primary care physicians. , 1997, JAMA.

[40]  J. Brown.  Patient-centred medicine: Transforming the clinical method , 1998 .

[41]  J. Coe.  Communication during veterinarian-client-patient interactions in companion animal practice , 2008 .

[42]  C. Adams,et al.  Professional and veterinary competencies: addressing human relations and the human-animal bond in veterinary medicine. , 2004, Journal of veterinary medical education.

[43]  Christine Hughes Mcsp BPhil.  Teaching and Learning Communication Skills in Medicine , 1999 .

[44]  M. Stewart,et al.  Patient-Centred Interviewing Part III: Five Provocative Questions. , 1989, Canadian family physician Medecin de famille canadien.

[45]  V. Kellogg,et al.  Opportunity , 1999, Prehospital and Disaster Medicine.