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. 2020 Dec 16;159(5):2040–2049. doi: 10.1016/j.chest.2020.11.024

Table 2.

Pretraining and Posttraining Communication Skills

Skill Pretraining (n = 29)
Posttraining (n = 30)
Student t Test/McNemar χ2
Absent Present Absent Present
Agenda setting Mean = 0.46, SD = 0.64 Mean = 0.82, SD = 0.67 t(28) = –1.78
 Declare agenda 20 (71.4%) 8 (28.6%) 9 (30%) 21 (70%) 6.37a
 Invite agenda 25 (86.2%) 4 (13.8%) 26 (86.7%) 4 (13.3%) 0.14
 Negotiate agenda 29 (100%) 0 (0%) 29 (100%) 1 (3.3%) NA
 Take stock 28 (96.6%) 1 (3.4%) 28 (93.3%) 2 (6.7%) 0.33
Checking Mean = 0.45, SD = 0.63 Mean = 0.62, SD = 0.73 t(28) = –1.22
 Check understanding 20 (69%) 9 (31%) 17 (56.7%) 13 (43.3%) 1.33
 Check preference 25 (86.2%) 4 (13.8%) 25 (83.3%) 5 (16.7%) 0.33
Questioning Mean = 2.38, SD = 0.98 Mean = 2.52, SD = 1.15 t(28) = –0.52
 Ask open questions 2 (6.9%) 27 (93.1%) 4 (13.3%) 26 (86.7%) 0.33
 Clarify 15 (51.7%) 14 (48.3%) 16 (53.3%) 14 (46.7%) 0.07
 Restate 23 (79.3%) 6 (20.7%) 21 (70%) 9 (30%) 0.69
 Endorse question asking 24 (82.8%) 5 (17.2%) 23 (76.7%) 7 (23.3%) 0.14
 Invite questions 12 (41.4%) 17 (58.6%) 11 (36.7%) 19 (63.3%) 0.29
Information organization Mean = 1.10, SD = 0.72 Mean = 1.17, SD = 0.80 t(28) = –0.35
 Preview 27 (93.1%) 2 (6.9%) 25 (83.3%) 5 (16.7%) 1.80
 Summarize 24 (82.8%) 5 (17.2%) 27 (90%) 3 (10%) 0.67
 Transition 18 (62.1%) 11 (37.9%) 17 (56.7%) 13 (43.3%) 0.22
 Review next steps 15 (51.7%) 14 (48.3%) 17 (56.7%) 13 (43.3%) 0.08
Empathic communication Mean = 1.79, SD = 1.37 Mean = 2.55, SD = 1.38 t(28) = –2.37a
 Encourage expression of feelings 18 (62.1%) 11 (37.9%) 20 (66.7%) 10 (33.3%) 0.11
 Acknowledge 17 (56.7%) 12 (41.4%) 11 (36.7%) 19 (63.3%) 5.44a
 Validate 15 (51.7%) 14 (48.3%) 14 (46.7%) 16 (53.3%) 0.33
 Normalize 22 (75.9%) 7 (24.1%) 19 (63.3%) 11 (36.7%) 1.33
 Praise patient efforts 21 (72.4%) 8 (27.6%) 12 (40%) 18 (60%) 6.25a
Stigma-mitigating skills Mean = 0.55, SD = 0.57 Mean = 1.17, SD = 0.76 t(28) = –3.88b
 Provide rationale 14 (48.3%) 15 (51.7%) 5 (16.7%) 25 (83.3%) 7.36c
 Prepare patient for recurring smoking questions 28 (96.6%) 1 (3.4%) 21 (70%) 9 (30%) 6.40a
 Suggest counterarguments 29 (100%) 0 (0%) 29 (96.7%) 1 (3.3%) NA
Breadth of skills (total) Mean = 6.75, SD = 2.61 Mean = 8.93, SD = 3.34 t(28) = –2.91c

The Student t test was used for skill categories, and the McNemar test was used for individual skills. Agenda setting, checking, questioning, information organization, empathic communication, stigma-mitigating skills, and breadth of skills (total) were skill categories with sum of skills in respective categories. Boldface highlights scores for skill categories and not individual skills. NA = not applicable.

a

P < .05.

b

P < .001.

c

P < .01.