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All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust

Trust in the oncologist is crucial for breast cancer patients. It reduces worry, enhances decision making, and stimulates adherence. Optimal nonverbal communication by the oncologist, particularly eye contact, body posture, and smiling, presumably benefits patients’ trust. We were the first to exper...

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Autores principales: Hillen, Marij A., de Haes, Hanneke C. J. M., van Tienhoven, Geertjan, Bijker, Nina, van Laarhoven, Hanneke W. M., Vermeulen, Daniëlle M., Smets, Ellen M. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536267/
https://www.ncbi.nlm.nih.gov/pubmed/26227472
http://dx.doi.org/10.1007/s10549-015-3486-0
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author Hillen, Marij A.
de Haes, Hanneke C. J. M.
van Tienhoven, Geertjan
Bijker, Nina
van Laarhoven, Hanneke W. M.
Vermeulen, Daniëlle M.
Smets, Ellen M. A.
author_facet Hillen, Marij A.
de Haes, Hanneke C. J. M.
van Tienhoven, Geertjan
Bijker, Nina
van Laarhoven, Hanneke W. M.
Vermeulen, Daniëlle M.
Smets, Ellen M. A.
author_sort Hillen, Marij A.
collection PubMed
description Trust in the oncologist is crucial for breast cancer patients. It reduces worry, enhances decision making, and stimulates adherence. Optimal nonverbal communication by the oncologist, particularly eye contact, body posture, and smiling, presumably benefits patients’ trust. We were the first to experimentally examine (1) how the oncologist’s nonverbal behavior influences trust, and (2) individual differences in breast cancer patients’ trust. Analogue patients (APs) viewed one out of eight versions of a video vignette displaying a consultation about chemotherapy treatment. All eight versions varied only in the oncologist’s amount of eye contact (consistent vs. inconsistent), body posture (forward leaning vs. varying), and smiling (occasional smiling vs. no smiling). Primary outcome was trust in the observed oncologist (Trust in Oncologist Scale). 214 APs participated. Consistent eye contact led to stronger trust (β = −.13, p = .04). This effect was largely explained by lower educated patients, for whom the effect of consistent eye contact was stronger than for higher educated patients (β = .18, p = .01). A forward leaning body posture did not influence trust, nor did smiling. However, if the oncologist smiled more, he was perceived as more friendly (r (s) = .31, p < .001) and caring (r (s) = .18, p = .01). Older (β = .17, p = .01) and lower educated APs (β = −.25, p < .001) were more trusting. Trust was weaker for more avoidantly attached APs (β = −.16, p = .03). We experimentally demonstrated the importance of maintaining consistent eye contact for breast cancer patients’ trust, especially among lower educated patients. These findings need to be translated into training for oncologists in how to optimize their nonverbal communication with breast cancer patients while simultaneously managing increased time pressure and computer use during the consultation. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10549-015-3486-0) contains supplementary material, which is available to authorized users.
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spelling pubmed-45362672015-08-20 All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust Hillen, Marij A. de Haes, Hanneke C. J. M. van Tienhoven, Geertjan Bijker, Nina van Laarhoven, Hanneke W. M. Vermeulen, Daniëlle M. Smets, Ellen M. A. Breast Cancer Res Treat Clinical Trial Trust in the oncologist is crucial for breast cancer patients. It reduces worry, enhances decision making, and stimulates adherence. Optimal nonverbal communication by the oncologist, particularly eye contact, body posture, and smiling, presumably benefits patients’ trust. We were the first to experimentally examine (1) how the oncologist’s nonverbal behavior influences trust, and (2) individual differences in breast cancer patients’ trust. Analogue patients (APs) viewed one out of eight versions of a video vignette displaying a consultation about chemotherapy treatment. All eight versions varied only in the oncologist’s amount of eye contact (consistent vs. inconsistent), body posture (forward leaning vs. varying), and smiling (occasional smiling vs. no smiling). Primary outcome was trust in the observed oncologist (Trust in Oncologist Scale). 214 APs participated. Consistent eye contact led to stronger trust (β = −.13, p = .04). This effect was largely explained by lower educated patients, for whom the effect of consistent eye contact was stronger than for higher educated patients (β = .18, p = .01). A forward leaning body posture did not influence trust, nor did smiling. However, if the oncologist smiled more, he was perceived as more friendly (r (s) = .31, p < .001) and caring (r (s) = .18, p = .01). Older (β = .17, p = .01) and lower educated APs (β = −.25, p < .001) were more trusting. Trust was weaker for more avoidantly attached APs (β = −.16, p = .03). We experimentally demonstrated the importance of maintaining consistent eye contact for breast cancer patients’ trust, especially among lower educated patients. These findings need to be translated into training for oncologists in how to optimize their nonverbal communication with breast cancer patients while simultaneously managing increased time pressure and computer use during the consultation. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10549-015-3486-0) contains supplementary material, which is available to authorized users. Springer US 2015-07-31 2015 /pmc/articles/PMC4536267/ /pubmed/26227472 http://dx.doi.org/10.1007/s10549-015-3486-0 Text en © The Author(s) 2015 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Clinical Trial
Hillen, Marij A.
de Haes, Hanneke C. J. M.
van Tienhoven, Geertjan
Bijker, Nina
van Laarhoven, Hanneke W. M.
Vermeulen, Daniëlle M.
Smets, Ellen M. A.
All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust
title All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust
title_full All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust
title_fullStr All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust
title_full_unstemmed All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust
title_short All eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust
title_sort all eyes on the patient: the influence of oncologists’ nonverbal communication on breast cancer patients’ trust
topic Clinical Trial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536267/
https://www.ncbi.nlm.nih.gov/pubmed/26227472
http://dx.doi.org/10.1007/s10549-015-3486-0
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