{{htmlmetatags>
metatag-keywords=(Soins, Relationnels, Empathie, Communication, Effets, Meta Analyse, 2021-02)
metatag-og:title=(Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis. Howick J, et al, J R Soc Med 2018.)
metatag-description=(Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis. Howick J, et al, J R Soc Med 2018.)
metatag-og:type=article
metatag-article:published_time=2021-02-21
metatag-article:modified_time=2023-05-20
}}
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~~NOTOC~~
{{pmid>addtt:29672201|Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis.}}
{{pmid>addhash_fr:29672201|Soins, Empathie, Communication, Effets, Meta_Analyse}}
====== Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis. Howick J, et al, J R Soc Med 2018. ======
{{tag>Soins Relationnels }}
{{tag>Empathie, Communication, Effets, Meta_Analyse}}
* **Proposé le :** 21/02/2021 12:07:03
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{{tag>Proposé_à_relecture 2021-02 Non_attribué Non_finalisé}}
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===== Résumé et points clés =====
**Background:** Practitioners who enhance how they express empathy and create positive expectations of benefit could improve patient outcomes. However, the evidence in this area has not been recently synthesised.
**Objective:** To estimate the effects of empathy and expectations interventions for any clinical condition.
**Design:** Systematic review and meta-analysis of randomised trials.
**Data sources:** Six databases from inception to August 2017.
**Study selection:** Randomised trials of empathy or expectations interventions in any clinical setting with patients aged 12 years or older.
**Review methods:** Two reviewers independently screened citations, extracted data, assessed risk of bias and graded quality of evidence using GRADE. Random effects model was used for meta-analysis.
**Results:** We identified 28 eligible (n = 6017). In seven trials, empathic consultations improved pain, anxiety and satisfaction by a small amount (standardised mean difference -0.18 [95% confidence interval -0.32 to -0.03]). Twenty-two trials tested the effects of positive expectations. Eighteen of these (n = 2014) reported psychological outcomes (mostly pain) and showed a modest benefit (standardised mean difference -0.43 [95% confidence interval -0.65 to -0.21]); 11 (n = 1790) reported physical outcomes (including bronchial function/ length of hospital stay) and showed a small benefit (standardised mean difference -0.18 [95% confidence interval -0.32 to -0.05]). Within 11 trials (n = 2706) assessing harms, there was no evidence of adverse effects (odds ratio 1.04; 95% confidence interval 0.67 to 1.63). The risk of bias was low. The main limitations were difficulties in blinding and high heterogeneity for some comparisons.
**Conclusions:** Greater practitioner empathy or communication of positive messages can have small patient benefits for a range of clinical conditions, especially pain.
**Protocol registration:** Cochrane Database of Systematic Reviews (protocol) DOI: 10.1002/14651858.CD011934.pub2.
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