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Changes in the communicative skills of young people as a result of a communication training

Alterações das habilidades comunicativas de adolescentes como resultado de um treinamento em comunicação

ABSTRACT

Purpose

To analyze the effect of communication training developed for adolescents on the youth’s communication skills.

Methods

Forty-one young people participated in the study and were divided into two groups. Group I received intervention - communication training for five weeks; Group II - were guided on the importance of voice for communication. Participants had their communication skills assessed before/after interventions through a self-administered questionnaire, answered by the participant and parents. Both groups had oral presentations recorded on video, which were analyzed by speech therapists through the evaluation of the communication profile, listing the aspects that should be observed as a point of strength/opportunity for improvement. Association between qualitative variables was assessed using Fischer’s exact test, Pearson’s chi-square test, McNemar’s test, and McNemar-Bowker’s test. To compare groups, paired t-test and t-test for independent samples, p level <0.05, were used.

Results

The analysis of questionnaires showed improvement in GI in two of the four skills assessed and no difference for GII. The video evaluations showed a significant difference between the groups in terms of eye contact and speech velocity.

Conclusion

This study points out that the communication training method applied to young people might improve communicative skills, providing some insights into their communication strengths and potential areas for development.

Keywords:
Communication; Communication Course; Teenagers; Training; Skills

RESUMO

Objetivo

Analisar o efeito de um treinamento em comunicação desenvolvido para adolescentes nas habilidades comunicativas dos jovens.

Método

Quarenta e um jovens participaram do estudo divididos em dois grupos. Grupo I – treinamento de comunicação por duas semanas; Grupo II – palestra sobre importância da voz. Os participantes tiveram suas habilidades comunicativas avaliadas antes e após as intervenções mediante questionário autoaplicado respondido pelos jovens e seus pais. Ambos os grupos tiveram apresentações orais gravadas antes e após as intervenções, que foram avaliadas por fonoaudiólogos através de questionário, listando características da comunicação. A associação entre variáveis qualitativas foi verificada usando teste exato de Fisher, qui-quadrado de Pearson, teste de McNemar e teste de McNemar-Bowker. Para comparação entre os grupos, foram usados teste t para amostras pareadas e teste t para amostras independentes com nível de significância de 95%.

Resultados

A análise dos questionários mostrou melhora do Grupo I em duas das quatro habilidades avaliadas, não havendo diferença no Grupo II. A avalição dos vídeos mostrou diferença significativa entre os grupos no contato visual e na velocidade da fala.

Conclusão

O estudo mostrou que o método de treinamento de comunicação aplicado aos jovens, melhorou habilidades comunicativas, fornecendo autoconhecimento sobre seus pontos fortes e pontos que podem ser melhorados.

Descritores:
Comunicação; Curso de Comunicação; Adolescentes; Treinamento; Habilidades

INTRODUCTION

A communication skill is the decoding of the meaning of sent and received messages, establishing a plan of thought that is adequate and consistent with the communicator’s needs. It is a process of understanding and sharing messages sent and received that influence the individuals’ behavior, contributing to people being constantly involved in an interactional field(11 Stefanelli MC [Internet]. A comunicação nos diferentes contextos da enfermagem. Santana de Parnaíba: Manole; 2005 [cited 2022 Aug 28]. Série Enfermagem. Available from: https://books.google.com.br/books?id=QBSqQwAACAAJ
https://books.google.com.br/books?id=QBS...
).

Communication skills are one of the most important soft skills and are observed and developed from the visual, auditory, and kinesthetic communication channels. People who develop such skills are known as competent communicators. They are usually described as someone able to choose and adequately perform a wide range of behaviors, to see the perspectives of other individuals, besides being committed to important relationships(22 Puntis M. Skills for communicating with patients (2nd edn). Ann R Coll Surg Engl. 2006;88(1):85-6. http://dx.doi.org/10.1308/rcsann.2006.88.1.85.
http://dx.doi.org/10.1308/rcsann.2006.88...
). Consequently, good oral communication skills will improve social skills such as giving and receiving feedback(33 Shuman LJ, Besterfield-Sacre M, McGourty J. The ABET “professional skills” - can they be taught? Can they be assessed? J Eng Educ. 2005;94(1):41-55. http://dx.doi.org/10.1002/j.2168-9830.2005.tb00828.x.
http://dx.doi.org/10.1002/j.2168-9830.20...
).

On the other hand, the lack of communication skills reduces the expressiveness of public speech(44 Vasconcellos LR. Estudo comparativo dos comportamentos relacionais e comunicacionais entre pessoas tímidas e não-tímidas [thesis]. São Paulo: Universidade de São Paulo; 2005.). When speaking in public, shy people usually have somatic symptoms, such as facial flushing, tremors, palpitations, and dry mouth(55 Araújo ÁC, Lotufo F No. A nova classificação americana para os transtornos mentais: o DSM-5. Rev Bras Ter Comport Cogn. 2014;16(1):67-82. http://dx.doi.org/10.31505/rbtcc.v16i1.659.
http://dx.doi.org/10.31505/rbtcc.v16i1.6...
). They also present altered nonverbal aspects of communication, such as a lack of voice projection, reduced voice volume, accelerated speech rate, lack of eye contact with the interlocutor, restrained behavior, withdrawn gestures, and tense posture(44 Vasconcellos LR. Estudo comparativo dos comportamentos relacionais e comunicacionais entre pessoas tímidas e não-tímidas [thesis]. São Paulo: Universidade de São Paulo; 2005.,66 Axia GA. Timidez: um dote precioso do patrimônio genético humano. São Paulo: Loyola Paulinas; 2003. 175 p.,77 Heiser NA, Turner SM, Beidel DC, Roberson-Nay R. Differentiating social phobia from shyness. J Anxiety Disord. 2009;23(4):469-76. http://dx.doi.org/10.1016/j.janxdis.2008.10.002. PMid:19028075.
http://dx.doi.org/10.1016/j.janxdis.2008...
). Another study concluded that shy students participate less in activities in public, are less likely to volunteer, and feel more inhibited than students who are not shy(88 Crozier WR. Shyness and students’ perceptions of seminars. Psychol Learn Teach. 2005;4(1):27-34. http://dx.doi.org/10.2304/plat.2004.4.1.27.
http://dx.doi.org/10.2304/plat.2004.4.1....
).

In the authors’ experience over 35 years, we observed that a significant number of adult clients identified themselves as shy. They reported their difficulties in speaking in public and communicating with their peers since adolescence and have the perspective that those difficulties impaired their performance at their current work. When they did not refer to themselves, they always talked about someone close, such as brothers or best friends at school. Systematically, people sighed: “Oh, if only I had had the opportunity to learn about personal and communication skills when I was a teenager!”

Communication skills are not just a personal trait; they are a series of modifiable skills that can be developed so that the individual becomes a better communicator(99 Doyle D, Copeland HL, Bush D, Stein L, Thompson S. A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance. Patient Educ Couns. 2011;82(1):100-9. http://dx.doi.org/10.1016/j.pec.2010.02.013. PMid:20303230.
http://dx.doi.org/10.1016/j.pec.2010.02....
). So, individuals with communication difficulties can communicate better after participation in communication training courses(1010 Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy: a randomized controlled trial. Patient Educ Couns. 2007;66(3):270-7. http://dx.doi.org/10.1016/j.pec.2006.12.012. PMid:17337337.
http://dx.doi.org/10.1016/j.pec.2006.12....

11 Berkhof M, van Rijssen HJ, Schellart AJM, Anema JR, van der Beek AJ. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns. 2011;84(2):152-62. http://dx.doi.org/10.1016/j.pec.2010.06.010. PMid:20673620.
http://dx.doi.org/10.1016/j.pec.2010.06....
-1212 Bragard I, Etienne AM, Merckaert I, Libert Y, Razavi D. Efficacy of a communication and stress management training on medical residents’ self-efficacy, stress to communicate and burnout: a randomized controlled study. J Health Psychol. 2010;15(7):1075-81. http://dx.doi.org/10.1177/1359105310361992. PMid:20453053.
http://dx.doi.org/10.1177/13591053103619...
). This procedure is used to ensure better interaction between people. Practical and theoretical training can lead to meaningful learning(1313 Parry R. Are interventions to enhance communication performance in allied health professionals effective, and how should they be delivered? Direct and indirect evidence. Patient Educ Couns. 2008;73(2):186-95. http://dx.doi.org/10.1016/j.pec.2008.05.029. PMid:18768287.
http://dx.doi.org/10.1016/j.pec.2008.05....
).

A training course is a known and reliable method for improving communication skills between individuals in many aspects of their lives. For example, training for nurses in communication led to the acquisition of skills to establish better and more effective communication with the patient and other members of the medical team during nursing education. So, they can experience these later in practice in a clinical setting(1313 Parry R. Are interventions to enhance communication performance in allied health professionals effective, and how should they be delivered? Direct and indirect evidence. Patient Educ Couns. 2008;73(2):186-95. http://dx.doi.org/10.1016/j.pec.2008.05.029. PMid:18768287.
http://dx.doi.org/10.1016/j.pec.2008.05....
).

Several other communication skill training initiatives with positive results have been recorded in the literature(1414 Khodadadi E, Ebrahimi H, Moghaddasian S, Babapour J. The effect of communication skills training on quality of care, self-efficacy, job satisfaction and communication skills rate of nurses in hospitals of Tabriz, Iran. J Caring Sci. 2013;2(1):27-37. PMid:25276707.,1515 Nørgaard B, Ammentorp J, Kyvik KO, Kofoed PE. Communication skills training increases self-efficacy of health care professionals. J Contin Educ Health Prof. 2012;32(2):90-7. http://dx.doi.org/10.1002/chp.21131. PMid:22733636.
http://dx.doi.org/10.1002/chp.21131...
). However, they are available only for adults. Additionally, except for the training of doctors and nurses previously mentioned(33 Shuman LJ, Besterfield-Sacre M, McGourty J. The ABET “professional skills” - can they be taught? Can they be assessed? J Eng Educ. 2005;94(1):41-55. http://dx.doi.org/10.1002/j.2168-9830.2005.tb00828.x.
http://dx.doi.org/10.1002/j.2168-9830.20...
,1111 Berkhof M, van Rijssen HJ, Schellart AJM, Anema JR, van der Beek AJ. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns. 2011;84(2):152-62. http://dx.doi.org/10.1016/j.pec.2010.06.010. PMid:20673620.
http://dx.doi.org/10.1016/j.pec.2010.06....
,1313 Parry R. Are interventions to enhance communication performance in allied health professionals effective, and how should they be delivered? Direct and indirect evidence. Patient Educ Couns. 2008;73(2):186-95. http://dx.doi.org/10.1016/j.pec.2008.05.029. PMid:18768287.
http://dx.doi.org/10.1016/j.pec.2008.05....
,1414 Khodadadi E, Ebrahimi H, Moghaddasian S, Babapour J. The effect of communication skills training on quality of care, self-efficacy, job satisfaction and communication skills rate of nurses in hospitals of Tabriz, Iran. J Caring Sci. 2013;2(1):27-37. PMid:25276707.), no other studies were found to present the results of these training initiatives. It is necessary to build a bridge of knowledge with references about young people and their communication difficulties, considering the psychological aspects, which are quite peculiar to this age group. No detailed description of a method for training youth communication was found in the literature. Therefore, there is a need to develop and analyze the effects of a proposal for training youth communication because, at that age, the possibilities for learning are entirely open.

The method was created to provide young people with a good understanding of their communication difficulties and how to overcome them.

It is known that shyness is considered a common trait of the human personality, manifested by cognitive, somatic, and behavioral symptoms(66 Axia GA. Timidez: um dote precioso do patrimônio genético humano. São Paulo: Loyola Paulinas; 2003. 175 p.,1616 Vahedi S. The factor structure of the revised cheek and buss shyness scale in an undergraduate university sample. Iran J Psychiatry. 2011;6(1):19-24. PMid:22952516.), and is not considered a pathology(55 Araújo ÁC, Lotufo F No. A nova classificação americana para os transtornos mentais: o DSM-5. Rev Bras Ter Comport Cogn. 2014;16(1):67-82. http://dx.doi.org/10.31505/rbtcc.v16i1.659.
http://dx.doi.org/10.31505/rbtcc.v16i1.6...
,66 Axia GA. Timidez: um dote precioso do patrimônio genético humano. São Paulo: Loyola Paulinas; 2003. 175 p.,1616 Vahedi S. The factor structure of the revised cheek and buss shyness scale in an undergraduate university sample. Iran J Psychiatry. 2011;6(1):19-24. PMid:22952516.). Studies indicate that shyness is prevalent in young university students who participate in only a few public speaking activities, are afraid to speak in public, report to speak with low intensity, and cannot use their hands naturally during public presentations(1717 Marinho ACF, Medeiros AM, Pantuza JJ, Teixeira LC. Self-perception of shyness and its relation to aspects of public speaking. CoDAS. 2020;32(5):e20190097. http://dx.doi.org/10.1590/2317-1782/20202019097. PMid:33053085.
http://dx.doi.org/10.1590/2317-1782/2020...
).

Nonverbal aspects in communication such as voice, speech rate, gestures, or facial expressions directly influence speech(1818 Santos TD, Pedrosa V, Behlau M. Comparação dos atendimentos fonoaudiológicos virtual e presencial em profissionais do telejornalismo. Rev CEFAC. 2015;17(2):385-95. http://dx.doi.org/10.1590/1982-0216201512814.
http://dx.doi.org/10.1590/1982-021620151...
) and give meaning to what is said(1818 Santos TD, Pedrosa V, Behlau M. Comparação dos atendimentos fonoaudiológicos virtual e presencial em profissionais do telejornalismo. Rev CEFAC. 2015;17(2):385-95. http://dx.doi.org/10.1590/1982-0216201512814.
http://dx.doi.org/10.1590/1982-021620151...
,1919 Borrego MC, Gasparini G, Behlau M. The effects of a specific speech and language training program on students of a radio announcing course. J Voice. 2007;21(4):426-32. http://dx.doi.org/10.1016/j.jvoice.2006.03.003. PMid:16647246.
http://dx.doi.org/10.1016/j.jvoice.2006....
).

Therefore, the objective of this work is to analyze the effect of the training on communication skills in young people.

METHODS

This study was carried out according to the World Medical Association’s Declaration of Helsinki for experiments involving humans. It was approved by the Human Research Ethics Committee of the Instituto de Gestão Estratégica do Distrito Federal (CAAE: 38435020.9.0000.8153; opinion 4.355.357). All participants and their guardians read and signed the consent and/or assent form.

All participants were recruited from a private school in Planaltina - DF - Brazil, through an invitation made by the school’s coordination to the groups of mothers, fathers, or guardians of young people in the age group included in the study.

The inclusion criteria were the age group of 13 to 21 years old of both genders. Individuals diagnosed with communication disorders or with evident disorders in communication such as stuttering, autism, Asperger syndrome, mental disability, and who have impaired communication due to a clinical condition were excluded from the research. However, no participant met the exclusion criteria.

The sample was initially composed of 60 young people of school age with an average age between 13 and 17 years old. They were allocated through simple randomization into two groups: Group I (GI) - 30 young people who received the communication training intervention; and Group II (GII) - 30 young people who watched lectures on the importance of the voice in communication. Interventions in both groups were performed by the same speech therapist, always after their regular activities. The interventions carried out in GI and GII are discussed, respectively.

Nineteen students did not complete all the stages of the study, and they were excluded. As a result, GI had a total of 20 subjects, and GII had 21 subjects. The allocation randomization was carried out by a draw from an opaque white envelope, which contained 30 pieces of paper with “I” written on them and 30 written papers with “II.” The researcher carried out the draw after the initial evaluation according to the inclusion criteria. So, the number designated the group in which the subject would participate. The name of the participant, the allocation group, and the identification code were recorded in an Excel® spreadsheet by one assistant.

Training, lectures, and data collection were carried out on the school premises. Before beginning the research, a meeting was held with all parents to present the objective of the research and the expected results. For the application of the selection criteria, an interview was held with the parents or guardians. At that moment, the questionnaire, the terms of consent, terms of assent, and image rights use authorization were presented.

Communication Skills Training - GI -The method used consisted of training in social presentation activities, public speaking, improvised speech, perception of the importance of the voice, expressiveness, and communicative attitudes. The training also proposes practical activities and exercises in pairs and groups. Communication Skills Training lasted 16 hours over five weeks, with five classes of three hours each. Before the training, a meeting was held with the parents to present the project and guidelines. The description of the training plan sessions regarding the objectives/theme of each meeting can be seen in Table 1.

Table 1
Theme/objective of each meeting during the training

Guidance on the importance of the voice in communication - GII- This intervention is a lecture on the importance of the voice in communication and tongue vibration exercises and was used as a “placebo.” During the five-week training period, this group continued to perform their usual daily activities. The participants in this GII received communication training after data collection.

The outcomes were analyzed by a self-assessment questionnaire applied to the participants. A similar questionnaire was applied to the parents to evaluate their perception of their children’s communication skills. An oral presentation recorded on video before and after the intervention was used to evaluate the communication profile of the participants.

The questionnaire applied was a version translated and cross-culturally adapted to the Portuguese language of the “Interpersonal Communication Skills Inventory”(2020 Axboe MK, Christensen KS, Kofoed PE, Ammentorp J. Development and validation of a self-efficacy questionnaire (SE-12) measuring the clinical communication skills of health care professionals. BMC Med Educ. 2016;16(1):272. http://dx.doi.org/10.1186/s12909-016-0798-7. PMid:27756291.
http://dx.doi.org/10.1186/s12909-016-079...
). It is a self-administered questionnaire that has 40 items called “Interpersonal Communication Skills Inventory”(2020 Axboe MK, Christensen KS, Kofoed PE, Ammentorp J. Development and validation of a self-efficacy questionnaire (SE-12) measuring the clinical communication skills of health care professionals. BMC Med Educ. 2016;16(1):272. http://dx.doi.org/10.1186/s12909-016-0798-7. PMid:27756291.
http://dx.doi.org/10.1186/s12909-016-079...
). In addition to the translation into Portuguese, the back translation was carried out by a native speaker of the English language and then translated back into Portuguese. The response categories of the instruments are: “frequently,” “sometimes,” and “rarely.” The answers were scored on a Likert scale from 0 to 3. The items are divided into four sections, with ten questions each, which assess the following skills: I - the ability to send a clear message; II - the ability to listen; III - the ability to give and receive feedback; IV - the ability to deal with emotions. The guardians of the young people from both GI and GII answered the parental assessment questionnaires at the same time as the participants’ self-assessment, before and after the training.

The recorded oral presentation consisted of the reproduction of a short story of one-minute duration, which was previously read. The story of the first presentation was different from the story of the second presentation. The oral presentation was recorded on video by a portable Sony® camcorder. The videos were arranged in pairs and randomized as to the moment of evaluation and the type of intervention to blind the evaluators’ judgment. To evaluate the videos, three speech therapists specialized in voice were selected. They did the evaluation by filling in an objective form about the aspects of communication: voice quality, diction, body and facial expressiveness, communicative attitudes, feet tension, and body tension. The videos were sent randomly in a USB encrypted pen drive and numbered by pairs A and B, from 1 to 50.

The data were analyzed in a descriptive and inferential manner. The SPSS 25.0 software was used. The description of the qualitative nominal variables was carried out by relative frequency and percentage frequency. The quantitative variables were described using measures of variability (standard deviation), central tendency (mean and median), and position (minimum, maximum, first quartile, and third quartile).

The inferential analysis of the association between the qualitative nominal variables of two categories and the independent groups was performed with Fisher’s Exact Test and that of the multiple categories and independent groups, with Pearson’s chi-squared test. The association between the qualitative nominal variables of two categories and the dependent groups was carried out with the McNemar’s test, and the multiple categories and dependent groups were performed using the McNemar-Bowker test. The associations were tested for the variables of body posture, feet position, diction, voice, intonation, speed, pauses, head movement and look before and after the intervention.

The quantitative variables went through an analysis of the homogeneity of the distribution using the Shapiro Wilk test, and all of them obtained normal distribution. The comparison between the two intervention groups was performed with the Independent T-Test, and the comparison between the evaluation moments was performed with the paired t-test. A significance level of 5% was considered in all inferential analyses. The sum was performed for each of the skills assessed through the self-assessment questionnaire of communication skills to perform the intergroup and intragroup comparison. The homogeneity of the groups was evaluated before and after the intervention. The answers of the participants’ and parents’ self-assessment questionnaires were compared within each group before and after the intervention.

RESULTS

The mean age and the standard deviation for GI and GII were 14.55 (1.19) and 14.67 (1.28), respectively. The gender distribution between the groups was nine females in both groups and eleven males for GI and twelve males for GII. In comparing the groups regarding age and sex, there was no difference in either characteristic (p=0.764 and p=1.0, respectively).

Regarding the evaluation carried out through the questionnaire, there was no difference between the groups in any of the sections before the intervention. After the intervention, there was a difference between the groups in Section I, with higher results in GI (Table 2).

Table 2
Analysis of the communication skills assessment questionnaire according to the intervention group in young people

When the answers to the questionnaires were compared before and after the training, there was an increase in the scores of sections I (p = 0.001) and III (p = 0.010) in the self-assessment of communication skills performed by young people and in sections I (p = 0.001) and III (p = 0.048) in the assessment of communication skills carried out by the parents of the young people in the GI (Table 3). The answers to both questionnaires for assessing communication skills in GII youth showed no difference before and after the lecture on the importance of the voice (Table 4).

Table 3
Analysis of the communication skills assessment questionnaire according to the assessment moment for Group I youth
Table 4
Analysis of the communication skills assessment questionnaire according to the moment of assessment in GII youth

In the evaluation carried out by speech language pathologists, there was a significant difference between GI and GII before the intervention in body posture and foot position. After the intervention, there was no difference between them in both characteristics. There was a significant difference between GI and GII after intervention in eye contact and speech velocity (Table 5).

Table 5
Association between the assessment of oral presentation and the intervention group in young people

DISCUSSION

This study shows that the communication skills training promoted by the method used positively impacted aspects of communication skills of young people and potentially raised the quality of interpersonal communication.

After the training, a difference between GI and GII in the ability to express themselves clearly was observed, which was observed both in the parental assessment and in the self-assessment of the young people. This difference was not verified before the training and can be a direct result of the communication training. Communication skills refer to behaviors that can help individuals better express their feelings and needs and, therefore, achieve their interpersonal goals. By expressing themselves clearly, young people can improve their personal and school relationships, helping with social integration and improving self-confidence. Studies(2121 Braga EM, Silva MJP. Como especialistas em comunicação expressam a competência comunicativa. Interface Comun Saúde Educ. 2010;14(34):529-38. https://doi.org/10.1590/S1414-32832010005000005.
https://doi.org/10.1590/S1414-3283201000...
) indicate that authentic interpersonal relationships promote the ability to understand one’s own feelings and those of others. In health and work education, such interactions must not be casual, meaning they must have educational objectives to be achieved, since competencies are not established, but built into daily relationships(2121 Braga EM, Silva MJP. Como especialistas em comunicação expressam a competência comunicativa. Interface Comun Saúde Educ. 2010;14(34):529-38. https://doi.org/10.1590/S1414-32832010005000005.
https://doi.org/10.1590/S1414-3283201000...
).

A similar situation also occurred with the ability to give and receive feedback. After the training, a difference between GI and G II, which was not present before the training, could be observed. This ability can contribute to the development of soft skills, making young people more prepared to face the labor market needs(33 Shuman LJ, Besterfield-Sacre M, McGourty J. The ABET “professional skills” - can they be taught? Can they be assessed? J Eng Educ. 2005;94(1):41-55. http://dx.doi.org/10.1002/j.2168-9830.2005.tb00828.x.
http://dx.doi.org/10.1002/j.2168-9830.20...
). The results of this study based on the responses to the self-assessment and parental assessment questionnaires show that young people who took the training were more adept at giving and receiving feedback and expressing themselves clearly because the training provided them with this self-knowledge through specific strategies that were practiced during the training. Some studies(1515 Nørgaard B, Ammentorp J, Kyvik KO, Kofoed PE. Communication skills training increases self-efficacy of health care professionals. J Contin Educ Health Prof. 2012;32(2):90-7. http://dx.doi.org/10.1002/chp.21131. PMid:22733636.
http://dx.doi.org/10.1002/chp.21131...
) claim that, for example, when a teenager is unable to communicate effectively, frustration or changes in behavior can occur. Any parent of a teenager knows how these skills are part of the parent-teenager relationship. Modeling appropriate communication skills is a great way to show teenagers how people use kind communication to get “what they want”(1515 Nørgaard B, Ammentorp J, Kyvik KO, Kofoed PE. Communication skills training increases self-efficacy of health care professionals. J Contin Educ Health Prof. 2012;32(2):90-7. http://dx.doi.org/10.1002/chp.21131. PMid:22733636.
http://dx.doi.org/10.1002/chp.21131...
).

Several authors(11 Stefanelli MC [Internet]. A comunicação nos diferentes contextos da enfermagem. Santana de Parnaíba: Manole; 2005 [cited 2022 Aug 28]. Série Enfermagem. Available from: https://books.google.com.br/books?id=QBSqQwAACAAJ
https://books.google.com.br/books?id=QBS...
,22 Puntis M. Skills for communicating with patients (2nd edn). Ann R Coll Surg Engl. 2006;88(1):85-6. http://dx.doi.org/10.1308/rcsann.2006.88.1.85.
http://dx.doi.org/10.1308/rcsann.2006.88...
,99 Doyle D, Copeland HL, Bush D, Stein L, Thompson S. A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance. Patient Educ Couns. 2011;82(1):100-9. http://dx.doi.org/10.1016/j.pec.2010.02.013. PMid:20303230.
http://dx.doi.org/10.1016/j.pec.2010.02....

10 Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy: a randomized controlled trial. Patient Educ Couns. 2007;66(3):270-7. http://dx.doi.org/10.1016/j.pec.2006.12.012. PMid:17337337.
http://dx.doi.org/10.1016/j.pec.2006.12....

11 Berkhof M, van Rijssen HJ, Schellart AJM, Anema JR, van der Beek AJ. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns. 2011;84(2):152-62. http://dx.doi.org/10.1016/j.pec.2010.06.010. PMid:20673620.
http://dx.doi.org/10.1016/j.pec.2010.06....
-1212 Bragard I, Etienne AM, Merckaert I, Libert Y, Razavi D. Efficacy of a communication and stress management training on medical residents’ self-efficacy, stress to communicate and burnout: a randomized controlled study. J Health Psychol. 2010;15(7):1075-81. http://dx.doi.org/10.1177/1359105310361992. PMid:20453053.
http://dx.doi.org/10.1177/13591053103619...
,1414 Khodadadi E, Ebrahimi H, Moghaddasian S, Babapour J. The effect of communication skills training on quality of care, self-efficacy, job satisfaction and communication skills rate of nurses in hospitals of Tabriz, Iran. J Caring Sci. 2013;2(1):27-37. PMid:25276707.,1515 Nørgaard B, Ammentorp J, Kyvik KO, Kofoed PE. Communication skills training increases self-efficacy of health care professionals. J Contin Educ Health Prof. 2012;32(2):90-7. http://dx.doi.org/10.1002/chp.21131. PMid:22733636.
http://dx.doi.org/10.1002/chp.21131...
) studied the communication skills of doctors and nurses. Communication skills training is part of the curriculum of American medical universities. Interpersonal communication skills form an integrated competency with two distinct parts: communication skills are the performance of specific tasks and behaviors, such as obtaining a medical history, explaining a diagnosis and prognosis, giving therapeutic instructions and advice; and interpersonal skills that are inherently relational and process-oriented and that are the effect of communication on another person, such as relieving anxiety or establishing a trusting relationship.

It is expected that after the training, the communication and interpersonal skills that are trained and learned will help promote this self-knowledge for young people. This will possibly facilitate their professional choice since interpersonal communication is part of social, personal, and professional relationships.

According to the evaluators, there was a difference between groups GI and GII before the intervention in the characteristics of tense body posture and tense feet in the analysis of videos. This difference ceased to exist after the intervention, and an increase in the number of participants with tense body posture and feet position in GII was observed. In addition, after the training, significant differences were observed between G I and G II in speech velocity and eye contact toward the camera, suggesting that G I had significantly changed their corporal conscience during speech. Something as basic as eye contact can be difficult to maintain for many young people and teenagers, although it is the most critical part of nonverbal communication. Looking people in the eye is a skill. It takes practice to understand the importance of eye contact to develop good manners and social connection(2222 Miller K [Internet]. 39 communication games and activities for kids and students. Maastricht: PositivePsychology.com; c2019 [cited 2020 Dec 20]. Available from: https://positivepsychology.com/communication-activities-adults-students/
https://positivepsychology.com/communica...
). The improvement in eye contact and speech velocity showed that the training was sufficient to achieve self-confidence and security to express themselves publicly and on camera.

Therefore, to improve the quality of communication in young people, it is recommended that communication skills training is established and taught as a separate course in high school by the related educational authorities. The results of this study can help provide the context and basis for clinical practice in this area.

The present study had some limitations as it was carried out only with students from a private, middle-class school, which can restrict the generalization of the results. Therefore, it is suggested that future research on communication skills’ training, or any other communication method, be carried out with young people who have other sociodemographic characteristics. With the advent of the COVID-19 pandemic, face-to-face training has become more difficult; however, the method can be applied in a virtual environment, thus allowing one more issue to be researched.

CONCLUSION

The effect of the training on communication skills in young people was able to improve their ability in the clarity of expression and speech, as well as the ability to give and receive feedback, which are essential for the acquisition of other soft skills such as negotiation, teamwork, self-knowledge, and problem-solving. As for the aspects of expressiveness in communication, eye contact and speech velocity were also improved by the method: The participants became aware of the importance of body expressiveness.

Funding Sources: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

ACKNOWLEDGEMENTS

This work had also the collaboration of Nilton Ferreira, Rosiane Moura and Cláudio Sarian Altonian.

  • Study conducted at Centro Educacional Delta - Planaltina (DF), Brasil.
  • Financial support: nothing to declare.

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Publication Dates

  • Publication in this collection
    01 Sept 2023
  • Date of issue
    2023

History

  • Received
    10 Feb 2022
  • Accepted
    28 Aug 2022
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