A Girgis

A Lienard

A Liénard

A-M Etienne

C Reynaert

D Razavi

DL Roter

F Lang

I Bragard

I Merckaert

J Meunier

J-L Slachmuylder

L Fallowfield

M Schmid Mast

N Delvaux

RL Street

S Eggly

S Marchal

WD Figg

WF Baile

Y Libert

PubMed

Although patients with cancer are often accompanied by a relative during breaking bad news (BBN) consultations, little is known regarding the efficacy of training programmes designed to teach residents the communication skills needed to break bad news in a triadic consultation.Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Merckaert, Isabelle

Liénard, Aurore

Libert, Yves

Bragard, I

Delvaux, Nicole

Etienne, Anne-Marie

Marchal, S

Meunier, J

Reynaert, C

Slachmuylder, Jean-Louis

Razavi, Darius

DI-fusion

Is it possible to improve the breaking bad news skills of residents when a relative is present? A randomised study.

Background:Although patients with cancer are often accompanied by a relative during breaking bad news (BBN) consultations, little is known regarding the efficacy of training programmes designed to teach residents the communication skills needed to break bad news in a triadic consultation.Methods: Residents were randomly assigned to a 40-h dyadic and triadic communication skills training programme (n=48) or a waiting list (n=47). A simulated BBN triadic consultation was audiotaped at baseline, and after training for the training group, and 8 months after baseline for the waiting list group. Transcripts were analysed using content analysis software (LaComm). A coder determined the moment of bad news delivery and the relative's first turn of speech regarding the bad news. A generalised estimating equation was used to evaluate residents' communication skills, BBN timing, and the relative's inclusion in the consultation.Results:Ninety-five residents were included. After training, the duration of the pre-delivery phase was found to be longer for the trained residents (relative risk (RR)=3.04; P&lt;0.001). The simulated relative's first turn of speech about the bad news came more often during the pre-delivery phase (RR=6.68; P=0.008), and was more often initiated by the trained residents (RR=19.17; P&lt;0.001). Trained residents also used more assessment (RR=1.83; P&lt;0.001) and supportive utterances (RR=1.58; P&lt;0.001).Conclusion:This study demonstrates that a training programme that focuses on the practice of dyadic and triadic communication skills can improve the communication skills of the participating residents in a BBN triadic consultation. Such a training should be included in resident curriculum. © 2013 Cancer Research UK. All rights reserved

Merckaert, I.

Liénard, A.

Libert, Y.

Bragard, I.

Delvaux, N.

Etienne, A.-M.

Marchal, S.

Meunier, J.

Reynaert, Christine

Slachmuylder, J.-L.

Razavi, D.

DIAL UCLouvain

Is it possible to improve the breaking bad news skills of residents when a relative is present? A randomised study

Is it possible to improve the breaking bad news skills of residents when a relative is present? A randomised study.

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