Effectiveness of the palliative care ‘Availability, Current issues and Anticipation’ (ACA) communication training programme for general practitioners on patient outcomes: A controlled trial

Autor: Dirk L. Knol, Neil K. Aaronson, Annette H. Blankenstein, Bart P M Schweitzer, Henriëtte E. van der Horst, Luc Deliens, Willemjan Slort
Přispěvatelé: End-of-life Care Research Group, EMGO+ - Quality of Care, General practice, Epidemiology and Data Science, Public and occupational health, EMGO - Quality of care, Klinische Psychologie (Psychologie, FMG)
Rok vydání: 2014
Předmět:
Male
Program evaluation
Palliative care
family practice
outcomes
law.invention
palliative
Randomized controlled trial
law
Medicine
education medical continuing
Netherlands
palliative care
training
Communication
General Medicine
controlled
Patient Satisfaction
Scale (social sciences)
Female
TRIAL
Clinical Competence
patient
outcome measurement
medicine.medical_specialty
programme
effectiveness
SDG 17 - Partnerships for the Goals
ACA
Quality of life (healthcare)
Patient satisfaction
Nursing
General Practitioners
Intervention (counseling)
Humans
practitioners
care
outcome assessment
Physician-Patient Relations
controlled clinical trial
business.industry
Original Articles
Control Groups
Anesthesiology and Pain Medicine
general
Anticipation (artificial intelligence)
Family medicine
business
Program Evaluation
Zdroj: Slort, W, Blankenstein, A H, Schweitzer, B P M, Knol, D L, van der Horst, H E, Aaronson, N K & Deliens, L 2014, ' Effectiveness of the palliative care 'Availability, Current issues and Anticipation' (ACA) communication training programme for general practitioners on patient outcomes: A controlled trial ', Palliative Medicine, vol. 28, no. 8, pp. 1036-1045 . https://doi.org/10.1177/0269216314538302
Palliative Medicine, 28(8), 1036-1045. SAGE Publications Ltd
Palliative medicine, 28(8), 1036-1045. SAGE Publications Ltd
Palliative Medicine
ISSN: 1477-030X
0269-2163
DOI: 10.1177/0269216314538302
Popis: Background: Although communicating effectively with patients receiving palliative care can be difficult, it may contribute to maintaining or enhancing patients’ quality of life. Little is known about the effect of training general practitioners in palliative care–specific communication. We hypothesized that palliative care patients of general practitioners exposed to the ‘Availability, Current issues and Anticipation’ communication training programme would report better outcomes than patients of control general practitioners. Aim: To evaluate the effectiveness of the Availability, Current issues and Anticipation training programme for general practitioners on patient-reported outcomes. Design: In a controlled trial, general practitioners followed the Availability, Current issues and Anticipation programme or were part of the control group. Patients receiving palliative care of participating general practitioners completed the Palliative Care Outcome Scale, the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative, the Rest & Peace Scale, the Patient Satisfaction Questionnaire–III and the Availability, Current issues and Anticipation Scale, at baseline and 12 months follow-up. We analysed differences between groups using linear mixed models. Trial registration: ISRCTN56722368. Setting/participants: General practitioners who attended a 2-year Palliative Care Training Course in the Netherlands. Results: Questionnaire data were available for 145 patients (89 in intervention and 56 in control group). We found no significant differences over time between the intervention and control groups in any of the five outcome measures. Ceiling effects were observed for the Rest & Peace Scale, Patient Satisfaction Questionnaire–III and Availability, Current issues and Anticipation Scale. Conclusion: General practitioner participation in the Availability, Current issues and Anticipation training programme did not have a measurable effect on any of the outcomes investigated. Patients reported high levels of satisfaction with general practitioner care, regardless of group assignment. Future research might focus on general practitioners without special interest in palliative care.
Databáze: OpenAIRE
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