儿童姑息治疗中的有效沟通：两个教育视频的评价

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-04-18 DOI:10.1016/j.pec.2025.108790

Annika Lisakowski , Johanna Frenkert , Almut Hartenstein-Pinter , Larissa Kubek , Boris Zernikow , Julia Wager

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引用次数: 0

摘要

目的在小儿姑息治疗中，有效的沟通是最重要的技能之一。然而，医生往往缺乏适当的培训。本研究探讨如何提高医学生向家长传达限制生命诊断的能力。为此，我们评估了两个教育视频的有效性。方法将114名医学生随机分为2个干预组和1个对照组。干预包括两个不同的教育视频。我们使用了自我评估工具和客观测量方法。组特异性差异分析使用（重复测量）方差分析，考虑协变量的影响，和t检验。结果自我评估沟通技巧分析发现，“time x group”互动具有积极作用（F(2) = 3.25,p = 0.042,np2= 0.055），表明两个干预组的沟通技巧均有统计学意义的提高。两个视频对一个项目的表现都有积极的影响。结论对不同程度医学生向家长传达坏消息经验的自我评估沟通技巧和客观评估行为，表演或动画视频均有较小但显著的影响。实践意义需要进一步的研究来调查教育视频对提供者与家长互动的沟通行为的长期影响。

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Effective communication in pediatric palliative care: Evaluation of two educational videos

Objectives

In pediatric palliative care, effective communication is one of the most important skills. However, physicians often lack proper training. This study examines how to enhance medical students’ ability to deliver a life-limiting diagnosis to parents. For this, we evaluated the effectiveness of two educational videos.

Methods

We randomly assigned 114 medical students to two intervention groups and one control group. The intervention consisted of two different educational videos. We used self-assessment instruments and objective measures. Group-specific differences were analyzed using (repeated measures) Analysis of Variance, accounting for the effects of covariates, and t-tests.

Results

Analysis of self-assessed communication skills identified a positive effect of the ‘time x group’ interaction (F (2) = 3.25, p = 0.042,

n_{p}^{2}

= 0.055), indicating a statistically significant increase in both intervention groups. A positive effect of both videos on performance was observed for one item.

Conclusion

An acting or animated video can have a small but significant impact on self-assessed communication skills and objectively assessed behaviour for medical students with varying levels of experience in delivering bad news to parents.

Practice implications

Further research is required to investigate the long-term impact of educational videos on the communication behaviour of providers interacting with parents.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.