Communication training for advanced medical students improves information recall of medical laypersons in simulated informed consent talks – a randomized controlled trial

Werner, Anne; Holderried, Friederike; Schäffeler, Norbert; Weyrich, Peter; Riessen, Reimer; Zipfel, Stephan; Nora, C

doi:10.1186/1472-6920-13-15

Cited by 20 publications

(16 citation statements)

References 27 publications

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“…[23][24][25][26][27] Finally, interventions to improve information disclosure and patient-provider communication may be useful in discussion of transplantation with patients initiating hemodialysis, because these have shown benefit in patient comprehension of treatment options, risks, and benefits in other clinical settings. 8 …”

Section: Discussionmentioning

confidence: 99%

“…For example, in some clinical care and clinical research settings, providers have reported obtaining informed consent only for legal protection rather than patient understanding. 6,7 Although studies of patient knowledge after provision of medical information have shown that patient characteristics, such as age, race, or education, might affect patient understanding, 8 no studies have investigated patient perceptions of KTPI or factors associated with discordance between patient-reported and provider-reported KTPI.…”

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confidence: 99%

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Patient- and Provider-Reported Information about Transplantation and Subsequent Waitlisting

Salter

Orandi²,

McAdams‐DeMarco³

et al. 2014

Journal of the American Society of Nephrology

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Because informed consent requires discussion of alternative treatments, proper consent for dialysis should incorporate discussion about other renal replacement options including kidney transplantation (KT). Accordingly, dialysis providers are required to indicate KT provision of information (KTPI) on CMS Form-2728; however, provider-reported KTPI does not necessarily imply adequate provision of information. Furthermore, the effect of KTPI on pursuit of KT remains unclear. We compared providerreported KTPI (Form-2728) with patient-reported KTPI (in-person survey of whether a nephrologist or dialysis staff had discussed KT) in a prospective ancillary study of 388 hemodialysis initiates. KTPI was reported by both patient and provider for 56.2% of participants, by provider only for 27.8%, by patient only for 8.3%, and by neither for 7.7%. Among participants with provider-reported KTPI, older age was associated with lack of patient-reported KTPI. Linkage with the Scientific Registry for Transplant Recipients showed that 20.9% of participants were subsequently listed for KT. Patient-reported KTPI was independently associated with a 2.95-fold (95% confidence interval [95% CI], 1.54 to 5.66; P=0.001) higher likelihood of KT listing, whereas provider-reported KTPI was not associated with listing (hazard ratio, 1.18; 95% CI, 0.60 to 2.32; P=0.62). Our findings suggest that patient perception of KTPI is more important for KT listing than provider-reported KTPI. Patient-reported and provider-reported KTPI should be collected for quality assessment in dialysis centers because factors associated with discordance between these metrics might inform interventions to improve this process.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Patient- and Provider-Reported Information about Transplantation and Subsequent Waitlisting

Salter

Orandi²,

McAdams‐DeMarco³

et al. 2014

Journal of the American Society of Nephrology

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“…Patient characteristics include age, education, health literacy and anxiety . Information characteristics include modality (written vs aural), structure, number of instructions given and encounter length . Clinicians’ communication skills are also related to recall .…”

Section: Introductionmentioning

confidence: 99%

Communication and patient participation influencing patient recall of treatment discussions

Richard

Glaser

Lussier

2016

Health Expectations

132

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ContextPatient recall of treatment information is a key variable towards chronic disease (CD) management. It is unclear what communication and patient participation characteristics predict recall.ObjectivesTo assess what aspects of doctor‐patient communication predict patient recall of medication information. To describe lifestyle treatment recall, in CD primary care patients.DesignObservational study within a RCT.Setting & participantsCommunity‐based primary care (PC) practices. Family physicians (n=18): practicing >5 years, with a CD patient caseload. Patients (n=159): >40 years old, English speaking, computer literate, off‐target hypertension, type II diabetes and/or dyslipidaemia.Main variablesPatient characteristics: age, education, number of CDs. Information characteristics: length of encounter, medication status, medication class. Communication variables: socio‐emotional utterances, physician dominance and communication control scores and PACE (ask, check and express) utterances, measured by RIAS. Number of medication themes, dialogue and initiative measured by MEDICODE.Main outcome measuresRecall of CD, lifestyle treatment and medication information.ResultsFrequency of lifestyle discussions varied by topic. Patients recalled 43% (alcohol), 52% (diet) to 70% (exercise) of discussions. Two and a half of six possible medication themes were broached per medication discussion. Less than one was recalled. Discussing more themes, greater dialogue and patient initiative were significant predictors of improved medication information recall.DiscussionCritical treatment information is infrequently exchanged. Active patient engagement and explicit conversations about medications are associated with improved treatment information recall in off‐target CD patients followed in PC.ConclusionProviders cannot take for granted that long‐term off‐target CD patients recall information. They need to encourage patient participation to improve recall of treatment information.

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“…Studying related researches to training students showed that, in an interventional study which was conducted among two groups of students, the group that received communicational skills training at the end of the course had higher recall of information for taking informed consent. [ 21 ] One study used skills-based training for interns for taking informed consent, which resulted in statistically significant difference in the method of taking informed consent and also the total knowledge about the content of informed consent after training. [ 15 ]…”

Section: Discussionmentioning

confidence: 99%

The effect of new model PREPARED on obtaining informed consent skill in midwifery students of Shahid Sadoughi University of Medical Sciences

Farajkhoda

Bokaie

Abbasi

et al. 2017

Iranian J Nursing Midwifery Res

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Background:Professional ethics culture should be taught to students appropriately. Studies have shown that midwifery students are not entirely familiar with the skill of obtaining informed consent. Using a new and applicable model to teach this skill to midwifery students is necessary. This study was conducted to determine the effect of a new standard model, PREPARED, on the skill of obtaining informed consent in midwifery students of Shahid Sadoughi University of Medical Sciences.Materials and Methods:This interventional study was conducted on 37 5th semester midwifery students through a census method. After determining psychometric indices, in two phases with a 4-week interval (before and after the training), the PREPARED checklist was completed by the professors of the research team in the presence of students in the delivery room while they were performing midwifery care considering their compliance to the checklist. Descriptive statistics paired t-test were used for data analysis.Results:The lowest mean score before the training belonged to alternative methods (1.00) and treatment expenses (1.00). After the training, treatment plan had the highest mean score (3.54 (0.69)). The mean and standard deviation of scores before and after training the students were 9.12 (2.00) and 30.6824 (5.25), respectively. Based on the results of the paired t-test (P = 0.001), the difference was statistically significant.Conclusion:Results showed that the implementation of the new model of PREPARED would increase the skill of obtaining informed consent in midwifery students and could be applied for educating students of other medical majors in Iran.

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Communication training for advanced medical students improves information recall of medical laypersons in simulated informed consent talks – a randomized controlled trial

Cited by 20 publications

References 27 publications

Patient- and Provider-Reported Information about Transplantation and Subsequent Waitlisting

Patient- and Provider-Reported Information about Transplantation and Subsequent Waitlisting

Communication and patient participation influencing patient recall of treatment discussions

The effect of new model PREPARED on obtaining informed consent skill in midwifery students of Shahid Sadoughi University of Medical Sciences

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