Family-centered communication: A pilot educational intervention using deliberate practice and patient feedback

Marsh, Melanie C.; Lauden, Stephanie M.; Mahan, John D.; Schneider, Lydia; Saldivar, Laura; Hill, Nina; Diaz, Christopher; Abdel‐Rasoul, Mahmoud; Reed, Suzanne

doi:10.1016/j.pec.2020.09.033

Cited by 8 publications

(18 citation statements)

References 23 publications

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“…• "I think time spent on how a faculty member would go through the entire interaction is very helpful." Given the variable engagement with our curriculum, similar to our patient-level outcomes, 12 we were not able to demonstrate any correlation between the number of workshops attended and milestone improvement.…”

Section: Acgme Milestone Evaluationsmentioning

confidence: 70%

“…19 As we noted in a previous report, patient/family evaluations of communication skills of our residents demonstrated greater improvement of communication abilities over time with this educational program. 12 Lastly, the relatively low and variable participation in our workshops may also contribute to the lack of differences in milestone scores between groups. Further evaluation of this curriculum, perhaps where trainee attendance is better facilitated and accomplished, would be useful to further understand the impact on resident communication skills and overall personal and professional development.…”

Section: Discussionmentioning

confidence: 99%

“…In the 3 months prior to the first workshop, firstyear residents were assessed by patients and families during their inpatient experience using the communication assessment tool (CAT). 12 Residents were then randomized into the new multimodal curriculum (n = 19) or the existing traditional curriculum (n = 17). Next, we offered residents in the intervention cohort the opportunity to attend up to six additional educational workshops.…”

Section: Educational Workhop Implementationmentioning

confidence: 99%

“…We initially explored how this curriculum impacted the patient experience. 12 We then compared these patient-centered outcomes to trainee ACGME milestones specifically anchored in communication skills (problem-based learning, professionalism, and interpersonal communication). Lastly, we assessed the perceptions of the residents regarding this new training program.…”

Section: Introductionmentioning

confidence: 99%

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Advanced Multimodal Communication Curriculum for Pediatric Residents

Marsh

Reed

Mahan

et al. 2021

Journal of Medical Education and Curricular Development

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Background Medical educators juggle competing demands as they seek to integrate medical advancements and new technology with the call for earlier introduction to clinical experiences. Newer models of medical education place even greater emphasis on the importance of deliberate training of providers who can deliver compassionate patient-centered care. The need for adaptable, effective communication skills training has never been more relevant than now, in our high-tech and ever-evolving learning climate. Methods At a large pediatric academic center, we used Kern's six-step approach to complete a needs assessment, identify goals and learning preferences of trainees, and ultimately develop and evaluate a multimodal communication curriculum. This curriculum was rooted in the Accreditation Council for Graduate Medical Education's Pediatric Milestones, with the goal of enhancing knowledge, skills, and competency. Pediatric interns were randomized to either the new curriculum ( n = 19) or the existing didactic-based communication training ( n = 17) from 2019 to 2020. We evaluated the impact of the new and traditional curriculum through evaluations by expert facilitators, learner surveys, and faculty-assigned resident milestones. Results Many trainees self-identified performance gaps in communication skills at baseline. Eighteen residents attended 1 to 6 in-person deliberate practice workshops. Workshop participation by the residents varied over time due to a variety of factors. All residents, regardless of curricular exposure, showed statistically significant improvement in communication milestones from first to second year and those enrolled in the deliberate practice curriculum highly valued the workshops and coaching. Discussion Our curriculum demonstrates the value of deliberate practice opportunities for residents to gain skills in advanced communication. Residents appreciated this type of training and the time devoted to expand these skills. Lessons learned and barriers to implementation from this curriculum can be helpful for educators interested in integrating active, deliberate practice, simulation-based communication training into their current educational model.

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Section: Acgme Milestone Evaluationsmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Educational Workhop Implementationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Advanced Multimodal Communication Curriculum for Pediatric Residents

Marsh

Reed

Mahan

et al. 2021

Journal of Medical Education and Curricular Development

Self Cite

View full text Add to dashboard Cite

show abstract

“…Grown-up children are an important channel of interpersonal communication for older people, especially in providing and identifying health information on the Internet [35]. Intergenerational communication conducted either face-to-face or through the internet between parents and their adult children alleviates feelings of loneliness and depression, and further enhances their health and well-being [36]. Therefore, adult children play an important role in providing social support for middle-aged and elderly populations within the context of healthcare.…”

Section: Family Communication Patterns (Fcp) and Health Behaviorsmentioning

confidence: 99%

Conversation Breeds Compliance: The Role of Intergenerational Communication in Promoting Preventive Behaviors against COVID-19 among Middle-Aged Parents in China

Gong

Guo

Jiang

2021

IJERPH

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This study aims to explore and compare the influences of two crucial information channels used by middle-aged parents—media and their adult children—on their health knowledge, emotions and preventive behaviors against COVID-19, based on media exposure and the family communication patterns (FCP) theory. Parents of college students in Guangzhou, China were invited to participate in an online survey between February 10 and 24, 2020. A total of 193 respondents, aged between 40 and 65 years, completed the study questionnaire. Media exposure was a positive predictor of negative emotions, intergenerational discussions, and preventive behaviors among Chinese middle-aged parents. Conversation orientation was a positive predictor of scientific discussions and preventive behaviors, whereas conformity orientation was a negative predictor of knowledge, but a positive predictor of intergenerational discussions and negative emotions. Intergenerational discussions mediated the relationships between media exposure and preventive behaviors, as well as between FCP and preventive behaviors. Health communication efforts require the help of adult children as intergenerational communication serves as an important amplifier in terms of influencing the health knowledge, attitudes, and behaviors of middle-aged and elderly populations.

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Clinician Perceptions of Family-Centered Care in Pediatric and Congenital Heart Settings

Akram,

Webb,

Pidcock

et al. 2024

JAMA Netw Open

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ImportanceFamily-centered care recognizes families as central to child health and well-being and prioritizes clinician collaboration with families to ensure optimal pediatric care and outcomes. Clinician interpersonal sensitivity and communication skills are key to this approach.ObjectiveTo examine perceptions of and factors associated with family-centered care among clinicians working in pediatric and congenital heart care.Design, Setting, and ParticipantsIn this cross-sectional study, participants from diverse clinical disciplines (pediatric cardiology, cardiothoracic surgery, nursing, anesthesia, neonatology, intensive care, psychology, and others), completed an online survey between June 2020 and February 2021. Participants included physicians, surgeons, nurses, and allied and mental health professionals at an Australian quaternary pediatric hospital network. Statistical analysis was performed from August 2022 to June 2023.Main Outcomes and MeasuresFamily-centered care across 4 domains (showing interpersonal sensitivity, treating people respectfully, providing general information, and communicating specific information) was measured using the validated Measure of Processes of Care for Service Providers. Clinician burnout (emotional exhaustion, depersonalization, and personal accomplishment), confidence responding to families’ psychosocial needs, and psychological, clinical role, and sociodemographic factors were also assessed. Informed by theory, hierarchical linear regression was used to identify factors associated with family-centered care.ResultsThere were 212 clinicians (177 women [84.3%]; 153 nurses [72.2%], 32 physicians [15.1%], 22 allied and mental health professionals [10.4%], 5 surgeons [2.3%]; 170 [80.2%] aged 20-49 years) who participated (55% response rate). Of the 4 family-centered care domains, scores for treating people respectfully were highest and associated with greater clinician confidence responding to families’ psychosocial needs (effect size [β], 0.59 [95% CI, 0.46 to 0.72]; P &lt; .001), lower depersonalization (β, 0.04 [95% CI, −0.07 to −0.01]; P = .02), and a greater sense of personal accomplishment at work (β, 0.02 [95% CI, 0.01 to 0.04]; P = 0.04). Greater interpersonal sensitivity was associated with greater confidence responding to families’ psychosocial needs (β, 0.80 [95% CI, 0.62 to 0.97]; P &lt; .001), a greater sense of personal accomplishment at work (β, 0.03 [95% CI, 0.01 to 0.05]; P = .04), and lower use of approach-based coping, such as problem-solving (β, 0.37 [95% CI, −0.71 to −0.02]; P = .04).Conclusions and RelevanceIn this cross-sectional study, burnout and confidence responding to families’ psychosocial needs were associated with clinicians’ perceptions of family-centered care. These findings suggest that targeted interventions to address these factors may benefit clinicians and also potentially strengthen the practice of family-centered care in pediatric and congenital heart settings.

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Family-centered communication: A pilot educational intervention using deliberate practice and patient feedback

Cited by 8 publications

References 23 publications

Advanced Multimodal Communication Curriculum for Pediatric Residents

Advanced Multimodal Communication Curriculum for Pediatric Residents

Conversation Breeds Compliance: The Role of Intergenerational Communication in Promoting Preventive Behaviors against COVID-19 among Middle-Aged Parents in China

Clinician Perceptions of Family-Centered Care in Pediatric and Congenital Heart Settings

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