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Development and validation of The Breaking Bad News Attitudes Scale
Kátia Laureano Dos Santos1, Paola Gremigni2, Giulia Casu2
1Centro Universitário FMABC, Faculdade de Medicina do ABC, Av Príncipe de Gales, 821, Santo André, 09060-650, Brazil.
BMC Medical Education
|April 8, 2021
Summary
Physicians
Area of Science:
- Medical Education
- Communication Skills
- Patient-Physician Relationship
Background:
- Effective communication of bad news is vital for the physician-patient relationship.
- Consensus guidelines, like the SPIKES protocol, exist but physician attitudes towards them are understudied.
- Understanding physician perspectives on delivering bad news and training is crucial.
Purpose of the Study:
- To develop and validate a self-report questionnaire assessing physicians' attitudes towards the SPIKES protocol.
- To evaluate physicians' attitudes regarding training in bad news delivery.
- To provide a psychometrically sound tool for assessing these attitudes.
Main Methods:
- The Breaking Bad News Attitudes Scale (BBNAS) was administered to 484 pediatricians and 79 medical students in Brazil.
- Participants were recruited from scientific conferences and medical schools.
- The study assessed the questionnaire's structural validity and reliability.
Main Results:
- The BBNAS demonstrated adequate validity and good reliability.
- Two factors emerged: attitudes towards the SPIKES strategy (α=0.81) and attitudes towards training (α=0.77).
- The scale effectively measures physicians' agreement with the SPIKES protocol.
Conclusions:
- The BBNAS is a psychometrically sound tool for evaluating physicians' attitudes towards the SPIKES protocol.
- This scale can inform the development of training and continuing education programs.
- It aids in improving the communication of bad news within the SPIKES framework.
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