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Effective communication in pediatric palliative care: Evaluation of two educational videos
Annika Lisakowski1, Johanna Frenkert2, Almut Hartenstein-Pinter3
1PedScience Research Institute, Herdieckstr. 5b, Datteln 45711, Germany; Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, Witten 58455, Germany.
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, np2= 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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