PMID- 23819723
OWN - NLM
STAT- MEDLINE
DCOM- 20140424
LR  - 20211021
IS  - 1471-2296 (Electronic)
IS  - 1471-2296 (Linking)
VI  - 14
DP  - 2013 Jul 2
TI  - Effectiveness of the ACA (Availability, Current issues and Anticipation) training 
      programme on GP-patient communication in palliative care; a controlled trial.
PG  - 93
LID - 10.1186/1471-2296-14-93 [doi]
AB  - BACKGROUND: Communicating effectively with palliative care patients has been 
      acknowledged to be somewhat difficult, but little is known about the effect that 
      training general practitioners (GPs) in specific elements of communication in 
      palliative care might have. We hypothesized that GPs exposed to a new training 
      programme in GP-patient communication in palliative care focusing on availability 
      of the GP for the patient, current issues the GP should discuss with the patient 
      and anticipation by the GP of various scenarios (ACA), would discuss more issues 
      and become more skilled in their communication with palliative care patients. 
      METHODS: In this controlled trial among GPs who attended a two-year Palliative 
      Care Peer Group Training Course in the Netherlands only intervention GPs received 
      the ACA training programme. To evaluate the effect of the programme a content 
      analysis (Roter Interaction Analysis System) was performed of one videotaped 
      15-minute consultation of each GP with a simulated palliative care patient 
      conducted at baseline, and one at 12 months follow-up. Both how the GP 
      communicated with the patient ('availability') and the number of current and 
      anticipated issues the GP discussed with the patient were measured 
      quantitatively. We used linear mixed models and logistic regression models to 
      evaluate between-group differences over time. RESULTS: Sixty-two GPs were 
      assigned to the intervention and 64 to the control group. We found no effect of 
      the ACA training programme on how the GPs communicated with the patient or on the 
      number of issues discussed by GPs with the patient. The total number of issues 
      discussed by the GPs was eight out of 13 before and after the training in both 
      groups. CONCLUSION: The ACA training programme did not influence how the GPs 
      communicated with the simulated palliative care patient or the number of issues 
      discussed by the GPs in this trial. Further research should evaluate whether this 
      training programme is effective for GPs who do not have a special interest in 
      palliative care and whether studies using outcomes at patient level can provide 
      more insight into the effectiveness of the ACA training programme. TRIAL 
      REGISTRATION: Current Controlled Trials ISRCTN56722368.
FAU - Slort, Willemjan
AU  - Slort W
AD  - Department of General Practice & Elderly Care Medicine, EMGO + Institute for 
      Health and Care Research, VU University Medical Center, Amsterdam, The 
      Netherlands. w.slort@vumc.nl
FAU - Blankenstein, Annette H
AU  - Blankenstein AH
FAU - Schweitzer, Bart P M
AU  - Schweitzer BP
FAU - Knol, Dirk L
AU  - Knol DL
FAU - Deliens, Luc
AU  - Deliens L
FAU - Aaronson, Neil K
AU  - Aaronson NK
FAU - van der Horst, Henriette E
AU  - van der Horst HE
LA  - eng
SI  - ISRCTN/ISRCTN56722368
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130702
PL  - England
TA  - BMC Fam Pract
JT  - BMC family practice
JID - 100967792
SB  - IM
MH  - Adult
MH  - Chi-Square Distribution
MH  - Clinical Competence
MH  - *Communication
MH  - Control Groups
MH  - Family Practice/*education/standards
MH  - Female
MH  - General Practitioners/*psychology/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Netherlands
MH  - Palliative Care/*methods/psychology/standards
MH  - *Physician-Patient Relations
MH  - Professional Practice Location
MH  - *Program Evaluation
MH  - Social Class
MH  - Young Adult
PMC - PMC3734100
EDAT- 2013/07/04 06:00
MHDA- 2014/04/25 06:00
PMCR- 2013/07/02
CRDT- 2013/07/04 06:00
PHST- 2012/11/13 00:00 [received]
PHST- 2013/05/07 00:00 [accepted]
PHST- 2013/07/04 06:00 [entrez]
PHST- 2013/07/04 06:00 [pubmed]
PHST- 2014/04/25 06:00 [medline]
PHST- 2013/07/02 00:00 [pmc-release]
AID - 1471-2296-14-93 [pii]
AID - 10.1186/1471-2296-14-93 [doi]
PST - epublish
SO  - BMC Fam Pract. 2013 Jul 2;14:93. doi: 10.1186/1471-2296-14-93.