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Teaching general practitioners and doctors-in-training to discuss advance care planning: evaluation of a brief multimodality education programme
Open accessAbstract
Objective: To develop and evaluate an interactive advance care planning (ACP) educational programme for general practitioners and doctors-in-training. Design: Development of training materials was overseen by a committee; informed by literature and previous teaching experience. The evaluation assessed participant confidence, knowledge and attitude toward ACP before and after training. Setting: Training provided to metropolitan and rural settings in Victoria, Australia. Participants: 148 doctors participated in training. The majority were aged at least 40 years with more than 10 years work experience; 63% had not trained in Australia. Intervention: The programme included prereading, a DVD, interactive patient e-simulation workshop and a training manual. All educational materials followed an evidence-based stepwise approach to ACP: Introducing the topic, exploring concepts, introducing solutions and summarising the conversation. Main outcome measures: The primary outcome was the change in doctors’ self-reported confidence to undertake ACP conversations. Secondary measures included pretest/post-test scores in patient ACP e-simulation, change in ACP knowledge and attitude, and satisfaction with programme materials. Results: 69 participants completed the preworkshop and postworkshop evaluation. Following education, there was a significant change in self-reported confidence in six of eight items (p=0.008 –0.08). There was a significant improvement (p<0.001) in median scores on the e-simulation (pre 7/80, post 60/80). There were no significant differences observed in ACP knowledge following training, and most participants were supportive of patient autonomy and ACP pretraining. Educational materials were rated highly. Conclusions: A short multimodal interactive education programme improves doctors’ confidence with ACP and performance on an ACP patient e-simulation.
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“confidence [19, 25]”
From A systematic review of the effects of advance care planning facilitators training programs. (2019) · cites this paper as [19]
In the citing paper
“The least productive of evidence was the use of non-validated questionnaires/surveys as in the studies of Bristowe et al. [18], Detering et al. [19], Greenberg et al. [20], Seal [24] and Lum et al. [22, 25].”
From A systematic review of the effects of advance care planning facilitators training programs. (2019) · cites this paper as [19]
In the citing paper
“Except the study conducted by Detering et al. [19], there were no important differences between groups prior to the intervention, or no control group was presented in all other studies.”
From A systematic review of the effects of advance care planning facilitators training programs. (2019) · cites this paper as [19]
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A systematic review of the effects of advance care planning facilitators training programs.
Chan, C. W. H., Ng, N. H. Y., Chan, H. Y. L., Wong, M. M. H., & Chow, K. M. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4192-0 · Cited by 135
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Metadata
- Authors
- Detering, K., Silvester, W., Corke, C., Milnes, S., Fullam, R., Lewis, V., & Renton, J.
- Affiliations
- Austin Hospital (AU)
- Austin Health (AU)
- Barwon Health (AU)
- Deakin University (AU)
- La Trobe University (AU)
- Corresponding author
- Detering, Karen
- Venue
- BMJ Supportive & Palliative Care
- Publisher
- BMJ
- Published
- 2014-05-20
- Volume
- 4
- Issue
- 3
- Pages
- 313-321
- ISSN
- 2045-435X (ISSN-L)
- 2045-4368
- OpenAlex
- W2129084755
- Cited by
- 92
- References
- 38
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 9 · 2023: 10 · 2022: 7 · 2021: 14 · 2020: 8 · 2019: 15 · 2018: 5 · 2017: 6 · 2016: 9 · 2015: 4 · 2014: 1
- FWCI
- 6.60
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- BMJ Supportive & Palliative Care (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- advance care planning, physician training, general practitioners, doctors in training, physician-patient communication, self-reported confidence, patient autonomy, end-of-life care
- MeSH terms
- Adult, Attitude of Health Personnel, Computer Simulation, Female, Humans, Male, Physician-Patient Relations, Terminal Care, Patient Simulation, Advance Care Planning, Young Adult, General Practice
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