Virtual Geritalk: Improving Serious Illness Communication of Clinicians Who Care for Older Adults.
Virtual Geritalk: Improving Serious Illness Communication of Clinicians Who Care for Older Adults.
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DOI：
10.1016/j.jpainsymman.2021.02.024
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发表时间：
2021-09
影响因子：
4.7
通讯作者：
Dow LA
中科院分区：
文献类型：
--
作者：
Frydman JL;Gelfman LP;Lindenberger EC;Smith CB;Berns S;Kelley AS;Dow LA
高质量的沟通对于老年人的医疗决策、生活质量和对严重疾病的调整至关重要。研究表明，Geritalk，一个为期两天（共16小时）的面对面沟通技能培训，提高了自我评估的准备，技能获取和沟通技能的持续实践。由于2019冠状病毒病疫情，Geritalk被改编为虚拟形式（共4天，10小时）。我们的研究评估了参与者在虚拟课程之前和之后对严重疾病沟通的自我评估准备以及对课程的满意度的变化，并将这些发现与之前的面对面Geritalk课程的反应进行了比较。三个城市学术医疗中心的老年医学和姑息医学研究员在虚拟课程前后完成了调查，调查采用了5分制李克特量表，以评估对课程的满意度和对严重疾病沟通的准备。在20名虚拟Geritalk参与者中，17名（85%）完成了课程前评估，14名（70%）完成了课程后评估。总体而言，对课程的满意度很高（5分制平均4.9分）。与面对面的Geritalk参与者相比，虚拟课程参与者在所有调查的沟通技能中报告了可比的和显著的（p <0.01）自我报告准备的平均改善。我们表明，虚拟沟通技能培训是可行的和有效的。我们的研究结果表明，创新的虚拟Geritalk课程有可能增加沟通技能培训的机会，提高严重疾病的沟通技能，从而提高患有严重疾病的老年人所接受的护理质量。
High quality communication is essential to older adults’ medical decision-making, quality of life, and adjustment to serious illness. Studies have demonstrated that Geritalk, a two day (16 hours total) in-person communication skills training improves self-assessed preparedness, skill acquisition, and sustained practice of communication skills. Due to the COVID-19 pandemic, Geritalk was adapted to a virtual format (4 days, 10 hours total). Our study evaluated the change in participants’ self-assessed preparedness for serious illness communication before and after the virtual course and satisfaction with the course, and compared these findings to responses from a prior in-person Geritalk course. Geriatrics and Palliative Medicine fellows at three urban academic medical centers completed surveys, which employed 5-point Likert scales, before and after the virtual course to assess satisfaction with the course and preparedness for serious illness communication. Of the 20 virtual Geritalk participants, 17 (85%) completed the pre-course assessment, and 14 (70%) completed the post-course assessment. Overall, satisfaction with the course was high (mean 4.9 on a 5‐point scale). Compared to in-person Geritalk participants, virtual course participants reported comparable and significant (p <.01) improvements in mean self-reported preparedness across all surveyed communication skills. We show that a virtual communication skills training is feasible and effective. Our findings suggest that the innovative virtual Geritalk course has the potential to increase access to communication skills training, improve serious illness communication skills, and in turn, improve the quality of care received by older adults with serious illness.
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影响因子：
28.4
作者：
Epstein RM;Duberstein PR;Fenton JJ;Fiscella K;Hoerger M;Tancredi DJ;Xing G;Gramling R;Mohile S;Franks P;Kaesberg P;Plumb S;Cipri CS;Street RL Jr;Shields CG;Back AL;Butow P;Walczak A;Tattersall M;Venuti A;Sullivan P;Robinson M;Hoh B;Lewis L;Kravitz RL
通讯作者：
Kravitz RL
影响因子：
168.9
作者：
Fallowfield, L;Jenkins, V;Eves, R
通讯作者：
Eves, R
影响因子：
6.3
作者：
Back, Anthony L.;Fromme, Erik K.;Meier, Diane E.
通讯作者：
Meier, Diane E.
影响因子：
50.5
作者：
Fallowfield, LJ
通讯作者：
Fallowfield, LJ
影响因子：
4.7
作者：
Gelfman, Laura P.;Lindenberger, Elizabeth;Kelley, Amy S.
通讯作者：
Kelley, Amy S.