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Effectiveness of the AAA-Training Programme on GP resident-Patient Communication in Palliative care; a Controlled Clinical Trial (COMPACT in GP vocational training).


- candidate number3184
- NTR NumberNTR1271
- ISRCTNISRCTN wordt niet meer aangevraagd
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR9-apr-2008
- Secondary IDsWC2006-066 
- Public TitleEffectiveness of the AAA-Training Programme on GP resident-Patient Communication in Palliative care; a Controlled Clinical Trial (COMPACT in GP vocational training).
- Scientific TitleEffectiveness of the AAA-Training Programme on GP resident-Patient Communication in Palliative care; a Controlled Clinical Trial (COMPACT in GP vocational training).
- ACRONYMCOMPACT in GP vocational training
- hypothesisBased on the literature and preliminary studies three key elements for GP-patient communication in PC were identified:
Availability, Active listening, and Anticipating (AAA). Existing GP residency training programmes on communication in PC are in need of a tool for identifying GP residents’ individual learning goals. The AAA assessment tool will enable GP residents to gain insight in the quality of their communication skills in PC; this will increase the effectiveness of the learning process by helping to focus on the aspects GP residents want to improve. All participating GP residents are in the last year of their vocational GP training, only the intervention groups will attend the training with the AAA assessment tool integrated in the programme.
- Healt Condition(s) or Problem(s) studiedPalliative care , Physician-patient interaction, General practitioner
- Inclusion criteria1. Participants in this study are GP-residents.
2. No patients will be included in this study.
- Exclusion criteria1.Participants in this study are GP-residents.
2. No patients will be included in this study.
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 1-jan-2006
- planned closingdate31-dec-2009
- Target number of participants120
- Interventions120 GP residents will be recruited.
No patients will be included in this study.
- Primary outcomeThe first research question, on effectiveness of the AAA assessment tool, will be measured by analysis of video-recorded consultations with simulated patients: the GP resident-patient communication in PC will be determined by the Roter Interaction Analysis System (RIAS), to which a study-specific ‘AAA’ rating subscale will be added. All participating GP residents will be video-taped (consultation with a simulated patient) at the start of the course (before the start of the intervention) and at the end of the course (6 months later).
- Secondary outcome1. Feasibility of the AAA programme is measured by monitoring the active participation, by registration of learning effects
2. Satisfaction with the AAA programme is measured by evaluation forms (GP residents, GP trainers and staff)
3. Barriers are explored by semi-structured interviews with GP residents
- Timepoints- Months 1-6: Preparation of Controlled Clinical Trial and AAA assessment tool;
- Months 6-24: Pre-measurement, intervention/control, post-measurement in 10 groups of 12 GP residents;
- Months 18-36: Assessments of videotaped simulated patient consultations, analyses and report.
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIESMD. PhD. A.H. Blankenstein
- CONTACT for SCIENTIFIC QUERIESProf. MD, PhD H.E. Horst, van der
- Sponsor/Initiator VU University Medical Center, EMGO+ Institute, VU University Medical Center, Department of General Practice
- Funding
(Source(s) of Monetary or Material Support)
Commissie Activiteiten Stimulering Huisartsopleiding (CASH) of SBOH
- PublicationsN/A
- Brief summaryThe aim of the proposed study is to improve palliative care (PC) in general practice, by improving general practitioner (GP)-patient communication in PC. GPs play a central role in providing PC in the Netherlands. Good GP-patient communication is essential for the delivery of high quality care. Communication in PC is difficult, involving a mix of physical, psychosocial, and spiritual issues. Because of barriers in communication, not all of the patient’s problems are clarified.
Consequently, GPs will not take subsequent actions, and the quality of life of the patient may be unnecessarily impaired. Our literature review and our preliminary studies yielded three key elements for GP-patient communication in PC: Availability, Active listening, and Anticipating (AAA). Existing PC training courses for GP residents are too much generalized, lacking tools for GPs to detect their personal gaps. We developed the AAA assessment tool, that enables GP residents to identify the gaps in their PC communication skills and to formulate learning goals. Tailored communication exercises are offered, and finally the tool is used for self-evaluation of learned AAA skills. The effectiveness of this tool will be evaluated in a controlled clinical trial. Study questions are:
1. what are the effects of implementing the AAA assessment tool on communication skills of GP residents?
2. Do GPs experience the newly acquired skills in their palliative practice as useful?
3. How can the AAA training be implemented in the vocational GP training?
A control group of 60 GP residents (= five groups of 12 GP residents) will attend the usual third year programme. An intervention group of 60 GP residents will attend a similar programme, in which the AAA tool is implemented.
Outcomes are
1. GP residents’ performance on PC communication skills, assessed by video-recorded consultations with simulated patients;
2. Perceived PC competence and applicability of learned skills, measured by GP-resident questionnaires;
3. Feasibility of the AAA training in the GP vocational training. If demonstrated to be effective, the AAA assessment tool will be implemented in the vocational GP training programme, also in other institutes.
- Main changes (audit trail)
- RECORD9-apr-2008 - 17-apr-2008


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