Good versus bad news consultations in advanced breast cancer: the role of empathy in information recall – an observational study

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van Vliet, Liesbeth MDepartment of Health, Medical and Neuropsychology, Leiden University, Leiden, The Netherlands (författare)

Good versus bad news consultations in advanced breast cancer: the role of empathy in information recall – an observational study

Artikel/kapitelEngelska2024

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2023-03-27
BMJ Publishing Group Ltd,2024
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LIBRIS-ID:oai:DiVA.org:hb-31590
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-31590URI
https://doi.org/10.1136/spcare-2022-003938DOI

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Språk:engelska
Sammanfattning på:engelska

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Funding:Netherlands Institute for Advanced Study in the Humanities and Social Sciences 10.13039/501100001719KWF Kankerbestrijding 10.13039/501100004622
Objective We explored, in advanced breast cancer, whether: (1) patients recall less information following bad versus good news consultations; (2) empathy has a greater effect on recalled information following bad versus good news consultations.Methods Observational study using audio-recorded consultations. Participants’ recall of provided information about treatment options, aims/positive effects and side-effects was assessed. Clinician-expressed empathy and consultation type were determined. Regression analyses assessed associations between consultation type and recall, exploring moderating influences of clinician-expressed empathy.ResultsFor 41 consultations (18 bad news, 23 good news), recall data were completed; total recall (47% vs 73%, p=0.03) and recall about treatment options (67% vs 85%, p=0.08, trend) were significantly worse following bad news compared with good news consultations. Recall about treatment aims/positive effects (53% vs 70%, p=0.30) and side-effects (28% vs 49%, p=0.20) was not significantly worse following bad news. Empathy moderated the relationship between consultation type and total recall (p<0.01), recall about treatment options (p=0.03) and about aims/positive effects (p<0.01) but not about side-effects (p=0.10). Only following good news consultations empathy influenced recall favourably.Conclusions This explorative study suggests that in advanced cancer, information recall is especially impaired following bad news consultations, for which empathy does not improve remembered information.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Människan i vården
The Human Perspective in Care

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Leeuwenburgh, Margot L RDepartment of Health, Medical and Neuropsychology, Leiden University, Leiden, The Netherlands (författare)
Westendorp, JanineDepartment of Health, Medical and Neuropsychology, Leiden University, Leiden, The Netherlands (författare)
van Dulmen, SandraDepartment of Communication, NIVEL, Utrecht, The Netherlands, Institute for Healh Sciences, Department of Primary and Community Care, Radboudumc, Nijmegen, The Netherlands(Swepub:hb)sava (författare)
de Jong, Paul CDepartment of Medical Oncology, Sint Antonius Ziekenhuis, Nieuwegein, The Netherlands (författare)
Stouthard, Jacqueline M LDepartment of Medical Oncology, Antoni van Leeuwenhoek Netherlands Cancer Institute, Amsterdam, The Netherlands (författare)
Department of Health, Medical and Neuropsychology, Leiden University, Leiden, The NetherlandsDepartment of Communication, NIVEL, Utrecht, The Netherlands, Institute for Healh Sciences, Department of Primary and Community Care, Radboudumc, Nijmegen, The Netherlands (creator_code:org_t)

Sammanhörande titlar

Ingår i:BMJ Supportive & Palliative Care: BMJ Publishing Group Ltd14, s. e528-e5322045-435X2045-4368

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