Changing expectations toward end-of-life communication: An experimental investigation

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-11-22 DOI:10.1016/j.pec.2024.108571

Yannik Bendel , Martin Pinquart , Christian Schulz-Quach , Pia von Blanckenburg

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Abstract

Objectives

To investigate the effect of a) a brief video intervention and b) end-of-life (EOL) conversations with relatives on EOL communication expectations.

Methods

272 participants from the general population were randomly assigned to three different video conditions (Intervention group: Persons reporting positive EOL conversation experiences +imagination task, Control group 1: Video unrelated to EOL topics, Control group 2: Persons reporting different attitudes toward EOL conversations +imagination task). Primary outcome was negative expectations. After the videos, participants were invited to have their own conversation with a loved one in the following two months. Data were collected before (pretest) and after watching the videos (posttest) as well as at a two-months follow-up.

Results

Between pre- and posttest, negative expectations decreased significantly more in the IG compared to CG1 (b = 0.15, t = 2.08, p = .020) and CG2 (b = 0.21, t = 2.94, p = .002). Across conditions, participants having had a conversation between posttest and follow-up reported significantly stronger declines of negative expectations (b = 0.35, t = 3.54, p < .001).

Conclusions

In the short term, a brief video intervention can change expectations toward EOL communication. EOL conversations with relatives also have the potential to reduce negative expectations.

Practice Implications

Based on the findings, larger community-based interventions could be developed in order to increase EOL communication.

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改变对临终沟通的期望：实验调查

方法将普通人群中的 272 名参与者随机分配到三种不同的视频条件下（干预组：报告积极临终对话经历的人 + 想象任务；对照组 1：与临终主题无关的视频；对照组 2：与临终主题无关的视频）：对照组 1：与临终主题无关的视频；对照组 2：对临终谈话持不同态度的人：对照组 2：对临终交谈持不同态度的人 + 想象任务）。主要结果是消极期望。在观看视频后，参与者被邀请在接下来的两个月中与自己的亲人进行对话。结果在测试前和测试后，与 CG1（b = 0.15，t = 2.08，p = .020）和 CG2（b = 0.21，t = 2.94，p = .002）相比，IG 的消极期望明显降低。结论在短期内，简短的视频干预可以改变人们对临终沟通的期望。实践启示根据研究结果，可以制定更大规模的社区干预措施，以增加临终沟通。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.