Assessing patients´ preferences for breaking Bad News according to the SPIKES-Protocol: the MABBAN scale

Patient Education and Counseling
Pia von BlanckenburgC Seifart

Abstract

Quality of breaking bad news can seriously affect the course of disease. A frequently applied guideline is the SPIKES-Protocol that have been designed from the physician's perspective. Little is known about patients' preferences in breaking bad news. Our aim was to develop a questionnaire based on the SPIKES-protocol to detect patients´ preferences for breaking bad news communication. TheMarburg Breaking Bad News Scale (MABBAN) was developed and administered to 336 cancer patients. We used exploratory factor analysis. To examine potential relationships according to demographic and medical variables, regression analyses were conducted. The novel questionnaire supported the six SPIKES-components of breaking bad news: Setting, Perception, Invitation, Knowledge, Emotions, and Strategy. Perception and Invitation clustered together to one subscale. Depending on clinical and demographic variables different components were rated as important. Communication preferences in breaking bad news can be assessed using a SPIKES-based questionnaire. Physicians should improve the setting, share knowledge in all clarity, involve the patients in further planning, and consider demographical variables. Using SPIKES as a framework can optimize breakin...Continue Reading

Citations

Jan 28, 2021·Journal of General Internal Medicine·Anjali GopalanRichard W Grant
Dec 10, 2020·AIMS Public Health·Mumen Abdalazim DafallahMohamed H Ahmed
Apr 9, 2021·BMC Medical Education·Kátia Laureano Dos SantosErik Montagna
Apr 15, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Christina VittoSally A Santen

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