Manualized communication interventions to enhance palliative care research and training: rigorous, testable approaches

Journal of Palliative Medicine
Joseph S WeinerJames A Tulsky

Abstract

Palliative care practice requires excellent communication between the patient, family, and clinical team. Experts in the field have proposed a variety of communication interventions that can be used in the palliative care setting. However, these interventions are at a high level of generality: the specifics of each intervention are not well codified; the individual steps in each intervention are not easily reproducible and thus not comparable between practitioners; the methods to measure adherence to these communication protocols have not been established; and there is little detail on how to adapt these general interventions to the individual patient and family. Therefore, we lack good evidence for the efficacy of these recommendations. This paper makes the case for development of structured, testable approaches to communication that will inform clinical practice and communication training. To do so, palliative care communication should be conceived as a formal medical and psychosocial intervention-a potential treatment with risks and benefits to be systematically researched and operationalized in the same manner as medication interventions. As we illustrate, psychotherapy research has faced the same challenges in the past and...Continue Reading

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Citations

Jan 10, 2014·Journal of Palliative Medicine·Elaine Wittenberg-LylesMolly Burchett
Jun 22, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Pooja SinghMark Unruh
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Apr 20, 2017·Journal of Palliative Medicine·David B BekelmanRebecca L Sudore
Feb 2, 2020·Patient Education and Counseling·Naykky Singh OspinaVictor Montori

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