Effectiveness of the palliative care 'Availability, Current issues and Anticipation' (ACA) communication training programme for general practitioners on patient outcomes: a controlled trial.
Bottom Line: We found no significant differences over time between the intervention and control groups in any of the five outcome measures.Ceiling effects were observed for the Rest & Peace Scale, Patient Satisfaction Questionnaire-III and Availability, Current issues and Anticipation Scale.General practitioner participation in the Availability, Current issues and Anticipation training programme did not have a measurable effect on any of the outcomes investigated.
Affiliation: Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands email@example.com firstname.lastname@example.org.Show MeSH
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Mentions: All 126 GPs eligible for the study agreed to participate. In all, 62 GPs (‘Eindhoven’ and ‘Rotterdam’) were assigned to the intervention group and 64 (‘Amsterdam’) to the control group. Of the 62 intervention GPs, 43 included one or more patients (30 GPs at baseline and 27 at follow-up). Of the 64 control GPs, 34 included patients (31 GPs at baseline and only 10 at follow-up) (see Figure 1). The primary reasons for not including patients were no patient needing palliative care in practice during inclusion periods, reluctance to ask a seriously ill patient to participate and the rapidly deteriorating condition of patients. Intervention GPs were more likely to practise in a rural location than control GPs. No further between-group differences were observed in the background characteristics of the GPs (Table 1). Also, the characteristics of those GPs who provided patients to the study were similar to those who did not.
Affiliation: Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands email@example.com firstname.lastname@example.org.