Identifying best practices for disclosure of amyloid imaging results: A randomized controlled trial

被引：21

作者：

Fruijtier, Agnetha D. ^{[1
,2
]}

van der Schaar, Jetske ^{[1
]}

van Maurik, Ingrid S. ^{[1
,3
]}

Zwan, Marissa D. ^{[1
]}

Scheltens, Philip ^{[1
]}

Bouwman, Femke ^{[1
]}

Pijnenburg, Yolande A. L. ^{[1
]}

van Berckel, Bart N. M. ^{[4
]}

Ebenau, Jarith ^{[1
]}

van der Flier, Wiesje M. ^{[1
,3
]}

Smets, Ellen M. A. ^{[2
]}

Visser, Leonie N. C. ^{[1
,5
]}

机构：

[1] Vrije Univ Amsterdam, Amsterdam UMC, Alzheimer Ctr Amsterdam Dept Neurol, Amsterdam Neurosci, Amsterdam, Netherlands

[2] Acad Med Ctr, Dept Med Psychol, Amsterdam UMC, Amsterdam, Netherlands

[3] Vrije Univ Amsterdam, Dept Epidemiol & Data Sci, Amsterdam UMC, Amsterdam, Netherlands

[4] Vrije Univ Amsterdam, Dept Radiol & Nucl Med, Amsterdam Neurosci, Amsterdam UMC, Amsterdam, Netherlands

[5] Karolinska Inst, Div Clin Geriatr, Dept Neurobiol Care Sci & Soc NVS, Ctr Alzheimer Res, Solna, Sweden

来源：

ALZHEIMERS & DEMENTIA | 2023年 / 19卷 / 01期

关键词：

amyloid status; communication; disclosure; MCI; mild cognitive impairment; MILD COGNITIVE IMPAIRMENT; SCRIPTED VIDEO-VIGNETTES; PATIENT COMMUNICATION; RISK COMMUNICATION; PATIENTS RECALL; ANALOG PATIENTS; SHORT-FORM; SATISFACTION; INFORMATION; ANXIETY;

D O I：

10.1002/alz.12630

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction Empirical studies on effective communication for amyloid disclosure in mild cognitive impairment (MCI) are lacking. We aimed to study the impact of six communication strategies. Method We performed a randomized controlled trial with seven randomly assigned, video-vignette conditions: six emphasizing a communication strategy and one basic condition. All showed a scripted consultation of a neurologist disclosing positive amyloid positron emission tomography (PET) scan results to an MCI patient. Healthy individuals (N = 1017; mean age +/- SD 64 +/- 8, 808 (79%) female) were instructed to imagine themselves in the video, answered questionnaires assessing information recall, emotional state, and behavioral intentions, and evaluate the physician/information. Results "Risk best practice" resulted in highest free recall compared to other strategies (P < .05), except "emotional support". Recall in "emotional support" was better compared to "basic-' and elaborate information"(P < .05). "Risk best practice" resulted in the highest uncertainty (P < .001). "Teach-back" and "emotional support" contributed to the highest evaluations (P -values < .01). Conclusion Risk communication best practices, attending to emotions, and teach-back techniques enhance information recall of amyloid-PET results, and could contribute to positive care evaluations.

引用

页码：285 / 295

页数：11

共 66 条

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