ASSESSING BAD NEWS DELIVERY SKILLS TO A PATIENT: ADAPTATION AND VALIDATION OF THE BREAKING “BAD NEWS ASSESSMENT SCHEDULE (BAS)” METHODOLOGY
AbstractIntroduction. Assessment of bad news reporting skills to the patient is an integral component of physician training in professional communication, performing diagnostic, control, developmental, and stimulating control functions, provided that the assessment tools are standardized, i. e., valid and reliable. However, in Russian medical educational practice such a tool is absent.
The aim of the study is to translate and adapt the standardized “Breaking bad news Assessment Schedule (BAS)” (Miller S.J.) methodology to a sample of residents.
Material and methods. A description of the validated technique itself, the sample on which the study was conducted, is given. In the validation process, a forward and backward translation of the technique was performed, a cognitive interview was conducted, and 22 residents were evaluated and interviewed. The reliability-coherence of the five sections of the questionnaire was assessed. Criterion validity of the questionnaire was assessed using the contrast-group method, where sex differences were the validation criterion. To assess the retest reliability of the questionnaire, residents were questioned again six months after training in the bad news reporting technique.
Results. The reliability of the BAS questionnaire was found to be excellent (α=0.95). The proportion of respondents who had no difficulty in understanding the questions of the questionnaire was very high – 98%. The results of comparing the structures of the integral marks given by the expert to the respondents and the respondents are statistically significantly different: the expert assessed the communication skills of the respondents more strictly compared to the self-assessments of the respondents. The results of the comparative analysis of the structures of marks in the primary and repeated questionnaires of the residents show that, in general, they are statistically significantly different. A study of the retest reliability of the questionnaire showed that the questionnaire is reliable as a tool for assessing bad news reporting.
Conclusion. The Russian-language version of the BAS technique is reliable, valid, and allows us to assess and examine the level of bad news reporting skills and residents’ and physicians’ readiness to have a difficult conversation with a patient in many training programs during residency training.
Keywords:foreign students; hospital therapy; studying in English; practice-oriented training; mind map; checklist; real clinical practice
Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Vasil’eva E.Yu., Kuzmina L.N., Dyachenko E.V. Assessing bad news delivery skills to a patient: adaptation and validation of the Breaking bad news assessment schedule (BAS) methodology. Meditsinskoe obrazovanie i professional’noe razvitie [Medical education and professional development]. 2023; 14 (4): 22–39. DOI: https://doi.org/10.33029/2220-8453-2023-14-4-22-39 (in Russian)
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