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Washington University in St. Louis

Theses/Dissertations

2010

Communication

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Breaking Bad News: Effect Of Physician Communication On Analog Patients' Response, Emily Porensky Jan 2010

Breaking Bad News: Effect Of Physician Communication On Analog Patients' Response, Emily Porensky

All Theses and Dissertations (ETDs)

Breaking bad news is a difficult, yet unavoidable part of healthcare for physicians and patients alike. Although expert opinion suggests that certain strategies for breaking bad news may be better than others, there is little methodologically rigorous research to support current guidelines. This study used an experimental paradigm to test two communication strategies, forecasting bad news and framing prognostic information, when giving people a life-limiting diagnosis of colon cancer. Videotapes depicted a physician disclosing a diagnosis of cancer and discussing prognosis. Participants: N = 128) were asked to imagine they were going to see a doctor for physical symptoms they …