Vignettes as research tools in global health communication: a systematic review of the literature from 2000 to 2020

Riley, Amy Henderson; Critchlow, Elizabeth; Birkenstock, Lyena; Itzoe, MariaLisa; Senter, Katherine; Holmes, Nichole; Buffer, Steven

doi:10.1080/17538068.2021.1945766

Cited by 11 publications

(7 citation statements)

References 92 publications

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“…Whereas the low number of missings and high response rate indicate feasibility of the evaluation concept and instruments, these were mainly based on self‐report, self‐developed and, so far, not psychometrically tested. Clinical vignettes as an external assessment of hypothetical, context‐specific situation have been chosen due to vignettes' rise in research 35 and for organizational reasons. Future studies might additionally use external rating (e.g., simulated patient assessments) to capture observable communication changes or the perspective of patients as an outcome parameter for the effectiveness of a training for HCPs and to investigate how patients and children perceive interactions with HCPs after attending a training.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a training program for healthcare professionals on parental cancer: Results of a randomized controlled pilot‐study

Johannsen,

Frerichs,

Philipp

et al. 2023

Psycho-Oncology

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ObjectiveCancer patients parenting minor children face specific burden and supportive needs, which are often not adequately addressed by their healthcare professionals (HCPs), due to a lack of knowledge, self‐efficacy and competencies. Therefore, we developed a 3‐h intervention enhancing HCPs' competencies in caring for these patients. We pilot‐evaluated the intervention's feasibility and efficacy, assuming intervention group participants reveal higher improvements over time compared to non‐trained participants.MethodsWe conducted a 3‐armed randomized controlled pilot‐trial (RCT), comparing face‐to‐face training (F2F), e‐Learning (EL), waitlist‐control group with three measurements (baseline, post‐training, 3‐month follow‐up). Primary outcome was the competency to approach child‐ and family‐related themes; secondary outcomes were knowledge, self‐efficacy in (specific) communication skills. Intervention effects were analyzed using linear mixed models.ResultsParticipants (n = 152) were mostly female (89%) and psychologists (38%; physicians 26%; nurses 18%). F2F and EL participants reported high training satisfaction. Analyses did not reveal any significant differences on the primary outcome between groups, but indicate positive intervention effects over time regarding secondary outcomes including knowledge and self‐efficacy in communication skills.ConclusionsThis is the first pilot‐study evaluating a training for HCPs in oncology on parental cancer using a 3‐armed RCT. The 3‐h training program is a feasible approach and findings indicate to increase HCPs' knowledge and self‐efficacy in caring for cancer patients with minor children. Further research is needed to verify preliminary findings of this pilot study. The study was pre‐registered within the German Clinical Trial Register (DRKS‐00015794).

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a training program for healthcare professionals on parental cancer: Results of a randomized controlled pilot‐study

Johannsen,

Frerichs,

Philipp

et al. 2023

Psycho-Oncology

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“…Hence, there is a need for rigorously developed and psychometrically sound instruments. Moreover, objective simulated patient assessments (SPAs) should be included in future studies as they are the gold standard for evaluation of CSTs [ 51 , 52 ]. Clinical case vignettes, as used in one included study [ 23 ], have been found to be comparable to SPAs [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, objective simulated patient assessments (SPAs) should be included in future studies as they are the gold standard for evaluation of CSTs [ 51 , 52 ]. Clinical case vignettes, as used in one included study [ 23 ], have been found to be comparable to SPAs [ 52 ]. However, development of vignettes should be standardized and follow current recommendations [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Child- and family-specific communication skills trainings for healthcare professionals caring for families with parental cancer: A systematic review

et al. 2022

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Introduction As part of high-quality cancer care, healthcare professionals (HCPs) play a significant role in identifying and addressing specific needs of cancer patients parenting minor children. However, HCPs experience various barriers to adequately support parents with cancer. This systematic review explores current CSTs incorporating child- and family- specific modules for HCPs in oncology. Moreover, outcome measures and effectiveness of trainings are systematically investigated. Methods The systematic review was registered within PROSPERO (registration code: CRD42020139783). Systematic searches were performed in four databases (PubMed, Cinahl, PsycInfo, Web of Science) in 12/2020, including an update in 12/2021 and 08/2022. Quantitative, primary studies fulfilling the pre-defined inclusion criteria were included. Due to the expected heterogeneity a meta-analysis was not conducted. Study selection and quality assessment were conducted by two independent researchers, data extraction by one. Study quality was assessed using an adapted version of the National Institutes of Health quality assessment tool for pre-post studies without control group. Results Nine studies were included in this review following an experimental pre-post design only. Two CSTs were specifically designed to improve communication with cancer patients parenting minor children, the remaining seven incorporated a brief family module only. Seven programs were face-to-face trainings, one an e-learning and one a webinar. Eight studies found at least one statistically significant improvement in communication after training. However, quality of most studies was fair. Conclusion This is the first review exploring specific CSTs for HCPs caring for cancer patients parenting minor children. As only two CSTs focused on parental cancer, evidence on the effectiveness of such CSTs is limited. Existing CSTs should be evaluated properly and include details on content of family modules. Further studies including and evaluating specific CSTs focusing on parental cancer are needed in order to strengthen HCPs’ competencies to meet specific needs of patients parenting minor children.

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“…The relative lack of opportunities to interact with actual clients raises the practical question of whether role-played or simulated clients could be used instead. Simulations, and related techniques such as scripted vignettes, are in fact not uncommon in (mental) health education and research, with ongoing debate about their value and effectiveness (Kaplonyi et al, 2017;Lane & Rollnick, 2007;Nestel & Tierney, 2007;Riley et al, 2021). For psychotherapy, the case for simulations is often made on the grounds that they circumvent ethical issues like privacy and confidentiality (Matthews et al, 2014), and there is some evidence to suggest that simulated and actual clients do not differ significantly (Finger et al, 1993;Hodgson et al, 2007).…”

Section: Modeling Variability In Client Responsesmentioning

confidence: 99%

Navigating the Realities of Metaphor and Psychotherapy Research

Tay

2022

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The 'real-world' commitment of cognitive linguistics is demonstrated by increasingly extensive collaboration between researchers and industry partners. Yet, there has been little critical reflection on the lessons learnt from these collaborative efforts. Beginning researchers may benefit from in-depth discussion of how various practical realities inform, constrain, or otherwise shape important methodological and/or analytic decisions. This Element reflects on long-term collaborative work between a metaphor researcher and psychotherapists, offering practical advice on navigating the latent realities of this type of research. The three foundational components of psychotherapy – the therapist, the client, and the interactional setting itself – are discussed in turn, covering issues like ethically engaging therapists in research design and data analysis, dealing with underexplored variabilities in client responses, and managing the inherent tension between spontaneity and control in an interactional setting like psychotherapy. Some thoughts on how the lessons are transferable to other research contexts are offered.

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Vignettes as research tools in global health communication: a systematic review of the literature from 2000 to 2020

Cited by 11 publications

References 92 publications

Effectiveness of a training program for healthcare professionals on parental cancer: Results of a randomized controlled pilot‐study

Effectiveness of a training program for healthcare professionals on parental cancer: Results of a randomized controlled pilot‐study

Child- and family-specific communication skills trainings for healthcare professionals caring for families with parental cancer: A systematic review

Navigating the Realities of Metaphor and Psychotherapy Research

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