Adaptation of a Serious Illness Communication Training Intervention for the Rwandan Context
Rattachement africain : us, Rwanda, ch, ca. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
CONTEXT: Communication skills are essential in cancer care, and international guidelines recommend communication training for all cancer care providers. Both clinical communication and training methods are influenced by culture. As oncology and palliative care expand globally, procedures are needed to adapt evidence-based communication training for diverse contexts. OBJECTIVE: To adapt a serious illness communication training intervention in Rwanda. METHODS: Guided by the Cultural Adaptation Process model, we conducted focus groups to understand communication training needs and gather feedback on a U.S. tool, the Serious Illness Conversation Guide (SICG). Based on identified needs, we made initial adaptations to an SICG-based training, incorporating tools from another U.S. program (VitalTalk). We piloted this training with 14 clinical psychologists, using lecture, demonstration, scripted roleplay, and small group discussion. Effectiveness was assessed through 5-point scales and qualitative feedback. RESULTS: Seventeen interdisciplinary oncology providers participated in one of three focus groups. While some had received lectures on communication, all believed additional training is needed. They endorsed the approach of adapting an international program rather than creating a Rwandan training de novo. Based on their input, we adapted and piloted a training that focused on three skills: 1) Set up the conversation and assess understanding; 2) Share information via a succinct "headline;" 3) Respond to emotion. Training methods received mean scores of 4.0 to 4.33 (5 = most effective). Further modifications were suggested to improve cultural concordance. CONCLUSION: Despite vast cultural differences, communication training interventions developed in the U.S. can be effectively adapted in African contexts through co-creation with local providers.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Adaptation of a Serious Illness Communication Training Intervention for the Rwandan Context
- Date Crossref
- 01/02/2026
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
University of California Department of Medicine (R.J.D. pays non établi dans la noticeUniversité ou école supérieure
-
University of Kigali University of Kigali, Rwanda (code pays fourni par la source)Université ou école supérieure
-
Bagnoud Observatory pays non établi dans la noticeStructure de recherche
-
Rwanda Military Hospital Department of Oncology (D.A.N.) Rwanda (code pays fourni par la source)Établissement de santé
-
University of Global Health Equity Department of Oncology (E.R.) Kigali, Rwanda (code pays fourni par la source)Université ou école supérieure
-
Butaro Hospital Rwanda (code pays fourni par la source)Établissement de santé
-
Partners In Health Kigali, Rwanda (pays nommé en fin d’affiliation)Organisation à but non lucratif
-
Dana-Farber Cancer Institute Department of Medical Oncology (S.E.S.) pays non établi dans la noticeStructure de recherche
-
University of San Francisco pays non établi dans la noticeUniversité ou école supérieure
-
Alameda Health System pays non établi dans la noticeÉtablissement de santé
-
San Francisco VA Health Care System pays non établi dans la noticeÉtablissement de santé
-
McGill University Department of Family Medicine (J.J.S.) pays non établi dans la noticeUniversité ou école supérieure
Department of Medicine (R.J.D. — University of California, University of Kigali (University of Kigali, Rwanda) et Bagnoud Observatory, avec 9 autres affiliations. Pays d’affiliation : Rwanda.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.