A blended learning for general practitioners and nurses on skills to support shared decision-making with patients about palliative cancer treatment: A one-group pre-posttest study

Danique W. Bos – van den Hoek, Ellen M. A. Smets, Rania Ali, Monique C. M. Baas-Thijssen, Hanna Bomhof-Roordink, Charles W. Helsper, Dawn Stacey, Dorien Tange, Hanneke W. M. van Laarhoven, Inge Henselmans

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Objective: To evaluate a newly developed blended learning programme for general practitioners (GPs) and nurses in supporting shared decision making (SDM) about palliative cancer treatment in a simulated setting. Methods: In a pre-posttest study, healthcare professionals (HCPs) participated in the blended learning (i.e. e-learning and (online) training session). HCPs filled out surveys (T0 (baseline), T1 (after e-learning) and T2 (after full blended learning)) and engaged in simulated consultations at T0 and T2. The primary outcome was observed SDM support (Triple-S; DSAT-10 for validation). Secondary outcomes included satisfaction, knowledge about and attitude towards SDM support. Repeated measures General Linear Models were conducted. Results: 33 HCPs (17 GPs and 16 nurses) participated. SDM support significantly improved after training (Triple-S; medium effect). Observers’ overall rating of SDM support (medium effect) as well as HCPs’ knowledge (large effect) and beliefs about their capabilities (medium effect) improved after training. There was no difference in decision support skills (DSAT-10), HCPs’ other clinical behavioural intentions and satisfaction. HCPs evaluated the training positively. Conclusion: Blended learning for HCPs on supporting SDM in palliative cancer care improved their skills, knowledge and confidence in simulated consultations. Practice implications: These first findings are promising for evaluating interprofessional SDM in clinical practice.
Original languageEnglish
Article number107712
JournalPatient Education and Counseling
Publication statusPublished - 1 Jul 2023


  • Communication
  • Continuing education
  • General practitioners
  • Neoplasms
  • Nurses
  • Palliative care
  • Shared decision making

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