Intervention component | Subcomponent | Content |
---|---|---|
Communication training | Two training sessions with simulated patients and video assessment Two training sessions in a clinical setting including individualized feedback Coaching | MCA conversation components Communication skills Attitude Empathy Prognostic awareness |
Milestone conversations | Diagnosis | Breaking bad news Treatment options Outlining follow-up and contact with nurse |
Stable phase | Question-prompt-list Prognostic awareness Advance care planning Palliative care needs | |
Progression | Question-prompt-list Breaking bad news Prognostic awareness Treatment options Advance care planning Palliative care needs | |
Transition to best supportive care | Question-prompt-list Breaking bad news Prognostic awareness Advance care planning Symptom treatment Palliative care needs | |
Follow-up sessions | Patient is contacted every month by telephone or during a routine clinic visit by a nurse | Palliative care assessment Prognostic awareness Answering patient questions Referrals if necessary |
Material | Communication manual for milestone conversations | Content of milestone conversations Training material |
Memory cards | Quick overview of milestone conversations | |
Managing symptoms guidebook | Brochure for patients on symptom management | |
Question-prompt-list | Questions patients could ask |