Affective communication during bad news consultation. Effect on analogue patients' heart rate variability and recall.
Olivia Purnima Danzi, Cinzia Perlini, Federico Tedeschi, Mimma Nardelli, Alberto Greco, Enzo Pasquale Scilingo, Gaetano Valenza, Lidia Del Piccolo
Author Information
Olivia Purnima Danzi: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy.
Cinzia Perlini: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy.
Federico Tedeschi: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy.
Mimma Nardelli: Department of Information Engineering, and Bioengineering and Robotics Research Centre "E. Piaggio", School of Engineering, University of Pisa, Italy.
Alberto Greco: Department of Information Engineering, and Bioengineering and Robotics Research Centre "E. Piaggio", School of Engineering, University of Pisa, Italy.
Enzo Pasquale Scilingo: Department of Information Engineering, and Bioengineering and Robotics Research Centre "E. Piaggio", School of Engineering, University of Pisa, Italy.
Gaetano Valenza: Department of Information Engineering, and Bioengineering and Robotics Research Centre "E. Piaggio", School of Engineering, University of Pisa, Italy.
Lidia Del Piccolo: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy. Electronic address: lidia.delpiccolo@univr.it.
OBJECTIVE: The aim of the study was to investigate the effect of physicians' supportive communication on analogue patients' (APs) heart rate variability (HRV) and recall, while watching a video of palliative treatment being explained to a female patient. METHODS: Sixty healthy women, acting as APs, were randomly assigned to watch one of two versions (standard vs. affective) of a scripted video-vignette of a bad news consultation to a female patient. The physician's communication differed only in the delivery of four supportive comments. Empathy, support and engagement perception were assessed by three questions. APs' HR was recorded during video-observation and recall was assessed immediately after. HRV was determined through measures defined in time and frequency domains. RESULTS: Data of 54 APs (27 + 27) were included. The group with supportive communication perceived the physician as more empathic and supportive. Intra- and Inter-group comparisons suggested a greater sense of stress in the standard communication group. Recall did not differ in the two groups. CONCLUSION AND PRACTICE IMPLICATIONS: Findings show that the use of supportive expressions contribute to the perception of the physician as more empathic, potentially buffer patients' arousal after a bad news announcement, but does not confirm a positive impact on general recall.
