{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:22:01Z","timestamp":1792030921889,"version":"4.4.0"},"reference-count":0,"publisher":"UT MD Anderson Cancer Center Research Medical Library","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACEQI"],"abstract":"<jats:p>Introduction\nEmpathic communication is crucial for clinicians when discussing palliative and end-of-life (PC\/EOL) care with parents of children with cancer. Unfortunately, many parents report inadequate communication at these distressing times. This study evaluates the communication skills training (CST) clinicians received to deliver a PC\/EOL communication intervention as part of a multi-site randomized-controlled trial (RCT). Training was provided using an in-person format and then adapted to a virtual platform to accommodate remote learners.\nMethods\nClinicians were trained in dyads (one physician and one nurse [RN] or advanced practice provider [APP]) over 3 days (in-person or virtually). Four pediatric oncology cases were developed and each incorporated three timepoints: diagnosis, disease progression, and end-of life. Training was adapted from VitalTalkTM and included didactic instruction, videos, visual aids, and role play. Participants completed a confidential, post-training survey. A self-reported quality assurance checklist measured fidelity to the intervention during the RCT.\nResults\nThirty clinicians completed training; 26 completed post-training surveys including 46.1% physicians, 30.8% RNs and 23.1% APPs. Most were female (65.4%); white (80.8%), and 40-50 years old (53.9%). Nine (34.6%) trained in-person; the rest trained virtually. Ninety-two percent reported the course was valuable\/very valuable for developing PC\/EOL communication skills and 96% learned something new. Dyads trained virtually had similar fidelity to those trained in-person (95% and 90% respectively) when delivering the intervention to parents.\nDiscussion\nThis PC\/EOL CST, implemented in-person and virtually, was valuable for improving pediatric oncology clinicians\u2019 communication skills and was translated effectively into practice.<\/jats:p>","DOI":"10.52519\/aceqi.25.1.1.a2","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T21:08:21Z","timestamp":1746565701000},"source":"Crossref","is-referenced-by-count":3,"title":["In-Person and Virtual Adaptation of an Interprofessional Palliative Care Communications Skills Training Course for Pediatric Oncology Clinicians"],"prefix":"10.52519","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4168-2864","authenticated-orcid":false,"given":"Karen","family":"Moody","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1846-9117","authenticated-orcid":false,"given":"Clark R.","family":"Andersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Arnold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Bradley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5776-8211","authenticated-orcid":false,"given":"Allie","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Draper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8843-8343","authenticated-orcid":false,"given":"Timothy","family":"Garrington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7796-8632","authenticated-orcid":false,"given":"Jonathan B.","family":"Gill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6776-4852","authenticated-orcid":false,"given":"Douglas J.","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9508-0159","authenticated-orcid":false,"given":"Masanori","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1695-6983","authenticated-orcid":false,"given":"Amy","family":"Heaton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Holladay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Lion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alakh","family":"Rajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz N.","family":"Rozo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1018-9914","authenticated-orcid":false,"given":"Daniel V.","family":"Runco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shermini","family":"Saini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura K.","family":"Salvador","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Sutton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verna","family":"Ferguson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30203","published-online":{"date-parts":[[2025,5]]},"container-title":["Advances in Cancer Education and Quality Improvement"],"original-title":[],"deposited":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T19:05:37Z","timestamp":1748977537000},"score":1,"resource":{"primary":{"URL":"https:\/\/openworks.mdanderson.org\/aceqi\/vol1\/iss1\/2\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,5]]}},"URL":"https:\/\/doi.org\/10.52519\/aceqi.25.1.1.a2","relation":{},"ISSN":["2997-8831"],"issn-type":[{"value":"2997-8831","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]}}}