In a Spanish RCT, widows whose family physician was trained in bereavement care experienced poorer emotional outcomes than widows in the control group¶
Claim · All claims
Evidence · 1 study · reviewr3·q3
Currency · newest study 2019 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? Widows in the intervention group, whose family physician was trained in bereavement care, experienced poorer emotional outcomes than widows in the control group — the opposite direction to the Danish trial. → Sikstrom L 2019
Evidence¶
Sikstrom L 2019¶
Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. (2019). Being there: A scoping review of grief support training in medical education. PLoS ONE. https://doi.org/10.1371/journal.pone.0224325
q3 · i? · review · r3
The review reports a cluster randomized controlled trial in Spain (cited as reference 62, Garcia et al., primary bereavement care for widows). Widows in the intervention group "experienced poorer emotional outcomes than the widows in the control group"; no effect size is printed.
"Surprisingly, another RCT in Spain found the opposite; they reported that widows in the intervention group (i.e., their family physician was trained in bereavement care) experienced poorer emotional outcomes than the widows in the control group [62]."
Discussion¶
Related Claims¶
- Grief training outcomes were usually measured by immediate self-assessment showing increased knowledge and comfort, with few studies measuring patient care, physician well-being or longitudinal effects
- A US randomized controlled trial found significantly decreased burnout after physicians attended four modules on stress, grief and burnout in medicine
- In a Danish RCT, trained physicians identified more cases of complicated grief and prescribed fewer psychotropic drugs than untrained control physicians — reports the opposite
- Evidence that emotional competence improves patient outcomes is limited and mixed — a broader claim this one bears on
- There is weak evidence to support one resilience intervention over another for physicians who have completed training — related
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