The impact of an adapted SPIKES protocol vs routine care in the delivery of bad news to IVF patients: an exploratory pilot multicenter randomized controlled trial.
J Assist Reprod Genet
; 41(9): 2367-2377, 2024 Sep.
Article
in En
| MEDLINE
| ID: mdl-39026124
ABSTRACT
PURPOSE:
Determine if the SPIKES method was associated with less distress and more compassion than current modes of delivering negative pregnancy test results to patients undergoing in vitro fertilization.METHODS:
Twenty-seven nurses from two centers were randomized to use the modified SPIKES script or continue their standard of care; 136 patients with a negative hCG following embryo transfer were included. SPIKES nurses received 1 h of training by a study psychologist; nurses in the control group were instructed to deliver the news as done previously. Patients who underwent embryo transfer and received a call by a participating nurse with a negative test result received an email invitation on the following day.RESULTS:
Control patients reported significantly less distress than SPIKES patients; 33% of SPIKES patients reported that they had felt "extremely sad," compared to 15.2% of the control patients (p = 0.01). Perceived compassion did not differ between the groups (all p ≥ 0.22).CONCLUSION:
Patients who received a negative pregnancy test result from the nurses who received a brief training and a script on how to deliver bad news via the modified SPIKES protocol reported significantly more distress than patients receiving negative results from nurses utilizing their standard of care. It is unclear whether a modified SPIKES method to deliver negative pregnancy test results will benefit patients undergoing in vitro fertilization. TRIAL REGISTRATION Clinical trials.gov NCT04917445.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Fertilization in Vitro
/
Embryo Transfer
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
J Assist Reprod Genet
/
J. assist. reprod. genet
/
Journal of assisted reproduction and genetics
Journal subject:
GENETICA
/
MEDICINA REPRODUTIVA
Year:
2024
Document type:
Article
Affiliation country:
United States
Country of publication:
Netherlands