title: Evaluation of two videotape instruction programmes on how to break bad news--for Cantonese-speaking medical students in Hong Kong.
abstract: OBJECTIVE
  To evaluate a culture-specific videotape on how to 'break bad news' and another videotape produced by a western university, and to determine if the language of presentation influenced the students' perceived abilities to execute basic skills.
  
  
  METHODS
  Third year medical students at the Faculty of Medicine, the University of Hong Kong.
  
  
  METHODS
  Longitudinal study with experimental design.
  
  
  METHODS
  Two instructional tapes on breaking bad news; one using Chinese speaking role models and one using English.
  
  
  RESULTS
  In both groups, self-efficacy summed scores increased from 26.8 (95% CI = 25.9-27.7) at the pre-test to 29.0 (95% CI = 28.4-29.6). The biggest changes occurred in perceived self-efficacy regarding specific skills. However, students using the Chinese tape rated skills as more useful than those using the English tape.
  
  
  CONCLUSIONS
  The videotapes were useful in teaching communication skills. Culturally relevant audiovisual materials were more effective.
authors.affiliation: Department of Community Medicine, University of Hong Kong. betsoncl@netvigator.com
authors.forename: C L
authors.initials: CL
authors.lastname: Betson
authors.forename: R
authors.initials: R
authors.lastname: Fielding
authors.forename: G
authors.initials: G
authors.lastname: Wong
authors.forename: S F
authors.initials: SF
authors.lastname: Chung
authors.forename: D F
authors.initials: DF
authors.lastname: Nestel
mesh_terms: D002681:China / Q000208:ethnology; D002983:Clinical Competence; D003469:Culture; D004504:Education, Medical, Undergraduate / Q000379:methods*; D006723:Hong Kong; D006801:Humans; D007802:Language; D008137:Longitudinal Studies; D012655:Self-Evaluation Programs; D014342:Truth Disclosure; D014743:Videotape Recording