Evaluation of two videotape instruction programmes on how to break bad news--for Cantonese-speaking medical students in Hong Kong

J Audiov Media Med. 1997 Dec;20(4):172-7. doi: 10.3109/17453059709063101.


Objectives: 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.

Subjects: Third year medical students at the Faculty of Medicine, the University of Hong Kong.

Design: Longitudinal study with experimental design.

Intervention: 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.

Conclusion: The videotapes were useful in teaching communication skills. Culturally relevant audiovisual materials were more effective.

MeSH terms

  • China / ethnology
  • Clinical Competence*
  • Culture*
  • Education, Medical, Undergraduate / methods*
  • Hong Kong
  • Humans
  • Language
  • Longitudinal Studies
  • Self-Evaluation Programs
  • Truth Disclosure*
  • Videotape Recording