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Communication Education Volume 59, 2010 - Issue 3: Communication Education and Health Promotion
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Original Articles

Creating COMFORT: A Communication-based model for Breaking Bad News

Melinda VillagranCorrespondence[email protected]
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,
Joy GoldsmithView further author information
,
Elaine Wittenberg-LylesView further author information
&
Paula BaldwinView further author information
Pages 220-234 | Published online: 17 Jun 2010

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Emily M. Cramer, Bukky Babalola, Lillian E. Agosto Maldonado & Jae Eun Chung. (2024) Health-related needs of survivors of hypertensive disorders of pregnancy: implications for health communication interventions. Journal of Communication in Healthcare 17:1, pages 101-110.
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Sara LaBelle, Johnny Capra, Amy Hellem, Cailin Kuchenbecker, Arielle L. Hodges & Madison K. Murphy. (2023) The contribution of instructional communication research to teaching–learning beyond the classroom. Communication Education 72:1, pages 92-95.
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Eleftherios Anestis, Fiona J. R. Eccles, Ian Fletcher, Sofia Triliva & Jane Simpson. (2022) Healthcare professionals’ involvement in breaking bad news to newly diagnosed patients with motor neurodegenerative conditions: a qualitative study. Disability and Rehabilitation 44:25, pages 7877-7890.
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Margaret I. Wallhagen, William J. Strawbridge & Kelly Tremblay. (2021) Leveraging the age friendly healthcare system initiative to achieve comprehensive, hearing healthcare across the spectrum of healthcare settings: an interprofessional perspective. International Journal of Audiology 60:sup2, pages 80-85.
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Katarzyna Leoniuk & Krzysztof Sobczak. (2021) Unfavorable Medical Diagnosis – Oncological Patients’ Experiences and Preferences. Health Communication 36:4, pages 433-439.
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Steven A. Trankle, Shantiban Shanmugam, Ebony Lewis, Margaret Nicholson, Ken Hillman & Magnolia Cardona. (2020) Are We Making Progress on Communication with People Who Are Near the End of Life in the Australian Health System? A Thematic Analysis. Health Communication 35:2, pages 158-167.
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Bonnie McCracken Nickels & Thomas Hugh Feeley. (2018) Breaking Bad News in Veterinary Medicine. Health Communication 33:9, pages 1105-1113.
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Dale Hample, Yiwen Dai, Mengqi Zhan & Jessica M. Hample. (2018) Consequential Unscripted Interactions: A Conceptual and Empirical Description. Western Journal of Communication 82:2, pages 135-159.
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Steven C. Kirshblum, Amanda L. Botticello, Gina Benaquista DeSipio, Joyce Fichtenbaum, Akshat Shah & William Scelza. (2016) Breaking the news: A pilot study on patient perspectives of discussing prognosis after traumatic spinal cord injury. The Journal of Spinal Cord Medicine 39:2, pages 155-161.
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Sean M. Horan & Tamara D. Afifi. (2014) Advancing Instructional Communication: Integrating a Biosocial Approach. Communication Education 63:4, pages 383-404.
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Allison M. Scott. (2014) Communication About End-of-Life Health Decisions. Annals of the International Communication Association 38:1, pages 243-277.
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J. Phillips, I. I. Kneebone & B. Taverner. (2013) Breaking bad news in stroke rehabilitation: a consultation with a community stroke team. Disability and Rehabilitation 35:8, pages 694-701.
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Suzanne Pullen, Mindi Ann Golden & Joanne Cacciatore. (2012) “I'll Never Forget Those Cold Words as Long as I Live”: Parent Perceptions of Death Notification for Stillbirth. Journal of Social Work in End-of-Life & Palliative Care 8:4, pages 339-355.
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Articles from other publishers (42)

Jack K H Pun, Ka Man Cheung, James C H Chow & Wing Lok Chan. (2024) Chinese perspective on end-of-life communication: a systematic review. BMJ Supportive & Palliative Care 14:e1, pages e30-e37.
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Silvia Gonella, Paola Di Giulio, Ludovica Brofferio, Federica Riva-Rovedda, Paolo Cotogni & Valerio Dimonte. (2024) Stakeholders’ Perspective on the Key Features of Printed Educational Resources to Improve the Quality of Clinical Communication. Healthcare 12:3, pages 398.
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Mònica Puntí-Brun & Sílvia Espinosa-Mirabet. 2023. Transformed Communication Codes in the Mediated World. Transformed Communication Codes in the Mediated World 139 160 .
ER van Proosdij. (2023) The role of the equine veterinarian in end-of-life phase of geriatric horses. UK-Vet Equine 7:6, pages 237-241.
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Farzad Reisi Mahdiabadi, Samaneh Mirzaei, Ahmad Entezari & Khadijeh Nasiriani. (2023) The effect of implementing the COMFORT communication model on communication skills of nursing students. International Journal of Palliative Nursing 29:9, pages 412-420.
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Shefaly Shorey, Emily N. K. Ang, Esperanza Debby Ng, John Yap, Lydia S. T. Lau, Chee Kong Chui & Yiong Huak Chan. (2023) Evaluation of a Theory-Based Virtual Counseling Application in Nursing Education. CIN: Computers, Informatics, Nursing 41:6, pages 385-393.
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Eleftherios Anestis, Fiona J. R. Eccles, Ian Fletcher & Jane Simpson. (2023) Neurologists’ lived experiences of communicating the diagnosis of a motor neurodegenerative condition: an interpretative phenomenological analysis. BMC Neurology 23:1.
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Jack Pun, James C H Chow, Leslie Fok & Ka Man Cheung. (2023) Role of patients’ family members in end-of-life communication: an integrative review. BMJ Open 13:2, pages e067304.
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Jack K H Pun, Ka Man Cheung & Chung Hang James Chow. (2022) Teaching end-of-life communication: priorities, challenges, scope—systematic review. BMJ Supportive & Palliative Care 12:4, pages 368-375.
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Lingzi Zhong. 2022. The International Encyclopedia of Health Communication. The International Encyclopedia of Health Communication 1 6 .
Janne M. Veerbeek, Johannes Pohl, Andreas R. Luft & Jeremia P. O. Held. (2022) External validation and extension of the Early Prediction of Functional Outcome after Stroke (EPOS) prediction model for upper limb outcome 3 months after stroke. PLOS ONE 17:8, pages e0272777.
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Amelia Cameron, Kristian Pollock, Eleanor Wilson, John Burford, Gary England & Sarah Freeman. (2022) Scoping review of end‐of‐life decision‐making models used in dogs, cats and equids. Veterinary Record 191:4.
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Rita M. Borgen & Joleen K. Eden. 2022. Digital Mammography. Digital Mammography 155 164 .
Jack Pun. (2021) A study of Chinese medical students’ communication pattern in delivering bad news: an ethnographic discourse analysis approach. BMC Medical Education 21:1.
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Kátia Laureano dos Santos, Paola Gremigni, Giulia Casu, Victor Zaia & Erik Montagna. (2021) Development and validation of The Breaking Bad News Attitudes Scale. BMC Medical Education 21:1.
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Thomas Dale MacLaine, Nicholas Lowe & Jeremy Dale. (2021) The use of simulation in medical student education on the topic of breaking bad news: A systematic review. Patient Education and Counseling 104:11, pages 2670-2681.
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Alyse Keller. 2021. Cases on Applied and Therapeutic Humor. Cases on Applied and Therapeutic Humor 126 134 .
Louisa-Jane Burton, Anne Forster, Judith Johnson, Thomas F. Crocker, Sarah F. Tyson, Faye Wray & David J. Clarke. (2021) Experiences and views of receiving and delivering information about recovery in acquired neurological conditions: a systematic review of qualitative literature. BMJ Open 11:4, pages e045297.
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Aytaç Ünsal Adaca & R. Tamay Başağaç Gül. (2020) First Experimental Study in Turkey Teaches Veterinary Students How to Break Bad News. Journal of Veterinary Medical Education 47:6, pages 720-727.
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Matthew Jon Links, Leonie Watterson, Peter Martin, Stephanie O’Regan & Elizabeth Molloy. (2020) Finding common ground: meta-synthesis of communication frameworks found in patient communication, supervision and simulation literature. BMC Medical Education 20:1.
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Joseph T. Giacino, John Whyte, Risa Nakase-Richardson, Douglas I. Katz, David B. Arciniegas, Sonja Blum, Kristin Day, Brian D. Greenwald, Flora M. Hammond, Theresa Bender Pape, Amy Rosenbaum, Ronald T. Seel, Alan Weintraub, Stuart Yablon, Ross D. Zafonte & Nathan Zasler. (2020) Minimum Competency Recommendations for Programs That Provide Rehabilitation Services for Persons With Disorders of Consciousness: A Position Statement of the American Congress of Rehabilitation Medicine and the National Institute on Disability, Independent Living and Rehabilitation Research Traumatic Brain Injury Model Systems. Archives of Physical Medicine and Rehabilitation 101:6, pages 1072-1089.
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Wen-Lin Lo & Ming-Chen Hsieh. (2020) Teaching communication skills: Using Gagne's model as an illustration. Tzu Chi Medical Journal 32:1, pages 19.
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Robyn Maddern & Ian I Kneebone. (2018) Receiving Bad News: A Thematic Analysis of Stroke Survivor Experiences. Journal of Patient Experience 6:4, pages 271-277.
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David Shih Wu, David E. Kern, Sydney Morss Dy & Scott M. Wright. (2019) Narrative Approach to Goals of Care Discussions: A Novel Curriculum. Journal of Pain and Symptom Management 58:6, pages 1033-1039.e1.
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Claire E Bennett, Danielle De Boos & Nima G Moghaddam. (2018) Developing a tool to support diagnostic delivery of dementia. Dementia 18:7-8, pages 2505-2525.
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Shefaly Shorey, Emily Ang, John Yap, Esperanza Debby Ng, Siew Tiang Lau & Chee Kong Chui. (2019) A Virtual Counseling Application Using Artificial Intelligence for Communication Skills Training in Nursing Education: Development Study. Journal of Medical Internet Research 21:10, pages e14658.
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Teneille E. Gofton, Nora Wong, Lawrence J. Hirsch & Sara E. Hocker. (2019) Communication Challenges: A Spotlight on New-Onset Refractory Status Epilepticus. Mayo Clinic Proceedings 94:5, pages 857-863.
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Abby Fuoto & Kathleen M. Turner. (2019) Palliative Care Nursing Communication. Journal of Hospice & Palliative Nursing 21:2, pages 124-130.
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Margaret I. Wallhagen, Christine S. Ritchie & Alexander K. Smith. (2019) Hearing Loss: Effect on Hospice and Palliative Care Through the Eyes of Practitioners. Journal of Pain and Symptom Management 57:4, pages 724-730.
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Kevin Kok-Yew Tan, Augustine Pang & Janelle Xiaoting Kang. (2019) Breaking bad news with CONSOLE: Toward a framework integrating medical protocols with crisis communication. Public Relations Review 45:1, pages 153-166.
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M Mohammadi, R Naseri Jahromi, A Rasekh Jahromi, Z Mokhtari, M AllameZade, M Tanasan & R Nasri Jahromi. (2019) The Effects of COMFORT Education on Nurses’ Attitude towards Communication Skills. Research in Medical Education 10:4, pages 23-30.
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Anthony Michael Zepeda. 2019. Bioethics, Public Health, and the Social Sciences for the Medical Professions. Bioethics, Public Health, and the Social Sciences for the Medical Professions 269 285 .
Elaine Wittenberg, Betty Ferrell, Joy Goldsmith, Sandra L. Ragan & Haley Buller. (2018) COMFORT™SM communication for oncology nurses: Program overview and preliminary evaluation of a nationwide train-the-trainer course. Patient Education and Counseling 101:3, pages 467-474.
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Shefaly Shorey, Yanika Kowitlawakul, M. Kamala Devi, Hui-Chen Chen, Swee Kit Alan Soong & Emily Ang. (2018) Blended learning pedagogy designed for communication module among undergraduate nursing students: A quasi-experimental study. Nurse Education Today 61, pages 120-126.
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Kelly Tenzek & Rachel Depner. (2017) Still Searching: A Meta-Synthesis of a Good Death from the Bereaved Family Member Perspective. Behavioral Sciences 7:4, pages 25.
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Jean Clark, Natasja J H Raijmakers, Simon Allan, Lia van Zuylen & Agnes van der Heide. (2017) Declining oral intake towards the end of life: how to talk about it? A qualitative study. International Journal of Palliative Nursing 23:2, pages 74-82.
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Roxanne L. Roth, Gail Lis, Nancy O’Connor & Kathleen A. Aseltyne. (2017) Evaluation of COMFORT in Strengthening Perceived Communication Confidence of Advanced Practice Registered Nurses. Journal of Hospice & Palliative Nursing 19:1, pages 59-66.
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Maureen Hawthorn. (2015) The importance of communication in sustaining hope at the end of life. British Journal of Nursing 24:13, pages 702-705.
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Sarah F Tyson, Louisa-Jane Burton, Alison McGovern & Sudi Sharifi. (2014) Service users’ views of the assessment process in stroke rehabilitation. Clinical Rehabilitation 28:8, pages 824-831.
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Joy Goldsmith & Elaine Wittenberg-Lyles. (2013) COMFORT: Evaluating a New Communication Curriculum With Nurse Leaders. Journal of Professional Nursing 29:6, pages 388-394.
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Kristin G. Cloyes, Patricia H. Berry, Maija Reblin, Margaret Clayton & Lee Ellington. (2012) Exploring Communication Patterns Among Hospice Nurses and Family Caregivers. Journal of Hospice & Palliative Nursing 14:6, pages 426-437.
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Elaine Wittenberg-Lyles, Joy Goldsmith & Sandra Ragan. (2011) The Shift to Early Palliative Care. Clinical Journal of Oncology Nursing 15:3, pages 304-310.
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