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Table 5 Multivariate logistic regression showing predictors of full adherence to the SPIKES Protocol

From: Breaking bad news: a cross-sectional study assessing SPIKES protocol adherence and other methods employed among medical doctors in Nigeria

Variables

B

AOR

95% Confidence Interval

p-value

Lower

Upper

Clinical Position

 House officer

0.952

2.591

0.757

8.872

0.129

 Medical officer

1.091

2.978

0.834

10.641

0.093

 Resident doctor

− 0.325

0.723

0.279

1.874

0.504

 Consultant

 

1.000

   

Type of Health Facility

 Public tertiary HF

− 2.025

0.132

0.029

0.600

0.009

 Public secondary & primary HF

− 2.537

0.079

0.012

0.502

0.007

 Private HF

 

1.000

   

Specialty

 General Practicea

 

1.000

   

 Paediatrics

− 2.214

0.109

0.023

0.515

0.005

 Obstetrics & Gynaecology

− 0.792

0.453

0.150

1.368

0.160

 Medicine

0.284

1.329

0.417

4.234

0.631

 Surgery

− 0.443

0.642

0.265

1.557

0.327

 Othersb

− 0.266

0.766

0.247

2.373

0.644

Feel Competent about BBN

 No

− 0.790

0.454

0.181

1.135

0.091

 Yes

 

1.000

   

Education/Training

 No

− 0.550

0.577

0.252

1.324

0.194

 Yes

 

1.000

   

Awareness

 No

− 0.291

0.748

0.343

1.632

0.465

 Yes

 

1.000

   
  1. AOR Adjusted Odds Ratio, HF Health facility, BBN Breaking bad news
  2. aGeneral practice/Community medicine/Family medicine/General outpatient department and primary health care
  3. bEmergency medicine/Mental Health/Dental Surgery