Table 1.

Summary of each guideline in the online eTRIO clinician module

Guideline	Summary of content and activities
Introduction to eTRIO	Overview of the module, navigation tips, benefits of caregiver involvement, caregiver burden. Includes clinician self-reflection activity and true/false questions about the effects of caregiving.
Guideline 1: caregiver inclusive practices	Practical ways clinicians can include caregivers in clinic procedures and set up. Includes photos of good and poor clinic room setups.
Guideline 2: encouraging caregiver attendance	How to actively encourage caregiver attendance. Exploring reasons why caregivers do not attend consultations. Includes scenario question regarding encouraging caregiver attendance at an important consultation
Guideline 3: building rapport	Practical steps to build a positive relationship with caregivers. Includes interactive short film activity where clinicians identify good rapport building.
Guideline 4: patient privacy and confidentiality	How to manage sensitive information when a caregiver is present. How to deal with caregiver requests for patient information. Includes two short films exploring patient privacy and caregiver requests for information with reflective activity and feedback.
Guideline 5: observing relationships	Signs to watch for between the patient and caregiver which indicate potential problems. Includes interactive image of non-verbal signs of family discord.
Guideline 6: emotional and informational needs	How to identify and manage the emotional and informational needs of caregivers. Includes true/false questions about caregiver needs and an interactive activity teaching the top five unmet informational needs of caregivers.
Guideline 7: large families	How to deal with a large family in the waiting room, and strategies to sensitively navigate this situation. Includes short film on managing many family caregivers, with multiple choice reflective activity and feedback.
Guideline 8: requests for non-disclosure	How to deal with the request of “don’t tell my wife she has cancer”, and strategies on how to sensitively and legally navigate these requests. Includes short film on family request for non-disclosure, with open text reflective activity and feedback.
Guideline 9: family as interpreters	Reasons why patients/caregivers might resist professional language interpreters, strategies to overcome these issues and strategies to engage and use formal interpretation services. Includes short film on managing resistance to formal interpretation services, with reflective activity and feedback.
Guideline 10: conflicting treatment preferences	How to manage a patient and caregiver who disagree on the treatment, and strategies to negotiate a path forward in this stressful and emotional situation. Includes short film on managing patient-family conflict, with open text reflective activity and feedback.
Guideline 11: caregiver dominance	How to identify the signs of unwanted caregiver dominance, and strategies to respectfully address and productively contain the caregiver’s dominance. Includes interactive short film activity where clinicians identify signs of dominance.
Guideline 12: caregiver anger	How to de-escalate the situation and strategies to establish a working relationship with the caregiver. Includes short film on managing angry family member, with reflective activity and feedback.
Guideline 13: longstanding family conflict	How to manage longstanding conflict between a patient and caregiver, and strategies to address the conflict, while not allowing it to derail the consultation. Includes short film on managing longstanding mother–daughter conflict, with reflective activity and feedback.