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Patient Education and Counseling

May-Lill Johansen, Mette Bech Risor
OBJECTIVE: To gain a deeper understanding of challenges faced by GPs when managing patients with MUS. METHODS: We used meta-ethnography to synthesize qualitative studies on GPs' perception and management of MUS. RESULTS: The problem with MUS for GPs is the epistemological incongruence between dominant disease models and the reality of meeting patients suffering from persistent illness. GPs have used flexible approaches to manage the situation, yet patients and doctors have had parallel negative experiences of being stuck, untrustworthy and helpless...
November 21, 2016: Patient Education and Counseling
I A Peters, A G Posthumus, J C I Y Reijerink-Verheij, H M E Van Agt, M F C M Knapen, S Denktaş
OBJECTIVE: To evaluate the effect of a culturally competent educational film (CCEF) on informed decision making (IDM) regarding prenatal screening (PS) in a study population consisting of multicultural pregnant women. METHODS: A cross-sectional study with 262 women in the control group and 117 in the intervention group. All counselled participants received a self-report questionnaire to obtain data on IDM and only the intervention group received the CCEF. Twenty two percent of the study population had an ethnic minority background and 52% had a low or medium educational level...
November 15, 2016: Patient Education and Counseling
Maliheh Kadivar, Naiemeh Seyedfatemi, Tahereh Mokhlesabadi Farahani, Abbas Mehran, Karen F Pridham
OBJECTIVE: This study was conducted to evaluate the effect of internet-based education on the satisfaction of the mothers of the preterm neonates in the NICUs. METHODS: This quasi-experimental study was conducted on 80 mothers of preterm neonates hospitalized in the NICUs of two hospitals in Iran during 9 months. The mothers were assigned in two groups as cases and controls. The satisfaction level of the mothers was evaluated by using WBPL-Revised(1) in both groups on the first and tenth day of the study...
November 13, 2016: Patient Education and Counseling
James Gorniewicz, Michael Floyd, Koyamangalath Krishnan, Thomas W Bishop, Fred Tudiver, Forrest Lang
OBJECTIVE: This study tested the effectiveness of a brief, learner-centered, breaking bad news (BBN) communication skills training module using objective evaluation measures. METHODS: This randomized control study (N=66) compared intervention and control groups of students (n=28) and residents' (n=38) objective structured clinical examination (OSCE) performance of communication skills using Common Ground Assessment and Breaking Bad News measures. RESULTS: Follow-up performance scores of intervention group students improved significantly regarding BBN (colon cancer (CC), p=0...
November 13, 2016: Patient Education and Counseling
Rachel S Casas, Ziming Xuan, Angela H Jackson, Lorraine E Stanfield, Nanette C Harvey, Daniel C Chen
OBJECTIVE: Empathy is a crucial skill for medical students that can be difficult to evaluate. We examined if self-reported empathy in medical students was associated with clinical competence. METHODS: This study combined cross-sectional data from four consecutive years of medical students (N=590) from the Boston University School of Medicine. We used regression analysis to evaluate if self-reported empathy (Jefferson Scale of Physician Empathy (JSPE)) predicted scores in clinical clerkships, United States Medical Licensing Examinations, and OBJECTIVE: Structured Clinical Examinations (OSCEs)...
November 10, 2016: Patient Education and Counseling
S Xing, L K Sharp, D R Touchette
OBJECTIVES: Explore how adults from diverse racial and socioeconomic backgrounds perceive the use of weight loss drugs (prescription, over-the counter, herbals and supplements) and lifestyle modification. METHODS: Individual, face-to-face, semi-structured interviews were conducted with persons presenting to an academic hospital-affiliated outpatient pharmacy serving ethnic minorities and low income individuals. RESULTS: Fifty persons were interviewed, including 21 African Americans, 11 Hispanics and 17 low-income individuals (annual income <$20,000), of whom 33 self-reported as overweight or obese...
November 9, 2016: Patient Education and Counseling
Judith S Gordon, Julie S Armin, James K Cunningham, Myra L Muramoto, Steven M Christiansen, Thomas A Jacobs
OBJECTIVE: In this project we developed and evaluated a mobile health app to improve adherence to tobacco cessation medication. METHODS: The study was conducted in three phases: (1) Create app with input from our consultant, focus groups and user testing; (2) Test feasibility of the app; and (3) Develop and user-test the barcode scanner. RESULTS: Focus group feedback was instrumental in developing content and creating the user interface. User testing helped to identify problems and refine the app...
November 8, 2016: Patient Education and Counseling
Phillip K Dillard, Julie Ann Zuniga, Marcia M Holstad
OBJECTIVE: The purpose of this integrative review is to examine the use of motivational interviewing (MI) to improve health outcomes in persons living with HIV (PLWH). METHODS: We reviewed the existing literature, using the PRISMA model. The PubMed, Web of Science, Embase, and CINAHL databases were searched for all relevant studies, using the terms HIV, AIDS, and motivational interviewing. RESULTS: Of 239 articles identified initially, 19 met our criteria for synthesis...
November 8, 2016: Patient Education and Counseling
Basima A Almomani, Rawan K Mayyas, Faisal Abu Ekteish, Abeer M Ayoub, Mera A Ababneh, Sirin A Alzoubi
OBJECTIVE: To evaluate the effectiveness of clinical pharmacist's intervention on achieving better asthma control, quality of life and other clinical parameters. METHODS: A prospective randomized controlled study in north Jordan was conducted. Pediatric patients with asthma (aged 7-18 years old) were included and randomly allocated into two groups, intervention and control. Both groups were interviewed at the first visit and followed up twice by phone (at 3 and 6 months)...
November 7, 2016: Patient Education and Counseling
Malou Vijfhuizen, Harold Bok, Susan M Matthew, Lidia Del Piccolo, Michelle McArthur
OBJECTIVE: To explore the applicability, need for modifications and reliability of the VR-CoDES in a veterinary setting while also gaining a deeper understanding of clients' expressions of negative emotion and how they are addressed by veterinarians. METHODS: The Verona Coding Definitions of Emotional Sequences for client cues and concerns (VR-CoDES-CC) and health provider responses (VR-CoDES-P) were used to analyse 20 audiotaped veterinary consultations. Inter-rater reliability was established...
November 3, 2016: Patient Education and Counseling
Courtney Lynam Scherr, Linda Bomboka, Alison Nelson, Tuya Pal, Susan Thomas Vadaparampil
OBJECTIVE: Black women have a higher rate of BRCA1 and BRCA2 (BRCA) mutations, compared with other populations, that increases their risk for hereditary breast and ovarian cancer (HBOC). However, Black women are less likely to know about HBOC and genetic testing. Based on a request from a community advisory panel of breast cancer survivors, community leaders and healthcare providers in the Black community, our team developed a culturally targeted educational brochure to promote awareness of HBOC among Black women...
October 31, 2016: Patient Education and Counseling
J Lamprecht, A Thyrolf, K Mattukat, A C Schöpf, M Schlöffel, E Farin, W Mau
OBJECTIVE: The aim of the present study is to describe and analyse significant factors of disease-related everyday communication of persons with RMDs in a nationwide project in Germany funded by the Deutsche Rheumaliga Bundesverband e.V. (German League against Rheumatism). METHODS: In this participatory research project four persons with RMDs are involved. An online questionnaire addressing context, difficulties, and burden of disease-related everyday communication was answered by 1...
October 31, 2016: Patient Education and Counseling
Laura E Hirshfield, Kelly Underman
In this brief review, we build upon suggestions in Pedersen's [1] excellent critical review of empathy research in medical education and make the case for an increase in social constructivist scholarship related to emotions and empathy within medical education contexts. In the process, we define social construction, as well as provide several key opportunities in which these types of theories could provide insights for medical educators.
October 31, 2016: Patient Education and Counseling
Lucy Whiston, Joe M Barry, Catherine D Darker
OBJECTIVE: Identify the current amount and intensity of patient and family participation at the patient, service and national levels from a diabetes and a psychiatric service perspective. Establish the current level of support for greater participation and related characteristics. METHOD: Researcher-administered questionnaires were conducted with 738 patients and family members in an outpatient type 2 diabetes service and an outpatient psychiatric service, both in Dublin, Ireland...
October 28, 2016: Patient Education and Counseling
Tine Larsen
OBJECTIVE: To explore the effectiveness of a patient education programme for chronic disease self-management in terms of whether (a) patients are taught to perform the medical procedure and (b) nurses have evidence of patients' proficiency when they start self-management. METHODS: Patients were followed through an education programme for oral anticoagulation therapy, involving the use of INR-monitors. Training sessions were video-recorded and analyzed using Conversation Analysis...
October 27, 2016: Patient Education and Counseling
Jennifer L Wolff, Yue Guan, Cynthia M Boyd, Judith Vick, Halima Amjad, David L Roth, Laura N Gitlin, Debra L Roter
OBJECTIVE: Older adults commonly involve family (broadly defined) in their care. We examined communication behaviors of family companions during older adults' primary care visits, including whether these behaviors vary with respect to how older adults manage their health, preferences for involving family in medical decision-making, and ratings of companion helpfulness. METHODS: Analysis of audio-taped primary care visits of older patients who were accompanied by a family companion (n=30 dyads) and linked patient surveys...
October 25, 2016: Patient Education and Counseling
Sarah Mantwill, Peter J Schulz
OBJECTIVES: To compare functional health literacy (HL) levels in three immigrant groups to those of the German- and Italian-speaking non-immigrant population in Switzerland. Moreover, to investigate whether language-independent, respectively language-dependent, functional HL and variables of acculturation were associated with self-reported health status among immigrants. METHODS: Language-independent HL was assessed with the Short Test of Functional Health Literacy (S-TOFHLA) in the respective native languages...
October 24, 2016: Patient Education and Counseling
Marla L Clayman, Pål Gulbrandsen, Megan A Morris
Interest in shared decision making (SDM) has increased and become widely promoted. However, from both practical and measurement perspectives, SDM's origin as an outgrowth of patient autonomy has resulted in narrowly conceptualizing and operationalizing decision making. The narrow focus on individual patient autonomy fails in four main ways: 1) excluding several facets of the roles, actions, and influences of decision partners in decision making; 2) focusing solely on the medical encounter; 3) ignoring the informational environment to which patients have access; and 4) treating each encounter as independent of all others...
October 21, 2016: Patient Education and Counseling
Jacqueline R Halladay, Katrina E Donahue, Crystal W Cené, Quefeng Li, Doyle M Cummings, Alan L Hinderliter, Cassandra L Miller, Beverly A Garcia, Edwin Little, Margorie Rachide, Jim Tillman, Alice S Ammerman, Darren DeWalt
OBJECTIVE: Lower health literacy is associated with poorer health outcomes. Few interventions poised to mitigate the impact of health literacy in hypertensive patients have been published. We tested if a multi-level quality improvement intervention could differentially improve Systolic Blood Pressure (SBP) more so in patients with low vs. higher health literacy. METHODS: We conducted a non-randomized prospective cohort trial of 525 patients referred with uncontrolled hypertension...
October 20, 2016: Patient Education and Counseling
Jairo N Fuertes, Arielle Toporovsky, Mariela Reyes, Jennifer Bennett Osborne
OBJECTIVE: This article discusses the physician-patient working alliance and reviews the empirical research that has been generated on the working alliance to date. METHODS: The paper presents a brief history of the study of the physician-patient relationship, and discusses constructs that have examined aspects of the relationship, such as empathy, trust, and shared decision-making. Lastly, a meta-analysis was conducted based on the seven empirical studies (a total N of 1023 patients) that have examined the physician-patient working alliance...
October 19, 2016: Patient Education and Counseling
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