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Patient Education and Counseling

Wynne Callon, Mary Catherine Beach, Anne R Links, Carly Wasserman, Emily F Boss
OBJECTIVES: We aimed to develop a comprehensive, descriptive framework to measure shared decision making (SDM) in clinical encounters. METHODS: We combined a top-down (theoretical) approach with a bottom-up approach based on audio-recorded dialogue to identify all communication processes related to decision making. We coded 55 pediatric otolaryngology visits using the framework and report interrater reliability. RESULTS: We identified 14 clinician behaviors and 5 patient behaviors that have not been previously described, and developed a new SDM framework that is descriptive (what does happen) rather than normative (what should happen)...
March 11, 2018: Patient Education and Counseling
Rebecca J Mullen, James Duhig, Andrea Russell, Linda Scarazzini, Fabio Lievano, Michael S Wolf
OBJECTIVE: To present evidence supporting best-practices for prescription drug labeling and educational materials. METHODS: Articles were selected from three online databases (PubMed, Embase, CINAHL). Eligible manuscripts were: 1) English-language, 2) randomized, controlled trials, and 3) focused on improving prescription drug labeling practices. RESULTS: Forty-nine articles were reviewed, and included both regulated label materials and pharmacy or health systems-generated tools...
March 8, 2018: Patient Education and Counseling
Helen Hall, Matthew J Leach, Caragh Brosnan, Robyn Cant, Melissa Collins
OBJECTIVE: To identify communication patterns of Registered Nurses regarding patients' use of complementary therapies. METHODS: A cross-sectional online survey conducted in 2017 recruited Australian Registered Nurses working in any area of nursing. RESULTS: Responses of 614 Registered Nurses were analysed. Patient-initiated discussion of complementary therapies were common for 77% of nurses; nurse-initiated discussions were perceived by 73% (sometimes/almost always/always)...
March 7, 2018: Patient Education and Counseling
Jana L Wardian, Joshua Tate, Irene Folaron, Sky Graybill, Mark True, Tom Sauerwein
OBJECTIVE: We hypothesized that diabetes-related distress would vary by type of diabetes and medication regimen [Type 1 diabetes (T1DM), Type 2 diabetes with insulin use (T2DM-i), Type 2 diabetes without insulin use (T2DM)]. Thus, the aim of this study was to identify groups with elevated diabetes-related distress. METHODS: We administered the 17-item Diabetes-related Distress Scale (DDS-17) to 585 patients. We collected demographics, medications, and lab results from patient records...
March 7, 2018: Patient Education and Counseling
Alex D Federman, Lina Jandorf, Joseph DeLuca, Mary Gover, Angela Sanchez Munoz, Li Chen, Michael S Wolf, Joseph Kannry
OBJECTIVE: To test the impact of a redesigned, patient-centered after visit summary (AVS) on patients' and clinicians' ratings of and experience with the document. METHODS: We conducted a difference-in-differences (DiD) evaluation of the impact of the redesigned AVS before and after its introduction in an academic primary care practice compared to a concurrent control practice. Outcomes included ratings of the features of the AVS. RESULTS: The intervention site had 118 and 98 patients in the pre- and post-intervention periods and the control site had 99 and 105, respectively...
March 6, 2018: Patient Education and Counseling
Linda Aimée Hartford Kvæl, Jonas Debesay, Anne Langaas, Asta Bye, Astrid Bergland
OBJECTIVE: Although the concept of patient participation has been discussed for a number of years, there is still no clear definition of what constitutes the multidimensional concept, and the application of the concept in an intermediate care (IC) context lacks clarity. Therefore this paper seeks to identify and explore the attributes of the concept, to elaborate ways of understanding the concept of patient participation for geriatric patients in the context of IC. METHODS: Walker and Avant's model of Concept analysis [1] based on a literature review...
March 5, 2018: Patient Education and Counseling
P Kushalnagar, A Engleman, G Sadler
OBJECTIVE: To assess whether mode of communication and patient centered communication (PCC) with physicians were associated with the likelihood of deaf smokers inquiring about lung cancer screening. METHODS: An accessible health survey including questions about PCC, modes of communication, smoking status and lung cancer screening was administered in American Sign Language (HINTS-ASL) to a nationwide sample of deaf adults from February to August 2017. Of 703 deaf adults who answered the lung screening question, 188 were 55-80 years old...
March 5, 2018: Patient Education and Counseling
Mary Reidy, Mohamad M Saab, Josephine Hegarty, Christian Von Wagner, Mairin O'Mahony, Mike Murphy, Frances J Drummond
OBJECTIVE: To critically appraise and discuss evidence from interventions designed to increase men's knowledge about cancer risk reduction. METHODS: A systematic review was conducted. Six electronic databases were searched for interventions published between January 1st 2006 and May 30th 2016 in English. Studies were included if they used an experimental design, included adult males (≥18 years), and had a primary focus on the acquisition and utilisation of information on cancer risk reduction...
March 3, 2018: Patient Education and Counseling
Maarten Vermorgen, Aline De Vleminck, Luc Deliens, Dirk Houttekier, Nele Spruytte, Chantal Van Audenhove, Joachim Cohen, Kenneth Chambaere
OBJECTIVE: Deaths from chronic illness are often preceded by a potentially life-shortening end-of-life decision (ELD). Involving family in these ELDs may have psychosocial benefits for them and the dying person. This study aims to examine how often ELDs are discussed with relatives of the dying person and which characteristics determine their involvement in those ELDs. METHODS: A questionnaire survey was conducted in 2013 among physicians attending a large, stratified and representative sample of deaths (n = 6188) in Flanders...
March 2, 2018: Patient Education and Counseling
Swati Shroff, Brielle Spataro, Kwonho Jeong, Scott Rothenberger, Doris Rubio, Melissa McNeil
OBJECTIVE: We developed a curriculum to increase internal medicine interns' proficiency in sexual history taking and sexually transmitted illness (STI) counseling. METHODS: The 4-h curriculum included didactics and interactive components, and was evaluated with matched pre- and post-surveys. RESULTS: Twenty-one interns completed the curriculum. Mean knowledge score improved from 59% to 76% from pre- to post-curriculum (P = 0.004). Median comfort score (Likert scale 1-5) with obtaining a sexual history improved from 3...
February 27, 2018: Patient Education and Counseling
Rebecca Schweier, Gesine Grande, Cynthia Richter, Steffi G Riedel-Heller, Matthias Romppel
OBJECTIVE: To investigate the use of ("lifestyle change"), a website providing peer narratives of experiences with successful lifestyle change, and to analyze whether peer model characteristics, clip content, and media type have an influence on the number of visitors, dwell time, and exit rates. METHODS: An in-depth statistical analysis of website use with multilevel regression analyses. RESULTS: In two years, lebensstil-aendern...
February 26, 2018: Patient Education and Counseling
Tao Jiang, Donghua Wei, Rui Sha, Junqing Zhang, Xiaopeng Zhang, Rui Feng, Xingrong Shen, Paul Kadetz, Debin Wang
OBJECTIVE: The study aims to investigate relationships between demands for breast and cervical cancer screening (BCS/CCS) and related health beliefs. METHODS: The study used cluster-randomized sampling and collected data about demands for BCS/CCS and constructs of health beliefs model (HBM). It calculated indices of perceived risk and seriousness of the cancers and perceived effectiveness, benefits and difficulties of the screening; and performed descriptive and multivariate regression analysis of the demands and the HBM constructs...
February 24, 2018: Patient Education and Counseling
Felix Michael Schmitz, Kai Philipp Schnabel, Daniel Bauer, Cadja Bachmann, Ulrich Woermann, Sissel Guttormsen
OBJECTIVES: Effective instructional approaches are needed to enable undergraduates to optimally prepare for the limited training time they receive with simulated patients (SPs). This study examines the learning effects of different presentation formats of a worked example on student SP communication. METHODS: Sixty-seven fourth-year medical students attending a mandatory communication course participated in this randomized field trial. Prior to the course, they worked through an e-learning module that introduced the SPIKES protocol for delivering bad news to patients...
February 24, 2018: Patient Education and Counseling
Claudia Sinoo, Sylvia van der Pal, Olivier A Blanson Henkemans, Anouk Keizer, Bert P B Bierman, Rosemarijn Looije, Mark A Neerincx
OBJECTIVE: The PAL project develops a conversational agent with a physical (robot) and virtual (avatar) embodiment to support diabetes self-management of children ubiquitously. This paper assesses 1) the effect of perceived similarity between robot and avatar on children's' friendship towards the avatar, and 2) the effect of this friendship on usability of a self-management application containing the avatar (a) and children's motivation to play with it (b). METHODS: During a four-day diabetes camp in the Netherlands, 21 children participated in interactions with both agent embodiments...
February 21, 2018: Patient Education and Counseling
Leonie N C Visser, Sanne Schepers, Marieke S Tollenaar, Hanneke C J M de Haes, Ellen M A Smets
OBJECTIVE: This qualitative study examines patients' and oncologists' views on how to best address emotions during consultations, and explores oncologists' opinions on their own communication and on strategies to improve oncologists' response to patients' emotions. METHODS: Semi-structured interviews were conducted with 16 cancer patients and 13 oncologists, after watching videotaped consultations illustrating three communication strategies for addressing emotions...
February 21, 2018: Patient Education and Counseling
Antoinette Schoenthaler, Melissa Basile, Tessa V West, Adina Kalet
OBJECTIVE: To describe typologies of dyadic communication exchanges between primary care providers and their hypertensive patients about prescribed antihypertensive medications. METHODS: Qualitative analysis of 94 audiotaped patient-provider encounters, using grounded theory methodology. RESULTS: Four types of dyadic exchanges were identified: Interactive (53% of interactions), divergent-traditional (24% of interactions), convergent-traditional (17% of interactions) and disconnected (6% of interactions)...
February 21, 2018: Patient Education and Counseling
Jun Liu, Xin Zheng, Shouxia Chai, Meirong Lei, Zehui Feng, Xuelin Zhang, Violeta Lopez
OBJECTIVE: This study examined the effects of WeChat-assisted perioperative instructions for parents whose children were to undergo herniorrhaphy. METHOD: A randomized controlled trial was conducted in a day surgery center in China. Participants were randomly assigned to the intervention (WeChat) group (n = 209) and the control (Leaflet) group (n = 209). The primary outcomes of this study were parents' knowledge regarding hernia and rate of cancellation of children's surgery...
February 19, 2018: Patient Education and Counseling
Jennifer A Lueck
OBJECTIVE: Despite knowing the value of message customization, empirical results have failed to provide clear indicators of what make a depression help-seeking message effective. The present research examines stages of depression in response to a prominent communication strategy, gain versus loss framing, to inform possibilities for effective message customization. METHODS: Two experimental studies were conducted with a student (N = 126) and U.S. adult (N = 738) sample that tested the effects of gain versus loss framing at different stages of depression...
February 19, 2018: Patient Education and Counseling
Karen Nieuwenhuijsen, Carel T Hulshof, Judith K Sluiter
OBJECTIVE: To study the influence of the presentation of results of a preventive medical examination on risk perception and willingness to seek help for work-related fatigue or being overweight. METHODS: A factorial design experiment was conducted, presenting workers (n = 82) with vignettes including eight scenarios of test results with and without an emphasis on the risk of a current or future health condition or a probe to seek help. Participants rated perceived risk and willingness to seek help (0-100 Visual Analogue Scale) as if these were their own results...
February 19, 2018: Patient Education and Counseling
Kathy L Rush, Linda Hatt, Robert Janke, Lindsay Burton, Matthew Ferrier, Meghan Tetrault
OBJECTIVE: The virtual delivery of patient education and other forms of telehealth have been proposed as alternatives to providing needed care for patients with chronic diseases. The purpose of this systematic review was to compare the efficacy of virtual education delivery on patient outcomes compared with usual care. METHODS: The review examined citations from 3 databases, MEDLINE, CINAHL, and EMBASE using the search words telehealth, chronic disease, patient education, and related concepts...
February 15, 2018: Patient Education and Counseling
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