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Patient Education and Counseling

I E O Moljord, M L Lara-Cabrera, Ø Salvesen, M B Rise, D Bjørgen, D Ø Antonsen, T M Olsø, G H Evensen, C B Gudde, O M Linaker, A Steinsbekk, L Eriksen
OBJECTIVE: To investigate the effect of having a contract for self-referral to inpatient treatment (SRIT) in patients with severe mental disorders. METHODS: A randomized controlled trial with 53 adult patients; 26 participants received a SRIT contract, which they could use to refer themselves into a Community Mental Health Centre up to five days for each referral without contacting a doctor in advance. Outcomes were assessed after 12 months with the self-report questionnaires Patient Activation Measure (PAM-13), Recovery Assessment Scale (RAS), and the Behavior and Symptom Identification Scale (BASIS-32) and analyzed using linear mixed and regression models...
January 11, 2017: Patient Education and Counseling
Ami Schattner
A patient with a serious illness continually refuses, postpones or avoids treatment until a conversation reveals essential contextual factors which change the physician's point of view. Once attended to, the patient also changes her attitude.
January 11, 2017: Patient Education and Counseling
Martine M Goedendorp, Daphne Kuiper, Sijmen A Reijneveld, Robbert Sanderman, Nardi Steverink
OBJECTIVE: The Self-Management of Well-being (SMW) group intervention for older women was implemented in health and social care. Our aim was to assess whether effects of the SMW intervention were comparable with the original randomized controlled trial (RCT). Furthermore, we investigated threats to effectiveness, such as participant adherence, group reached, and program fidelity. METHODS: In the implementation study (IMP) 287 and RCT 142 women participated. We compared scores on self-management ability and well-being of the IMP and RCT...
January 10, 2017: Patient Education and Counseling
Jennifer Nyawira Githaiga, Leslie Swartz
OBJECTIVE: To examine the ramifications of language as a vehicle of communication in the Kenyan healthcare system. METHODS: (1) A review of literature search on language access and health care in Kenya, using Scopus, Web of Science, Ebscohost, ProQuest and Google Scholar electronic databases. (2) Two illustrative case studies from a Nairobi based qualitative research project on family cancer caregivers' experiences. RESULTS: Evidence from the case studies shows that language barriers may hinder understanding of cancer diagnoses and consequently, the nature of interventions sought by family members as informal caregivers of cancer patients...
January 10, 2017: Patient Education and Counseling
Sylvie Lambert, Afaf Girgis, Joseph Descallar, Janelle V Levesque, Bobby Jones
OBJECTIVE: Identify the trajectories of physical and mental functioning among spouse caregivers of patients with cancer over the first five years post-diagnosis and variables associated with low or deteriorating functioning. METHODS: Caregivers completed a survey at 6 months and 1, 2, 3.5, and 5 years post-patient diagnosis, including the SF-12 for quality of life (QOL). SF-12 Mental Component Summary (MCS, n=299) and Physical Component Summary (PCS, n=300) scores were analyzed using SAS...
December 30, 2016: Patient Education and Counseling
Emma Elizabeth Phelps, Richard Wellings, Frances Griffiths, Charles Hutchinson, Melina Kunar
OBJECTIVE: This study compared the experience of viewing 3D medical images, 2D medical images and no image presented alongside a diagnosis. METHODS: We conducted two laboratory experiments, each with 126 healthy participants. Participants heard three diagnoses; one accompanied by 3D medical images, one accompanied by 2D medical images and one with no image. Participants completed a questionnaire after each diagnosis rating their experience. In Experiment 2, half of the participants were informed that image interpretation can be susceptible to errors...
December 30, 2016: Patient Education and Counseling
Jacqueline B Amoozegar, Douglas J Rupert, Helen W Sullivan, Amie C O'Donoghue
OBJECTIVE: Multiple studies have identified consumers' difficulty correctly interpreting risk information provided about prescription drugs, whether in printed format or online. This study's purpose was to explore whether consumers can distinguish between prescription drug precautions and side effects presented on brand-name drug websites. METHODS: Participants (n=873) viewed fictitious drug websites that presented both precautions and side effects for one of four drugs, and they completed a survey assessing recall and comprehension...
December 30, 2016: Patient Education and Counseling
Irèn Alders, Carolien Smits, Paul Brand, Sandra van Dulmen
OBJECTIVE: To systematically review the literature on the effectiveness of a patient coach intervention on patient - physician communication in specialists consultations. METHODS: PubMed, Cochrane, PsycInfo, Cinahl and Embase were searched until November 2015. Included were papers describing interventions directed at adult outpatients in secondary care with a variety of somatic diseases. Outcomes had to be measured in communication effectivity from a patient's perspective...
December 29, 2016: Patient Education and Counseling
Tiffany Brown, Shira N Goldman, Stephen D Persell, Ji Young Lee, Crystal T Doan, Quinn Stephens, David W Baker, Kenzie A Cameron
OBJECTIVE: This study aimed to develop and refine a patient education video about pneumococcal polysaccharide vaccination (PPSV23) and to assess patient perceptions regarding video content and receipt of video during a clinic visit. METHODS: Focus groups were conducted to obtain patient feedback on a brief video focusing on personal susceptibility to pneumonia and highlighting the importance of both childhood and adult vaccines. Subsequently, interviews were conducted with patients ages 65 and 66 who were shown the revised video at an office visit...
December 28, 2016: Patient Education and Counseling
Johanna Shapiro
No abstract text is available yet for this article.
December 28, 2016: Patient Education and Counseling
Susan Eggly, Lauren M Hamel, Tanina S Foster, Terrance L Albrecht, Robert Chapman, Felicity W K Harper, Hayley Thompson, Jennifer J Griggs, Richard Gonzalez, Lisa Berry-Bobovski, Rifky Tkatch, Michael Simon, Anthony Shields, Shirish Gadgeel, Randa Loutfi, Haythem Ali, Ira Wollner, Louis A Penner
OBJECTIVE: Communication during racially-discordant interactions is often of poor quality and may contribute to racial treatment disparities. We evaluated an intervention designed to increase patient active participation and other communication-related outcomes during interactions between Black patients and non-Black oncologists. METHODS: Participants were 18 non-Black medical oncologists and 114 Black patients at two cancer hospitals in Detroit, Michigan, USA. Before a clinic visit to discuss treatment, patients were randomly assigned to usual care or to one of two question prompt list (QPL) formats: booklet (QPL-Only), or booklet and communication coach (QPL-plus-Coach)...
December 27, 2016: Patient Education and Counseling
Katie O Washington Cole, Kimberly A Gudzune, Sara N Bleich, Lawrence J Cheskin, Wendy L Bennett, Lisa A Cooper, Debra L Roter
OBJECTIVE: To examine the association of women's body weight with provider communication during prenatal care. METHODS: We coded audio recordings of prenatal visits between 22 providers and 117 of their patients using the Roter Interaction Analysis System. Multivariate, multilevel Poisson models were used to examine the relationship between patient pre-pregnancy body mass index and provider communication. RESULTS: Compared to women with normal weight, providers asked fewer lifestyle questions (IRR 0...
December 27, 2016: Patient Education and Counseling
David Beran, Alain Golay
PURPOSE: To understand the perspectives of people with type 1 diabetes with regards to the diabetes education they receive within the health system. METHODS: Grounded Theory was used for the collection and analysis of data from interviews with 101 people with type 1 diabetes from 13 countries. RESULTS: There are two aspects to education, namely initial education received when diagnosed and the ongoing education people continue to receive. Within these two categories content and process of diabetes education are important as are factors linked to the healthcare worker and setting...
December 24, 2016: Patient Education and Counseling
Carla M Bastemeijer, Lennard Voogt, Johannes P van Ewijk, Jan A Hazelzet
OBJECTIVE: In order to deliver good healthcare quality, it should explicitly be taken into account what patients value in healthcare. This study reviews qualitative studies in which patients express what they value. Based on this body of literature a preliminary taxonomy is designed. METHODS: A systematic review of qualitative papers on what patients' value. RESULTS: 22 studies out of a total of 3259 met the inclusion criteria. After critical appraisal, data extraction was carried out by two researchers independently and revealed values related to 1) the individual patient; 2) the expected behavior of professionals and 3) the interaction between patients and professionals...
December 24, 2016: Patient Education and Counseling
Brittany Kimball
No abstract text is available yet for this article.
December 23, 2016: Patient Education and Counseling
Lena Engqvist Boman, Kerstin Sandelin, Yvonne Wengström, Charlotte Silén
OBJECTIVE: To explore how women learn and understand their disease, treatment, care, and life-situation during a breast cancer trajectory. METHOD: Semi-structured individual interviews were performed with 16 women suffering from breast cancer. Qualitative content analysis of data was performed. RESULTS: Three themes describe the women's learning; Interacting with a diversity of information: women interact with a vast amount of information, including perceptions of bodily sensations and events...
December 23, 2016: Patient Education and Counseling
Anne Dewhurst, Sarah Peters, Angela Devereux-Fitzgerald, Jo Hart
OBJECTIVE: To systematically search and synthesise qualitative studies of physicians' views and experiences of discussing weight management within a routine consultation. METHODS: A systematic search of four electronic databases identified 11,169 articles of which 16 studies met inclusion criteria. Quality was appraised using the Critical Appraisal Skills Programme tool and a thematic synthesis conducted of extracted data. RESULTS: Four analytical themes were found: (1) physicians' pessimism about patients' weight loss success (2) physicians' feel hopeless and frustrated (3) the dual nature of the physician-patient relationship (4) who should take responsibility for weight management...
December 21, 2016: Patient Education and Counseling
Bodil Ivarsson, Göran Rådegran, Roger Hesselstrand, Barbro Kjellström
OBJECTIVE: Pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) decrease life expectancy for affected patients. The aim was to describe the perceptions of received information regarding diagnosis, treatment and management, as well as social support and coping perceived by patients with PAH or CTEPH. METHODS: A descriptive, national cohort survey that included patients from all PAH-centres in Sweden. A quantitative methodology was employed where all patients received three questionnaires, QLQ-INFO25, Mastery Scale and Social Network & Support Scale...
December 21, 2016: Patient Education and Counseling
Elissa Kozlov, M Carrington Reid, Brian D Carpenter
OBJECTIVES: To determine if laypersons' knowledge about palliative care can improve with a brief education intervention. METHODS: 152 adults were recruited to participate in a web-based randomized intervention trial that followed a 2 (content)×2 (format) between-subjects design. Groups received either a video intervention, an information page intervention, a video control, or an information page control. An ANCOVA with contrast coding of two factors was utilized to assess if knowledge, as measured by the Palliative Care Knowledge Scale (PaCKS), increased post intervention...
December 21, 2016: Patient Education and Counseling
Sara E Golden, Charles R Thomas, Drew Moghanaki, Christopher G Slatore
OBJECTIVE: To evaluate the quality of patient-clinician communication and shared decision making (SDM) when two disparate treatments for early stage non-small cell lung cancer (NSCLC) are discussed. METHODS: We conducted a qualitative study to evaluate the experiences of 20 clinicians caring for patients with clinical Stage I NSCLC prior to treatment, focusing on communication practices. We used directed content analysis and a patient-centered communication theoretical model to guide understanding of communication strategies...
December 21, 2016: Patient Education and Counseling
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