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Patient Education and Counseling

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https://www.readbyqxmd.com/read/28330715/does-patient-activation-level-affect-the-cancer-patient-journey
#1
Judith H Hibbard, Eldon Mahoney, Ellen Sonet
OBJECTIVES: We assess how patient activation is associated with behaviors and experiences of people with cancer, including: understanding risks; making treatment decisions; communicating with providers; coping with symptoms; and adhering to regimens. METHODS: The study utilizes survey data from six surveys each including 500 cancer survivors. Multivariate analyses are presented. RESULTS: Higher activated patients are more than 9 times more likely to feel their treatment plans reflect their values, 4...
March 16, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28342674/mindfulness-predicts-student-nurses-communication-self-efficacy-a-cross-national-comparative-study
#2
Vibeke Sundling, Annelie J Sundler, Inger K Holmström, Dorte Vesterager Kristensen, Hilde Eide
OBJECTIVES: The aim of this study was to compare student nurses' communication self-efficacy, empathy, and mindfulness across two countries, and to analyse the relationship between these qualities. METHODS: The study had a cross-sectional design. Data was collected from final year student nurses in Norway and Sweden. Communication self-efficacy, empathy, and mindfulness were reported by questionnaires; Clear-cut communication with patients, Jefferson Scale of Empathy, and Langer 14 items mindfulness scale...
March 11, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28342675/the-digital-heart-manual-a-pilot-study-of-an-innovative-cardiac-rehabilitation-programme-developed-for-and-with-users
#3
C Deighan, L Michalova, C Pagliari, J Elliott, L Taylor, H Ranaldi
OBJECTIVE: Patients are seeking greater choice and flexibility in how they engage with self-management programmes. While digital innovations offer opportunities to deliver supportive interventions to patients undergoing cardiac rehabilitation little is known about how accessible, useful and acceptable they are for this group. This project developed a digital version of a leading evidenced cardiac rehabilitation programme, the Heart Manual (HM). The prototype was developed and evaluated iteratively in collaboration with end users...
March 10, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28318844/the-association-between-parent-reported-provider-communication-quality-and-child-obesity-status-variation-by-parent-obesity-and-child-race-ethnicity
#4
Michelle S Wong, Nakiya N Showell, Sara N Bleich, Kimberly A Gudzune, Kitty S Chan
OBJECTIVE: To examine the association between healthcare provider communication quality and child obesity status, and the role of parent obesity and child race/ethnicity regarding this association. METHODS: We conducted a cross-sectional secondary data analysis with the 2011-2013 Medical Expenditures Panel Survey of parents with children ages 6-12 (n=5390). We used multivariable logistic regression to examine the association of parent-reported healthcare provider communication quality (explaining well, listening carefully, showing respect, and spending enough time) with child obesity status, and effect modification by parent obesity and child race/ethnicity...
March 9, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28320559/assessing-the-significance-of-health-information-seeking-in-chronic-condition-management
#5
Caress A Dean, Christian J Geneus, Shahida Rice, Marquisha Johns, Delores Quasie-Woode, Kevin Broom, Keith Elder
OBJECTIVE: To examine the relationship between health information seeking and confidence in performing self-management activities, and to assess the influence of predisposing, enabling, and perceive need factors on confidence to perform self-management activities among adults with chronic conditions. METHODS: The sample included 6724 adults from the 2007 Health Tracking Household Survey who were ≥18 years with a chronic condition. Binary logistic regression examined the relationship between health information seeking, predisposing, enabling, and perceive need factors and confidence in performing three self-management activities; prevent symptoms, tell doctor concerns, and know when to get medical care...
March 7, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28302341/communication-behaviors-and-patient-autonomy-in-hospital-care-a-qualitative-study
#6
Zackary D Berger, Emily F Boss, Mary Catherine Beach
BACKGROUND: Little is known about how hospitalized patients share decisions with physicians. METHODS: We conducted an observational study of patient-doctor communication on an inpatient medicine service among 18 hospitalized patients and 9 physicians. A research assistant (RA) approached newly hospitalized patients and their physicians before morning rounds and obtained consent. The RA audio recorded morning rounds, and then separately interviewed both patient and physician...
March 7, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28320560/complicated-grief-knowledge-attitudes-skills-and-training-of-mental-health-professionals-a-systematic-review
#7
REVIEW
Anne Dodd, Suzanne Guerin, Susan Delaney, Philip Dodd
OBJECTIVE: A systematic review and qualitative synthesis was undertaken to deduce the knowledge, attitudes, skills and training of mental health professionals regarding complicated grief (CG). METHODS: PsychInfo, Embase, Medline, CINAHL, PBSC, Web of Science and ERIC databases were used to identify relevant literature. Searches were executed from inception to September 2014. RESULTS: The electronic search yielded 305 results. Forty-one papers were selected for full text review, 20 were included for analysis...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28318845/specifying-the-effects-of-physician-s-communication-on-patients-outcomes-a-randomised-controlled-trial
#8
Mara van Osch, Sandra van Dulmen, Liesbeth van Vliet, Jozien Bensing
OBJECTIVE: To experimentally test the effects of physician's affect-oriented communication and inducing expectations on outcomes in patients with menstrual pain. METHODS: Using a 2×2 RCT design, four videotaped simulated medical consultations were used, depicting a physician and a patient with menstrual pain. In the videos, two elements of physician's communication were manipulated: (1) affect-oriented communication (positive: warm, emphatic; versus negative: cold, formal), and (2) outcome expectation induction (positive versus uncertain)...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28302340/when-patients-take-the-initiative-to-audio-record-a-clinical-consultation
#9
Inge Renske van Bruinessen, Brigit Leegwater, Sandra van Dulmen
OBJECTIVE: to get insight into healthcare professionals' current experience with, and views on consultation audio-recordings made on patients' initiative. METHOD: 215 Dutch healthcare professionals (123 physicians and 92 nurses) working in oncology care completed a survey inquiring their experiences and views. RESULTS: 71% of the respondents had experience with the consultation audio-recordings. Healthcare professionals who are in favour of the use of audio-recordings seem to embrace the evidence-based benefits for patients of listing back to a consultation again, and mention the positive influence on their patients...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28291576/evaluating-challenges-for-improving-medically-unexplained-symptoms-in-us-military-veterans-via-provider-communication
#10
L Alison Phillips, Lisa McAndrew, Benjamin Laman-Maharg, Katharine Bloeser
OBJECTIVES: Medically unexplained symptoms (MUS) are common, with particularly high rates observed in military veterans. Effective patient-provider-communication is thought to be a key aspect of care; however there have been few empirical studies on the association between communication and outcomes for patients with MUS. We evaluate whether discussing veterans' MUS-illness representations and good interpersonal skills have the potential to promote MUS-treatment adherence and improvement...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28291575/breaking-the-sound-barrier-exploring-parents-decision-making-process-of-cochlear-implants-for-their-children
#11
Pamara F Chang
OBJECTIVE: To understand the dynamic experiences of parents undergoing the decision-making process regarding cochlear implants for their child(ren). METHODS: Thirty-three parents of d/Deaf children participated in semi-structured interviews. Interviews were digitally recorded, transcribed, and coded using iterative and thematic coding. RESULTS: The results from this study reveal four salient topics related to parents' decision-making process regarding cochlear implantation: 1) factors parents considered when making the decision to get the cochlear implant for their child (e...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28284463/parent-to-parent-peer-support-for-parents-of-children-with-a-disability-a-mixed-method-study
#12
Lucy Bray, Bernie Carter, Caroline Sanders, Lucy Blake, Kimberley Keegan
OBJECTIVES: This paper will report on the findings of a study which investigated the influence of a befriending (parent-to-parent peer support) scheme on parents whose children have a disability or additional need. The scheme operated from an acute children's tertiary setting in the UK. METHODS: A prospective concurrent mixed method design collected interview (n=70) and questionnaire (n=68) data at two time-points from befrienders (n=13) and befriendees (n=26). RESULTS: The main qualitative findings of the study relate to the different degrees parents (befriendees and befrienders) moved from being lost, to finding and being a guide and getting to a better place...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28283217/adolescents-with-at-risk-eating-and-lifestyle-behaviors-are-affected-by-after-school-schedules-across-the-clinical-weight-spectrum
#13
Leanna F Perez, Carla K Miller, Judith A Groner
OBJECTIVE: Evaluate adolescent lifestyle patterns to develop more effective health promotion programs. METHODS: An interview approach was employed to gain in-depth understanding of eating and activity behaviors. Adolescents aged 13-18 years (n=43) from clinically normal and obese weight categories were enrolled. Nutrient intake and food group servings were obtained from a food frequency questionnaire. RESULTS: Four participant subgroups were identified and labeled: "Idle, Engaged, Balanced and Working...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28283216/language-barriers-and-professional-identity-a-qualitative-interview-study-of-newly-employed-international-medical-doctors-and-norwegian-colleagues
#14
Erik Skjeggestad, Jennifer Gerwing, Pål Gulbrandsen
OBJECTIVE: To explore how language barriers influence communication and collaboration between newly-employed international medical doctors and Norwegian health personnel. METHODS: Interviews were conducted with 16 doctors who had recently started working in Norway and 12 Norwegian born health personnel who had extensive experience working with international medical doctors. Analyses were consistent with principles of systematic text condensation. RESULTS: All participants experienced that language barriers caused difficulties in their everyday collaboration...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28318846/effectiveness-of-disease-specific-self-management-education-on-health-outcomes-in-patients-with-chronic-obstructive-pulmonary-disease-an-updated-systematic-review-and-meta-analysis
#15
REVIEW
Tao Wang, Jing-Yu Tan, Lily Dongxia Xiao, Renli Deng
OBJECTIVES: To update a previously published systematic review on the effectiveness of self-management education (SME) for patients with chronic obstructive pulmonary disease (COPD). METHODS: Electronic databases were accessed (from inception to July 2016) to find relevant randomized controlled trials. Studies that compared SME with routine methods of care in COPD patients were retrieved. Both data synthesis and descriptive analysis were used for outcome assessment (e...
March 1, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28274672/the-role-of-screening-expectations-in-modifying-short-term-psychological-responses-to-low-dose-computed-tomography-lung-cancer-screening-among-high-risk-individuals
#16
Charlotte E Dunn, Adrian Edwards, Ben Carter, John K Field, Kate Brain, Kate J Lifford
OBJECTIVE: This study aimed to examine the relationship between pre-screening expectations and psychological responses to low-dose computerised tomography (LDCT) screening among high-risk individuals in the United Kingdom Lung Cancer Screening (UKLS) pilot trial. METHODS: Prior to screening, high-risk individuals randomised into the intervention arm of the UKLS were asked about their expected screening test result. Their actual LDCT scan result was compared with their baseline screening expectation to determine the level of congruence...
February 27, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28262273/the-effect-of-education-through-motivational-interviewing-compared-with-conventional-education-on-self-care-behaviors-in-heart-failure-patients-with-depression
#17
Ali Navidian, Hajar Mobaraki, Mansour Shakiba
OBJECTIVE: To determine the effect of education based on motivational interviewing on self-care behaviors in heart failure patients with depression. METHODS: In this study, 82 patients suffering from heart failure whose depression had been confirmed were selected and divided into two groups. The Self-Care Heart Failure Index was utilized to evaluate self-care behavior. The intervention group received four sessions of self-care behavior education based on the principles of motivational interviewing, and the control group received four sessions of conventional education on self-care behavior...
February 27, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28268054/the-nature-of-conflict-in-palliative-care-a-qualitative-exploration-of-the-experiences-of-staff-and-family-members
#18
Karemah François, Elizabeth Lobb, Sarah Barclay, Liz Forbat
OBJECTIVES: Conflict is a significant and recurring problem in healthcare. This study aimed to understand staff and relatives' perspectives on the characteristics of conflict and serious disagreement in adult palliative care, including triggers, risk factors and the impact on themselves and clinical care. METHODS: Qualitative study of 25 staff and seven bereaved relatives using individual interviews, recruited from a multidisciplinary specialist palliative care setting in Australia...
February 24, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28268053/the-role-of-patient-education-and-physician-support-in-self-efficacy-for-skin-self-examination-among-patients-with-melanoma
#19
Z Czajkowska, N C Hall, M Sewitch, B Wang, A Körner
OBJECTIVE: This project aims to elucidate the relationships between skin self-examination (SSE), perceived physician support of SSE, and self-efficacy for SSE among melanoma patients. METHODS: A longitudinal study of patients diagnosed with melanoma was conducted over the span of 18 months. Participants filled out questionnaires at four assessment points and participated in an SSE education about the early signs of melanoma. RESULTS: Among the 242 patients enrolled, the level of self-efficacy for SSE was 23% higher immediately after the educational intervention (p<...
February 24, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28256281/quality-of-reporting-of-patient-decision-aids-in-recent-randomized-controlled-trials-a-descriptive-synthesis-and-comparative-analysis
#20
Krystina B Lewis, Brianne Wood, Karen R Sepucha, Richard G Thomson, Dawn Stacey
OBJECTIVE: Variable reporting of patient decision aids (PDAs) in published articles raises uncertainty about whether the intervention meets the definition of a PDA. We appraised the quality of reporting of PDA characteristics in randomized controlled trials (RCTs). METHODS: RCTs eligible for the Cochrane review of PDAs and published June 2012 to April 2015 were included. Quality of PDA reporting was appraised using the International Patient Decision Aid Standards Instrument (v4...
February 24, 2017: Patient Education and Counseling
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