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Patient Education and Counseling

Katherine K W Lam, William H C Li, O K Chung, K Y Ho, S Y Chiu, H S Lam, Godfrey C F Chan
OBJECTIVE: This study examined the effectiveness of an integrated programme in promoting physical activity, reducing fatigue, enhancing physical activity self-efficacy, muscle strength and quality of life among Chinese children with cancer. METHODS: A randomised controlled trial was conducted in a Hong Kong public hospital. Seventy eligible children were randomly assigned to an experimental group (n = 37) or a control group (n = 33). The experimental group received an integrated programme with 28 home visits from coaches over a 6-month period...
July 7, 2018: Patient Education and Counseling
Dagoberto Cortez, Douglas W Maynard, Toby C Campbell
OBJECTIVES: Analyze entire oncology clinical visits and examine instances in which oncologists have to break the bad news that patients' treatments are no longer effective. METHODS: Using conversation analysis we examine 128 audio recorded conversations between terminal cancer patients, their caregivers, and oncologists. RESULTS: When oncologists break the bad news that a patient's treatment is no longer effective, they often use a conversational device we call an "exhausted current treatment" (ECT) statement, which avoids discussing prognosis in favor of further discussing treatment options...
July 6, 2018: Patient Education and Counseling
Wei Wei Lee, Maria L Alkureishi, J Harry Isaacson, Mark Mayer, Richard M Frankel, Daniel A London, Kristen E Wroblewski, Vineet M Arora
OBJECTIVE: Despite rapid EHR adoption, few faculty receive training in how to implement patient-centered communication skills while using computers in exam rooms. We piloted a patient-centered EHR use training to address this issue. METHODS: Faculty received four hours of training at Cleveland Clinic and a condensed 90-minute version at the University of Chicago. Both included a lecture and a Group-Objective Structured Clinical Exam (GOSCE) experience. Direct observations of 10 faculty in their clinical practices were performed pre- and post-workshop...
July 3, 2018: Patient Education and Counseling
Haske van Veenendaal, Trudy van der Weijden, Dirk T Ubbink, Anne M Stiggelbout, Linda A van Mierlo, Carina G J M Hilders
OBJECTIVE: To prioritize strategies to implement shared decision-making (SDM) in daily practice, resulting in an agenda for a nationwide approach. METHODS: This was a qualitative, exploratory investigation involving: Interviews (N = 43) to elicit perceived barriers to and facilitators of change, focus group discussions (N = 51) to develop an implementation strategy, and re-affirmation through written feedback (n = 19). Professionals, patients, researchers and policymakers from different healthcare sectors participated...
June 30, 2018: Patient Education and Counseling
Melissa C W Vaanholt, Marieke G M Weernink, Clemens von Birgelen, Catharina G M Groothuis-Oudshoorn, Maarten J IJzerman, Janine A van Til
OBJECTIVE: The objective of this study was to explore the perceived advantages and disadvantages of oral anticoagulant therapies (OAT), and the trade-offs patients make in choosing therapy and adhering to their drug regimen. METHODS: Five focus group sessions were conducted across Europe among patients with atrial fibrillation to identify the most important factors impacting OAT's value and adherence. RESULTS: The most frequently identified barriers to OAT were lack of knowledge; poor patient-physician relationships; distraction due to employment or social environment; prior bleeding event(s) or the fear of bleeding; and changes in routine...
June 30, 2018: Patient Education and Counseling
Kristen E Pecanac, Mary Wyman, Amy J H Kind, Corrine I Voils
OBJECTIVE: To summarize the evidence regarding the factors and processes of treatment decision making involving a person with dementia (PWD) in the acute care setting. METHODS: We conducted a scoping review, searching 4 databases (PubMed, CINAHL, Web of Science, & PsychINfo) for articles that contained primary data from a quantitative or qualitative study involving treatment decision making in the acute care setting for PWD and were published in English. We categorized the factors and processes of decision making identified in each article using inductive content analysis...
June 28, 2018: Patient Education and Counseling
Jennifer L Kerns, Alexis Light, Vanessa Dalton, Blair McNamara, Jody Steinauer, Miriam Kuppermann
OBJECTIVE: The decision to undergo a surgical or medical method of second-trimester termination for pregnancy complications should be preference-sensitive. Decision satisfaction has not been described in this population; understanding how women describe decision satisfaction in this setting could inform decision support efforts. METHODS: We conducted qualitative interviews with women one to three weeks after termination who chose either a surgical or medical termination for fetal anomalies, pregnancy complications or fetal demise...
June 22, 2018: Patient Education and Counseling
Antoine Chéret, Christine Durier, Nicolas Noël, Katia Bourdic, Chantal Legrand, Catherine D'Andréa, Evelyne Hem, Cécile Goujard, Patrick Berthiaume, Silla M Consoli
OBJECTIVE: To evaluate the impact of brief training in motivational interviewing (MI) from a non-specialist professional for medical students. METHODS: Students (n = 20) received three four-hour sessions of MI training over one week. They interviewed caregivers acting as patients in two standardised medical situations, six weeks before and three weeks after training. Global scores from the MITI-3.1.1 code, including "MI- Spirit", were attributed to the audiotaped interviews by two independent coders, blind the pre- or post-training status of the interview...
June 21, 2018: Patient Education and Counseling
Olivia Purnima Danzi, Cinzia Perlini, Federico Tedeschi, Mimma Nardelli, Alberto Greco, Enzo Pasquale Scilingo, Gaetano Valenza, Lidia Del Piccolo
OBJECTIVE: The aim of the study was to investigate the effect of physicians' supportive communication on analogue patients' (APs) heart rate variability (HRV) and recall, while watching a video of palliative treatment being explained to a female patient. METHODS: Sixty healthy women, acting as APs, were randomly assigned to watch one of two versions (standard vs. affective) of a scripted video-vignette of a bad news consultation to a female patient. The physician's communication differed only in the delivery of four supportive comments...
June 19, 2018: Patient Education and Counseling
Amber Jordan, Fiona Wood, Adrian Edwards, Victoria Shepherd, Natalie Joseph-Williams
OBJECTIVE: To understand the preferences and experiences of adolescents (age 10-19) with long-term conditions (LTCs) towards involvement in discussions and decisions regarding management of their condition. METHODS: A systematic review and narrative synthesis of mixed-methods, quantitative and qualitative and research was performed. Six databases were searched from inception to March 2017. The quality of the articles was assessed, and relevant data were extracted and coded thematically...
June 18, 2018: Patient Education and Counseling
Claudia Villanueva, Arpit Talwar, Mathew Doyle
OBJECTIVE: To investigate the effect of enhancing preoperative education in improving recall and understanding of a surgical procedure and its application to the informed consent process in cardiac surgery. METHODS: Four electronic database searches were performed from January 2000 to August 2017. A total of 282 articles were identified from which 22 prospective studies assessing an intervention were selected according to predefined selection criteria. RESULTS: Most articles that used additional written information and all that used multimedia presentations to enhance informed consent showed that their intervention improved risk recall and patient's understanding of the procedure...
June 18, 2018: Patient Education and Counseling
Yen-Ming Huang, Olayinka O Shiyanbola, Hsun-Yu Chan
OBJECTIVE: To investigate whether medication self-efficacy moderates or mediates the relationship between health literacy and medication adherence. To propose a path model that illustrates the interrelated relationship between health literacy, medication self-efficacy, medication adherence, and hemoglobin A1c (HbA1c). METHODS: This cross-sectional study was performed via a face-to-face survey. Factors that may influence medication adherence and HbA1c were identified from the literature review...
June 18, 2018: Patient Education and Counseling
Noralie H Geessink, Eirik H Ofstad, Marcel G M Olde Rikkert, Harry van Goor, Jürgen Kasper, Yvonne Schoon
OBJECTIVE: To identify determinants of older patients' perceptions of involvement in decision-making on colorectal (CRC) or pancreatic cancer (PC) treatment, and to compare these with determinants of observers' perceptions. METHODS: Patients' perceptions of involvement were constructed by the 9-item SDM questionnaire (SDM-Q-9) and a Visual Analogue Scale for Involvement (VAS-I). Observers' perceptions were constructed by the OPTION5, OPTION12, and MAPPIN'SDM. Convergent validities were calculated between the patient-sided and observer instruments using Spearman's correlation coefficient...
June 13, 2018: Patient Education and Counseling
Kevin P Lonabaugh, Katherine S O'Neal, Heather McIntosh, Michelle Condren
OBJECTIVE: The purpose of this study was to improve patient education in clinic by evaluating patient perceptions of education provided, as well as patient self-confidence related to topics within cystic fibrosis (CF). The study assessed whether self-confidence matched knowledge and defined patient-specific goals for education timing and information sources. METHODS: Age specific questionnaires were distributed over four months to patients 11 years of age and older and caregivers of patients of all ages at a single CF Foundation accredited care center...
June 9, 2018: Patient Education and Counseling
Marianne Schmid Mast, Keou Kambiwa Kadji
OBJECTIVE: This paper is based on a 2017 Baltimore International Conference on Communication in Healthcare (ICCH) plenary presentation by the first author and addresses how female and male physicians' communication is perceived and evaluated differently. Female physicians use patient-centered communication which is the interaction style clearly preferred by patients. Logically, patients should be much more satisfied with female than male physicians. However, research shows that this is not the case...
June 7, 2018: Patient Education and Counseling
Sarah Woltz, Pieta Krijnen, Arwen H Pieterse, Inger B Schipper
OBJECTIVE: This study aimed to answer the following research question: What is the knowledge, opinion, and experience of trauma surgeons with respect to shared decision making (SDM)? METHODS: An online survey was sent out in September 2016 to all 257 surgeons registered as a trauma surgeon with the Dutch Association of Trauma Surgery, to gather demographic, knowledge, and practice based information regarding their use of SDM. Results were presented according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES)...
June 6, 2018: Patient Education and Counseling
Erin M Hill, Kaitlin Watkins
OBJECTIVE: While there are various medication self-efficacy scales that exist, none assess self-efficacy for appropriate antibiotic use. The Appropriate Antibiotic Use Self-Efficacy Scale (AAUSES) was developed, pilot tested, and its psychometric properties were examined. METHODS: Following pilot testing of the scale, a 28-item questionnaire was examined using a sample (n = 289) recruited through the Amazon Mechanical Turk platform. Participants also completed other scales and items, which were used in assessing discriminant, convergent, and criterion-related validity...
June 4, 2018: Patient Education and Counseling
Lisa Hyde, Lisa Mackenzie, Allison W Boyes, Tiffany-Jane Evans, Michael Symonds, Rob Sanson-Fisher
OBJECTIVE: Responsiveness to information preferences is key to high-quality, patient-centred care. This study examined the top ten preparatory information items not delivered in accordance with medical imaging outpatients' preferences, and patient characteristics associated with reporting a greater number of unmet information preferences. METHODS: Magnetic resonance imaging and computed tomography outpatients were recruited consecutively in one major public hospital waiting room...
June 2, 2018: Patient Education and Counseling
Ana Stoilkova-Hartmann, Frits M E Franssen, Ingrid M L Augustin, Emiel F M Wouters, Katharine D Barnard
BACKGROUND: The art of medicine is undergoing a dramatic shift in focus, evolving to focus on patient involvement as partners in care, transforming the traditional, prescriptive, reactive practice of healthcare into a proactive discipline. The personal and societal burden of chronic diseases is burgeoning and unsustainable in current systems, novel approaches are required to address this. DISCUSSION: Although considerable progress has been made in the development of diagnostics, therapeutics and care guidelines for patients with chronic obstructive pulmonary disease (COPD), questions remain surrounding the implementation of best practice education and support...
June 1, 2018: Patient Education and Counseling
Carma L Bylund, Smita C Banerjee, Philip A Bialer, Ruth Manna, Tomer T Levin, Patricia A Parker, Elizabeth Schofield, Yuelin Li, Abraham Bartell, Alexander Chou, Shira A Hichenberg, Maura Dickler, David W Kissane
OBJECTIVE: Integrating education about physician-patient communication into oncology specialists' education is important to improve quality of care. Our aim was to rigorously evaluate a 4-year institutionally-based patient communication skills program for oncology post-graduate trainees. METHODS: Trainees from 10 specialties in the U.S. participated in patient communication skills modules tailored to sub-specialties. The program was evaluated by comparing pre-post scores on hierarchical outcomes: course evaluation, self-confidence, skills uptake in standardized and real patient encounters, and patient evaluations of satisfaction with communication...
June 1, 2018: Patient Education and Counseling
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