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Patient Education and Counseling

Kevin Wombacher, Nancy Grant Harrington, Allison M Scott, Donald W Helme, Catherine Martin
Objective Child and Adolescent Psychiatrists (CAPs) treat patients who are at an increased risk of developing a substance use disorder in their lifetime. However, CAPs often experience apprehension when it comes to discussing substance use with their patients, and this apprehension may come from past experiences when these discussions have gone poorly. This study seeks to understand whether or not apprehension moderates the relationship between past experiences and self-efficacy for CAPs when discussing substance use with their patients...
November 2, 2018: Patient Education and Counseling
Johanna Granhagen Jungner, Elisabet Tiselius, Klas Blomgren, Kim Lützén, Pernilla Pergert
OBJECTIVES: The objective of this study was to explore interpreters' perceived strategies in the interaction in interpreter-mediated consultations between healthcare personnel and patients/families with limited Swedish proficiency in pediatric oncology care. METHODS: This study had an inductive approach using an exploratory qualitative design. A total of eleven semi-structured interviews were performed with interpreters who had experience interpreting in pediatric oncology care...
November 1, 2018: Patient Education and Counseling
U Olivia Kim, K Barnekow, S I Ahamed, S Dreier, C Jones, M Taylor, Md K Hasan, M A Basir
OBJECTIVE: To develop an educational mobile application (app) for expectant parents diagnosed with risk factors for premature birth. METHODS: Parent and medical advisory panels delineated the vision for the app. The app helps prepare for preterm birth. For pilot testing, obstetricians offered the app between 18-22 weeks gestational age to English speaking parents with risk factors for preterm birth. After 4 weeks of use, each participant completed a questionnaire...
October 29, 2018: Patient Education and Counseling
Antoinette Schoenthaler, Iman Hassan, Kevin Fiscella
OBJECTIVE: This paper discusses the importance of developing best practices in communication strategies to identify and act on social determinants of health (SDOH) in care settings in ways that minimizes shame and builds patient trust in the process. DISCUSSION: We leverage the relationship-centered care framework to provide health care teams guidance in how to foster meaningful discussions about SDOH at three pivotal points in the process: 1) at the initial screening; 2) once an unmet social need has been identified; and 3) when exchanging SDOH data with team members and external organizations...
October 29, 2018: Patient Education and Counseling
Miyong T Kim, Kim Byeng Kim, Tam H Nguyen, Jisook Ko, Jim Zabora, Elizabeth Jacobs, David Levine
OBJECTIVE: To test the efficacy of a hybrid model of the self-help intervention program (hSHIP), which combines a mobile version of SHIP (mSHIP) and personal coaching, to address unique cultural and motivational factors for optimal self-management of type 2 diabetes and prediabetes among Korean Americans (KAs). METHODS: A single-group feasibility study design was used. The hSHIP utilizes texts and motivational counseling based on well-tested intervention content for KAs...
October 29, 2018: Patient Education and Counseling
Katherine Rivlin, Carolyn L Westhoff
OBJECTIVES: Pregnancy options counseling, or nondirective counseling of patients with unintended pregnancy, is a "necessary competency" for medical students according the Association of Professors of Gynecology and Obstetrics. Narrative Medicine (NM) utilizes stories of illness to inform clinical practice and promotes self-reflection in medical education. The authors analyzed the effect of a NM workshop on medical students' ability to provide pregnancy options counseling. METHODS: The authors randomized students in the major clinical year at Columbia University Medical Center (CUMC) to either a 2-hour NM workshop or to a control intervention...
October 28, 2018: Patient Education and Counseling
Michael Anthony Fajardo, Guy Balthazaar, Alexandra Zalums, Lyndal Trevena, Carissa Bonner
OBJECTIVE: The study aim was to identify all freely available online diabetes risk calculators and to evaluate their suitability for patients with low health literacy. METHODS: Online diabetes risk calculators were identified by an environmental scan. The Patient Education Material Assessment Tool for Printable Materials was used to determine understandability and actionability scores. A high-risk profile was used to compare the risk results obtained with each calculator...
October 24, 2018: Patient Education and Counseling
Jonathan Charles Rawstorn, Susie Cartledge, Sheikh Mohammed Shariful Islam, Ralph Maddison
No abstract text is available yet for this article.
October 24, 2018: Patient Education and Counseling
Holly Foot, Adam La Caze, Peter Baker, Neil Cottrell
OBJECTIVE: The aim was to better understand how beliefs influence medication adherence in asthma. METHODS: All participants were prescribed an inhaled corticosteroid for a diagnosis of asthma. Each participant completed a survey consisting of: Beliefs about Medicines Questionnaire (BMQ), Brief-Illness Perception Questionnaire (B-IPQ) and Multi-dimensional Health Locus of Control Scale (MHLCS). Adherence to inhaled corticosteroids was elicited using the Medication Adherence Report Scale (MARS)...
October 13, 2018: Patient Education and Counseling
Christi A Patten, Kathryn R Koller, Christie A Flanagan, Vanessa Y Hiratsuka, Christine A Hughes, Abbie W Wolfe, Paul A Decker, Kristin Fruth, Tabetha A Brockman, Molly Korpela, Diana Gamez, Carrie Bronars, Neil J Murphy, Dorothy Hatsukami, Neal L Benowitz, Timothy K Thomas
OBJECTIVE: There is some evidence for biomarker feedback when combined with cessation counseling for reducing smoking in pregnancy. This randomized controlled pilot study evaluated feasibility and potential efficacy of a social-cognitive theory (SCT)-based biomarker feedback intervention among pregnant Alaska Native (AN) smokers. METHODS: Participants were randomly assigned to receive three study calls (10-20 min each): (1) biomarker feedback intervention (n = 30) including personalized cotinine results and feedback on their baby's likely exposure to carcinogen metabolite NNAL, or (2) contact control usual care condition based on the 5As (n = 30)...
October 12, 2018: Patient Education and Counseling
Kathryn I Pollak, Claire Ashton-James
No abstract text is available yet for this article.
October 5, 2018: Patient Education and Counseling
Da Tao, Juan Yuan, Xingda Qu
OBJECTIVE: To examine the effects of presentation formats on consumers' performance and perceptions in the use of personal health records (PHRs) and to compare the effects between older and young adults. METHODS: A two-factor, mixed design experiment was conducted, where 36 older and 36 young participants were presented with hypothetical PHRs. The PHRs were randomly presented by six presentation formats: three tables and three line graphs, varying by visual cues...
October 5, 2018: Patient Education and Counseling
Maarten Cuypers, Romy E D Lamers, Paul J M Kil, Lonneke V van de Poll-Franse, Marieke de Vries
OBJECTIVE: To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and information satisfaction in a one-year follow-up. METHODS: Within a cluster RCT, 18 Dutch hospitals were randomized to DA counseling or care-as-usual, patients (n = 382) initially completed questionnaires directly after treatment decision making. Six and twelve months later regret (Decisional Regret Scale) and information satisfaction (SCIP-B) were assessed...
October 4, 2018: Patient Education and Counseling
Jennifer Barsky Reese, Kristen Sorice, Stephen J Lepore, Mary B Daly, James A Tulsky, Mary Catherine Beach
OBJECTIVES: Breast cancer patients' sexual health needs are frequently unmet. We examined the prevalence and content of communication about sexual health between breast cancer patients and clinicians. METHODS: Female breast cancer patients being seen in oncology clinic follow-up had a clinic visit audio recorded and self-reported sexual problems after the visit. Transcripts were coded for sexual health communication; data were analyzed descriptively or using Chi-square tests...
October 4, 2018: Patient Education and Counseling
Jayanti M Clay, Joanne K Daggy, Sunetris Fluellen, Brownsyne Tucker Edmonds
OBJECTIVE: To assess women's attitudes and preferences related to recent changes in cervical cancer screening guidelines. METHODS: We distributed 380 surveys in three University based and Community clinics. Study participants anonymously completed surveys, which included questions related to demographics, cervical cancer, screening practices, risk perception and attitudes towards changing practices. RESULTS: 315 women agreed to participate (83%)...
October 3, 2018: Patient Education and Counseling
Kehinde Obamiro, Kenneth Lee
OBJECTIVE: Information overload can negatively impact positive health behaviors such as cancer screening. The 8-item Cancer Information Overload (CIO) scale appears to be the only validated measure of health-related information overload. The present study assesses the validity of the CIO scale when modified for use in patients with atrial fibrillation (AF) residing in Australia. METHODS: We conducted a secondary analysis of data from a study of adult Australian patients with AF (N = 386) in which a modified version of the CIO scale was used...
October 3, 2018: Patient Education and Counseling
Moira O'Connor, Georgia Kb Halkett
OBJECTIVE: Radiation therapy (RT) is a cornerstone for management of pediatric cancer. For younger patients, unintended radiation to critical organs is a concern and children need to remain immobile. Distress in children is common so many centres sedate pediatric patients. Children often are unable to remain still, due to anxiety. Interventions to reduce distress could also reduce sedation rates. The objectives of this systematic review were to: review the interventions used to address pediatric RT patients' distress and anxiety and assess their effectiveness...
September 29, 2018: Patient Education and Counseling
Claudia Martinez-Tapia, Florence Canoui-Poitrine, Philippe Caillet, Sylvie Bastuji-Garin, Christophe Tournigand, Elias Assaf, Gwénaëlle Varnier, Frederic Pamoukdjian, Etienne Brain, Florence Rollot-Trad, Marie Laurent, Elena Paillaud
OBJECTIVE: To compare the preferences of older (≥70 years old) versus younger (<70 years old) cancer patients regarding surrogate designation and decision making. METHODS: A cross-sectional survey. Patient characteristics and information about surrogacy and involvement in decision making were collected. Associations between patient characteristics and preferences were examined. RESULTS: The study included 130 patients aged ≥70 years (mean age 80 years) and 102 patients aged <70 years (mean age 55) and...
September 29, 2018: Patient Education and Counseling
Angelika Eisele, Daniela Schagg, Lena Violetta Krämer, Jürgen Bengel, Wiebke Göhner
OBJECTIVE: To identify Behaviour Change Techniques (BCTs) applied in interventions to enhance physical activity (PA) adherence in patients with chronic musculoskeletal conditions and to investigate the effectiveness of these interventions in increasing PA adherence. METHODS: A systematic search of seven databases was conducted. We included (cluster/quasi-) randomised controlled trials comparing behaviour change interventions to no/placebo/minimal interventions or usual care and involving at least a three-month post-intervention follow-up...
September 29, 2018: Patient Education and Counseling
Thea Luig, Glyn Elwyn, Robin Anderson, Denise L Campbell-Scherer
OBJECTIVE: Care communication about obesity needs to respond to the complex biopsychosocial processes that affect weight and health. The collaborative deliberation model conceptualizes interpersonal work that underpins empathic communication and shared decision-making. The goal of this study was to elucidate how primary care practitioners can use the model to achieve shared obesity assessment and care planning. METHODS: This qualitative study used direct observation of clinical encounters with twenty patients with obesity sampled for maximum variation in context, semi-structured patient and provider interviews, patient journals and two follow-up interviews over eight weeks...
September 28, 2018: Patient Education and Counseling
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