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Patient Education and Counseling

Laura Boland, France Légaré, Meg Carley, Ian D Graham, Annette M O'Connor, Margaret L Lawson, Dawn Stacey
OBJECTIVE: To evaluate the Ottawa Decision Support Tutorial (ODST), an open-access shared decision making educational program. METHODS: We conducted a post-test study. Eligible participants completed a knowledge test and/or acceptability survey after completing ODST version 1 (2007-2013), version 2 (2013-2015), or version 3 (2015-2017). We conducted descriptive analysis and compared outcomes across versions using log transformed linear regression (knowledge) and log binomial regression (acceptability)...
September 8, 2018: Patient Education and Counseling
Anthony Jerant, Paul Duberstein, Camille Cipri, Bethany Bullard, Deborah Stone, Debora Paterniti
OBJECTIVES: Nearly half of all men who die by suicide visit a primary care clinician (PCC) in the month before death, yet few disclose suicide thoughts. We solicited stakeholders' views to guide development of a tailored multimedia program to activate middle-aged men experiencing suicide thoughts to engage with PCCs. METHODS: We conducted semi-structured interviews with 44 adults self-identifying as: suicide attempt survivor; family member/loved one of person(s) who attempted or died by suicide; PCC; non-PCC office staff; health administrator; and/or prevention advocate...
September 8, 2018: Patient Education and Counseling
Sixiao Liu, Janet Z Yang, Haoran Chu
OBJECTIVE: This study aims to examine the impacts of gain vs. loss-framed messages and narrative messages on Chinese women's intentions to get HPV vaccines for their children. METHODS: A survey experiment was conducted among Chinese females (N = 453) assessing their responses to 3 types of messages (i.e. gain-framed, loss-framed and narrative) designed to promote HPV vaccination. RESULTS: No main effect was found for message types, but loss-framed message slightly increased vaccination intention...
September 6, 2018: Patient Education and Counseling
Özlem Örsal, Pınar Duru, Özgül Örsal, Kazım Tırpan, Abdullah Çulhacı
OBJECTIVE: The aim of the study was to examine the relationships between health literacy, primary care satisfaction levels and health awareness of the patients who were admitted to primary care centers (Family Health Centers). METHODS: This is a cross-sectional study conducted on individuals who were admitted to Family Health Centers (n = 1.055) in Eskisehir province. The study data were collected by using Turkish Health Literacy Scale, the European Patients Evaluate General/Family Practice Scale and Health Awareness Scale...
September 6, 2018: Patient Education and Counseling
Meghana Yajnik, Jonay N Hill, Oluwatobi O Hunter, Steven K Howard, T Edward Kim, T Kyle Harrison, Edward R Mariano
OBJECTIVE: Effects of patient education on perioperative analgesic utilization are not well defined. We designed a simple pain management educational card for total knee arthroplasty (TKA) patients and retrospectively reviewed clinical data before and after implementation to test the hypothesis that more informed patients will use less opioid. METHODS: With IRB approval, we analyzed clinical data collected perioperatively on all TKA patients one month before (PRE) and one month after (POST) card implementation...
September 5, 2018: Patient Education and Counseling
Ken Kitayama
This reflective piece tells the story of an impactful patient interaction that shaped the practice of a medical student. The essay focuses on the power of shared time and the development of meaningful relationships as a form of adjunctive therapy for patients, regardless of diagnosis or prognosis. Fostering an appreciation for the present moment and savoring glimpses of human interaction are other themes that are touched upon in this piece.
September 5, 2018: Patient Education and Counseling
Hannah J Badal, Vanessa Boudewyns, Jennifer D Uhrig, Euna M August, Paul Ruddle, Jo Ellen Stryker
OBJECTIVES: To examine whether self-reported exposure to Testing Makes Us Stronger™ (TMUS), an HIV testing health communication campaign for black gay, bisexual, and other men who have sex with men (BMSM), was associated with key intermediate outcomes targeted by the campaign's messages. METHODS: Data from sexually active, HIV-negative or unknown status BMSM aged 18-44 (N = 590) were collected through an anonymous Web-based survey that measured sociodemographics, campaign exposure, attitudinal beliefs, normative beliefs, self-efficacy, and HIV testing intentions, among other variables...
September 2, 2018: Patient Education and Counseling
Bobbi Jo H Yarborough, Scott P Stumbo, Julie A Cavese, Micah T Yarborough, Carla A Green
OBJECTIVE: To understand the ways that mental health symptoms interfere with achieving health goals. METHODS: Individuals with mental illness diagnoses and varying levels of preventive service use were recruited from federally qualified health centers and an integrated health care delivery system and interviewed. Thematic analysis was used to characterize descriptions of how mental illness experiences influenced lifestyle change efforts. RESULTS: Three themes described patients' (n = 163) perspectives on barriers to making healthy lifestyle changes: 1) Thinking about making lifestyle changes is overwhelming for individuals already managing the burdens of mental illnesses; 2) Depression makes it difficult to care about a healthy future; and 3) When mental illness symptoms are not adequately treated unhealthy behaviors that provide relief are unlikely to be discontinued...
September 1, 2018: Patient Education and Counseling
Seda Karaçay Yikar, Evşen Nazik
OBJECTIVE: The study was conducted to determine the effects of prenatal education on quality of life and complaints during pregnancy. METHODS: This study is a quasi-experimental research with a control group. Personal Information Form and Scale of Complaints during Pregnancy and their Effects on Quality of Life (SCPEQL) were used to collect the data. Thirty participants were included in both the control and the intervention groups (N = 60). RESULTS: The mean scores of SCPEQL of the intervention group was 46...
September 1, 2018: Patient Education and Counseling
Suad Ghaddar, Jihyun Byun, Janani Krishnaswami
OBJECTIVE: The Patient Protection and Affordable Care Act (ACA) has allowed millions of Americans to obtain coverage. However, many, especially minorities, remain uninsured. With mounting evidence supporting the importance of health insurance literacy (HIL), the purpose of this cross-sectional study is to examine the association between HIL and ACA knowledge. METHODS: We conducted 681 in-person interviews with participants at a community health event along the Texas-Mexico border in 2015, after the conclusion of the ACA's second enrollment period...
August 31, 2018: Patient Education and Counseling
Åsa Audulv, Setareh Ghahari, George Kephart, Grace Warner, Tanya L Packer
OBJECTIVE: To extend our understanding of self-management by using original data and a recent concept analysis to propose a unifying framework for self-management strategies. METHODS: Longitudinal interview data with 117 people with neurological conditions were used to test a preliminary framework derived from the literature. Statements from the interviews were sorted according to the predefined categories of the preliminary framework to investigate the fit between the framework and the qualitative data...
August 31, 2018: Patient Education and Counseling
M M Veerman, L A van der Woude, M A Tellier, J Legemaate, M R Scheltinga, L P S Stassen, W K G Leclercq
OBJECTIVE: An inadequate surgical informed consent process (SIC) may result in a medical malpractice claim or medical disciplinary board (MDB) complaint. Aim of this study was to analyse characteristics of a decade of malpractice claims and MDB decisions regarding SIC in the Netherlands. METHODS: A retrospective analysis of malpractice claims and MDB decisions concerning SIC disputes in four major surgical specialties was conducted based on company data from the largest medical malpractice insurance company and two public available online MDB databases...
August 29, 2018: Patient Education and Counseling
Leonie N C Visser, Marieke S Tollenaar, Lorenz J P van Doornen, Hanneke C J M de Haes, Ellen M A Smets
OBJECTIVE: The impact of two types of oncologists' emotion-oriented communication on participants' recall of medical information was investigated, and the potential mediation by a reduction in emotional stress. Additionally, moderation effects by personal characteristics were explored. METHODS: An oncologist's communication in response to a patient's emotional expressions was manipulated during a videotaped, scripted bad-news consultation. Three conditions were created: 1) standard communication, 2) emotion-oriented silence, and 3) emotion-oriented speech...
August 28, 2018: Patient Education and Counseling
Jakob Håkansson Eklund, Inger K Holmström, Tomas Kumlin, Elenor Kaminsky, Karin Skoglund, Jessica Höglander, Annelie J Sundler, Emelie Condén, Martina Summer Meranius
OBJECTIVE: To provide a synthesis of already synthesized literature on person-centered care and patient-centered care in order to identify similarities and differences between the two concepts. METHODS: A synthesis of reviews was conducted to locate synthesized literature published between January 2000 and March 2017. A total of 21 articles deemed relevant to this overview were synthesized using a thematic analysis. RESULTS: The analysis resulted in nine themes present in person-centered as well as in patient-centered care: (1) empathy, (2), respect (3), engagement, (4), relationship, (5) communication, (6) shared decision-making, (7) holistic focus, (8), individualized focus, and (9) coordinated care...
August 26, 2018: Patient Education and Counseling
Abdulrahim Al-Bahri, Mansour Al-Moundhri, Zahid Al-Mandhari, Mohammed Al-Azri
OBJECTIVE: There is limited number of studies from Arabic countries on the participation of family members in Treatment decision-making (TDM) process. The aim of this study is to evaluate the role of family members in the TDM process among adult Omani women diagnosed with breast cancer. METHODS: A cross-sectional study has been conducted with women diagnosed with breast cancer and their nominated family members. RESULTS: A total of 79 patients and their nominated family members participated...
August 24, 2018: Patient Education and Counseling
Sarina Fazio, Jennifer Edwards, Sheridan Miyamoto, Stuart Henderson, Madan Dharmar, Heather M Young
OBJECTIVE: Success in diabetes research and self-management is often defined as a significant decrease in glycated hemoglobin (A1C). The aim of this article is to explore different types of successes experienced by adults with type-2 diabetes participating in a health technology and nurse coaching clinical trial. METHODS: A qualitative analysis was conducted using surveys and documentation from motivational interview-based coaching sessions between study nurses and intervention participants...
August 23, 2018: Patient Education and Counseling
Tomas Rozbroj, Anthony Lyons, Jayne Lucke
OBJECTIVE: Distrust in vaccination is a public health concern. In responding to vaccination distrust, the psychosocial context it occurs in needs to be accounted for. But this psychosocial context is insufficiently understood. We examined how Australians' attitudes to childhood vaccination relate to broader psychosocial characteristics pertaining to two key areas: health and government. DESIGN: 4370 Australians were surveyed and divided into five vaccine attitude groups...
August 23, 2018: Patient Education and Counseling
Eliseo J Pérez-Stable, Sherine El-Toukhy
OBJECTIVE: Patient-clinician communication (PCC) may generate or reduce healthcare disparities. This paper is based on the 2017 International Conference on Communication in Healthcare keynote address and reviews PCC literature as a research area for the National Institute on Minority Health and Health Disparities (NIMHD). METHODS: A narrative review of selected evidence on disparities in PCC experienced by race and ethnic minorities, associations between PCC and poor health outcomes, and patient and clinician factors related to PCC...
August 22, 2018: Patient Education and Counseling
Anda I Dragomir, Cassandre A Julien, Simon L Bacon, Vincent Gosselin Boucher, Kim L Lavoie, Simon L Bacon, Tavis S Campbell, Kimberly Corace, Gary Garber, Kim L Lavoie, Codie Rouleau, Michael T Vallis
BACKGROUND: Poor health behaviours (e.g., smoking, physical inactivity) represent major underlying causes of non-communicable chronic diseases (NCDs). Prescriptive behaviour change interventions employed by physicians show limited effectiveness. Physician training in evidence-based behaviour change counselling (BCC) may improve behavioural risk factor management, but the efficacy and feasibility of current programs remains unclear. OBJECTIVE: (1) To systematically review the efficacy of BCC training programs for physicians, and (2) to describe program content, dose and structure, informing better design and dissemination...
August 19, 2018: Patient Education and Counseling
Florian Tille, Julia Röttger, Bernhard Gibis, Reinhard Busse, Adelheid Kuhlmey, Susanne Schnitzer
OBJECTIVE: To identify overall levels of health system responsiveness and the associations with social determinants for ambulatory health care in Germany from a user perspective. METHODS: This analysis drew on a 2016 health survey sample of 6113 adults in Germany. Responsiveness was measured for general practitioners (GPs) and specialists (SPs) along the domains trust, dignity, confidentiality, autonomy and communication. Bivariate and multivariate logistic regression techniques were applied...
August 19, 2018: Patient Education and Counseling
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