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Patient Education and Counseling

Nishita Maganty, Muneeb Ilyas, Nan Zhang, Amit Sharma
OBJECTIVE: To evaluate the effectiveness of a game-based learning (GBL) intervention, Tapamole, in improving recognition of the features of melanoma (MM) compared to a written education intervention. METHODS: Tapamole, an online education intervention, was developed using GBL. Participants were voluntarily recruited from the Dermatology waiting room and randomized to three groups: game, pamphlet, and no intervention. Participants completed a pre-intervention survey, post-intervention survey, and test on MM recognition...
November 9, 2017: Patient Education and Counseling
Jette Ammentorp, Maiken Wolderslund, Connie Timmermann, Henry Larsen, Karina Dahl Steffensen, Annegrethe Nielsen, Marianne E Lau, Bodil Winther, Lars Henrik Jensen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Pål Gulbrandsen
OBJECTIVE: This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training. METHODS: Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops...
November 9, 2017: Patient Education and Counseling
Jennifer R Mammen, Hyekyun Rhee, Shannska Atis, Annette Grape
OBJECTIVE: To evaluate efficacy of a developmentally sensitive curriculum for improving asthma self-management knowledge, attitude, and self-efficacy in adolescents. METHODS: Fourty-two inner-city adolescents (ages 16-20) participated in a 12hour asthma self-management training program. Self-management knowledge, attitude toward asthma, and asthma-related self-efficacy were measured using short-answer tests before and after training. T-Tests were used to evaluate impact and effect sizes were calculated...
November 9, 2017: Patient Education and Counseling
Vivien Coates, Mary Slevin, Marian Carey, Paul Slater, Mark Davies
OBJECTIVE: to identify the expressed reasons adults with type 2 diabetes decline structured diabetes education (SDE). METHODS: cross sectional survey of 335 adults with type 2 diabetes who had declined SDE within the past two years, from across Northern Ireland and England. Standardised instruments comprising The Diabetes Attitude Scale, Diabetes Empowerment Scale (Short Form), and Diabetes Knowledge Test plus a questionnaire to elicit the reasons for declining SDE were used...
November 2, 2017: Patient Education and Counseling
Tessie W October, Zoelle B Dizon, Debra L Roter
OBJECTIVE: Apply turn analysis to family conferences in the pediatric intensive care unit. METHODS: We analyzed 39 audio-recorded family conferences using the Roter Interaction Analysis System. A turn was defined as a continuous block of uninterrupted statements by a speaker. RESULTS: Opening turns by the healthcare team (HCT) averaged 207s, compared to 28s for families. Turn density (number of statements/turn) was 6 for the HCT versus 2 for families (p<0...
October 28, 2017: Patient Education and Counseling
Jessica Shum, Iraj Poureslami, Darrin Wiebe, Mary M Doyle-Waters, Laura Nimmon, J Mark FitzGerald
OBJECTIVE: To identify and evaluate asthma/COPD measurement tools that assess any of the five health literacy (HL) domains: (1) access, (2) understand, (3) evaluate, (4) communicate, and (5) use, as well as numeracy. METHODS: MEDLINE/Embase (via Ovid) databases from 1974 to 2016 were searched and complimented by grey literature. Study selection and data extraction were conducted by two reviewers independently. RESULTS: We identified 65 tools including 40 asthma, 22 COPD, and 3 asthma/COPD focused tools...
October 27, 2017: Patient Education and Counseling
Maija Reblin, Richard E Heyman, Lee Ellington, Brian R W Baucom, Panayiotis G Georgiou, Susan T Vadaparampil
Relationship behaviors contribute to compromised health or resilience. Everyday communication between intimate partners represents the vast majority of their interactions. When intimate partners take on new roles as patients and caregivers, everyday communication takes on a new and important role in managing both the transition and the adaptation to the change in health status. However, everyday communication and its relation to health has been little studied, likely due to barriers in collecting and processing this kind of data...
October 26, 2017: Patient Education and Counseling
M Gemma Cherry, Ian Fletcher, Damon Berridge, Helen O'Sullivan
OBJECTIVE: To investigate whether and how doctors' attachment styles and emotional intelligence (EI) might influence patients' emotional expressions in general practice consultations. METHODS: Video recordings of 26 junior doctors consulting with 173 patients were coded using the Verona Coding Definition of Emotional Sequences (VR-CoDES). Doctors' attachment style was scored across two dimensions, avoidance and anxiety, using the Experiences in Close Relationships: Short Form questionnaire...
October 26, 2017: Patient Education and Counseling
Rhys Bevan Jones, Anita Thapar, Zoe Stone, Ajay Thapar, Ian Jones, Daniel Smith, Sharon Simpson
BACKGROUND: Adolescent depression is common and leads to distress and impairment for individuals/families. Treatment/prevention guidelines stress the need for good information and evidence-based psychosocial interventions. There has been growing interest in psychoeducational interventions (PIs), which broadly deliver accurate information about health issues and self-management. OBJECTIVE, METHODS: Systematic search of targeted PIs as part of prevention/management approaches for adolescent depression...
October 24, 2017: Patient Education and Counseling
Jin Hui Joo, Seungyoung Hwang, Joseph J Gallo, Debra L Roter
OBJECTIVE: The objective of this pilot study was to describe peer communication in meetings with depressed elders, associate their relationship with working alliance and depression and assess congruence of communication with training. METHODS: Three peers with a history of depression, in recovery, received 20h of training in peer mentoring for depression as part of an 8-week pilot program for 23 depressed older adults. Each peer-client meeting was recorded; a sample of 69 recorded meetings were chosen across the program period and coded with the Roter Interaction Analysis System, a validated medical interaction analysis system...
October 20, 2017: Patient Education and Counseling
Yelena P Wu, Elizabeth Nagelhout, Lisa G Aspinwall, Kenneth M Boucher, Bridget G Parsons, Wendy Kohlmann, Kimberly A Kaphingst, Sheila Homburger, Ryan D Perkins, Douglas Grossman, Garrett Harding, Sancy A Leachman
OBJECTIVE: To examine the acceptability of and preliminary effects associated with a novel educational intervention for children at elevated risk for melanoma. The intervention incorporated information on mechanisms through which melanoma preventive behaviors mitigate risk for melanoma and was delivered to parents and children concurrently. METHODS: Twenty-two parents (with a personal history of melanoma or spouse with a history of melanoma) and 33 children (mean age 11...
October 19, 2017: Patient Education and Counseling
Kerry A Sherman, Christopher J Kilby, Elisabeth Elder, Sheila H Ridner
OBJECTIVES: Approximately 6-20% of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) seeking behavior in women with heightened lymphedema risk. METHODS: Women with increased lymphedema risk (N=462) completed an online survey measuring cognitive and affective responses to lymphedema risk, including the Illness Perception Questionnaire (Revised), and adherence to seeking PHCA...
October 18, 2017: Patient Education and Counseling
Karin Winston, Petra Grendarova, Doreen Rabi
OBJECTIVE: This study reviews the published literature on the use of video-based decision aids (DA) for patients. The authors describe the areas of medicine in which video-based patient DA have been evaluated, the medical decisions targeted, their reported impact, in which countries studies are being conducted, and publication trends. METHOD: The literature review was conducted systematically using Medline, Embase, CINAHL, PsychInfo, and Pubmed databases from inception to 2016...
October 18, 2017: Patient Education and Counseling
Maryam Peimani, Fateme Monjazebi, Robabeh Ghodssi-Ghassemabadi, Ensieh Nasli-Esfahani
OBJECTIVE: This study aims to assess the effectiveness of a peer support intervention, in which patients with T2DM were provided ongoing self-management support by trained peers with diabetes directed at improving self-care behaviors, self-efficacy and life quality. METHODS: In this randomized controlled trial, 200 patients referred to a diabetes specialty clinic were allocated to peer support or control group. Participants in both groups received usual education by diabetes educators...
October 12, 2017: Patient Education and Counseling
Katelyn A Grayson-Sneed, Robert C Smith
OBJECTIVE: Develop a reliable coding method of a Behavioral Health Treatment Model for patients with Medically Unexplained Symptoms (BHTM-MUS). METHODS: Two undergraduates trained for 30h coded videotaped interviews from 161 resident-simulated patient (SP) interactions. Trained on 45 videotapes, coders coded 33 (20%) of 161 study set tapes for the BHTM-MUS. Guetzkow's U, Cohen's Kappa, and percent of agreement were used to measure coders' reliability in unitizing and coding residents' skills for eliciting: education and informing (4 yes/no items), motivating (2), treatment statements (5), commitment and goals (2), negotiates plan (8), non-emotion patient-centered skills (4), and patient-centered emotional skills (8)...
October 12, 2017: Patient Education and Counseling
Anita Amundsen, Tone Nordøy, Kristine Emilie Lingen, Tore Sørlie, Svein Bergvik
OBJECTIVES: To explore how cancer patients actively participate in consultations by asking questions and expressing emotional cues/concerns and to what extent this is associated with physician shared decision making (SDM) behavior. METHODS: This observational study included audio recordings of 31 primary consultation with patients at the Oncology Outpatient Clinic at the University Hospital of North Norway. The content (topics) and frequency of health related questions from patients/caregivers were registered along with emotional cues and concerns (VR-CoDES) and observed shared decision-making (OPTION)...
October 12, 2017: Patient Education and Counseling
Maria Alcocer Alkureishi, Wei Wei Lee, Maureen Lyons, Kristen Wroblewski, Jeanne M Farnan, Vineet M Arora
INTRODUCTION: Electronic Health Record (EHR) use can enhance or weaken patient-provider communication. Despite EHR adoption, no validated tool exists to assess EHR communication skills. We aimed to develop and validate such a tool. METHODS: Electronic-Clinical Evaluation Exercise (e-CEX) is a 10-item-tool based on systematic literature review and pilot-testing. Second-year (MS2s) students participated in an EHR-use lecture and structured Clinical Examination (OSCE)...
October 10, 2017: Patient Education and Counseling
Helena Rice, Richard Say, Vasiliki Betihavas
OBJECTIVE: The purpose of this systematic review was to highlight the effect of nurse-led 1:1 patient education sessions on Quality of Life (QoL), readmission rates and healthcare costs for adults with heart failure (HF) living independently in the community. METHOD: A systematic review of randomised control trials was undertaken. Using the search terms nurse, education, heart failure, hospitalisation, readmission, rehospitalisation, economic burden, cost, expenditure and quality of life in PubMed, CINAHL and Google Scholar databases were searched...
October 5, 2017: Patient Education and Counseling
Farina Kokab, Sheila Greenfield, Antje Lindenmeyer, Manbinder Sidhu, Lynda Tait, Paramjit Gill
OBJECTIVE: The objective of this research was to synthesise qualitative literature about the perceived influence and experience of social support, in relation to cardiovascular disease (CVD) prevention in migrant Pakistani communities. METHODS: Articles were systematically reviewed, critically appraised, and analysed using an adapted meta-ethnography approach. RESULTS: Sixteen qualitative studies on health behaviours related to CVD prevention were included...
October 4, 2017: Patient Education and Counseling
Tsuyoshi Okuhara, Hirono Ishikawa, Masahumi Okada, Mio Kato, Takahiro Kiuchi
OBJECTIVE: In Japan, the human papillomavirus (HPV) vaccination rate has sharply fallen to nearly 0% due to sensational media reports of adverse events. Online anti-HPV-vaccination activists often warn readers of the vaccine's dangers. Here, we aimed to examine frequently appearing contents on pro- and anti-HPV vaccination websites. METHODS: We conducted online searches via two major search engines (Google Japan and Yahoo! Japan). Targeted websites were classified as "pro," "anti," or "neutral" according to their claims, with the author(s) classified as "health professionals," "mass media," or "laypersons...
September 23, 2017: Patient Education and Counseling
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