5,382 results match your criteria Patient Education and Counseling [Journal]


Characterizing patient-clinician chemotherapy-induced peripheral neuropathy assessment and management communication approaches.

Patient Educ Couns 2019 Apr 9. Epub 2019 Apr 9.

Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, 450 Brookline Avenue, LW 518, Boston, MA 02215, USA. Electronic address:

Objective: To describe the frequency and characteristics of chemotherapy-induced peripheral neuropathy (CIPN) assessment and management communication approaches between patients receiving neurotoxic chemotherapy and clinicians.

Methods: The data used in this analysis originated from a randomized controlled trial in which adults with cancer self-reported treatment-related symptoms using web-based symptom assessment technology. Three-to-six weeks after study initiation, each participant's outpatient visit was audio-recorded. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.012DOI Listing

Women's attitudes and beliefs about using fertility preservation to prevent age-related fertility decline-A two-year follow-up.

Patient Educ Couns 2019 Mar 28. Epub 2019 Mar 28.

Cardiff Fertility Studies Group, School of Psychology, Cardiff University, 70 Park Place, CF10 3AT, Cardiff, UK. Electronic address:

Objective: The health belief and transtheoretical model were used to describe how women make decisions about fertility preservation (FP) and identify factors that predict their decisions.

Methods: This is a two-year prospective study with 107 childless women aged 30-37. Women filled anonline survey assessing individual factors, intentions to do FP, variables of the health belief model, FP decisional stage and FP behaviour. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.019DOI Listing

Influence of weight etiology information and trainee characteristics on Physician-trainees' clinical and interpersonal communication.

Patient Educ Couns 2019 Apr 6. Epub 2019 Apr 6.

Social and Behavioral Research Branch, National Human Genome Research Institute, USA. Electronic address:

Objective: This analysis explores the effects of relaying information about the genetic and behavioral causes of obesity (vs. control) on physician trainees' verbal communication behavior with a virtual patient with obesity. Moderation by physician trainees' gender and BMI was also assessed. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.011DOI Listing

Tobacco-related knowledge following a comprehensive tobacco-free workplace program within behavioral health facilities: Identifying organizational moderators.

Patient Educ Couns 2019 Apr 10. Epub 2019 Apr 10.

University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, USA; University of Houston, HEALTH Research Institute, Houston, USA. Electronic address:

Objective: Although smoking prevalence rates among behavioral health consumers is nearly five times that of the general population, evidence-based policies and practices to address tobacco use are uncommon within behavioral health settings. This study assessed changes in non-clinical, general staff and clinician tobacco-related knowledge following brief education provided as part of a comprehensive tobacco-free workplace program implementation and explored organizational moderators of pre- to post-education knowledge change.

Methods: Fifteen behavioral health facilities, comprising hundreds of individual clinics in Texas, participated in a one (for general staff) or two (for clinicians) hour educational session. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.013DOI Listing

Expectations versus reality: The impact of men's expectancy violations in conversations with healthcare providers about BRCA-related cancer risks.

Patient Educ Couns 2019 Apr 6. Epub 2019 Apr 6.

Department of Communication, University of South Florida, Tampa, FL, USA.

Objective: To investigate the experiences of men with germline pathogenic BRCA variants or who have a first-degree family member who tested positive for BRCA regarding their interactions with healthcare providers about their cancer risks.

Methods: 25 phone interviews were conducted with men at risk for hereditary cancer. Data were analyzed using an iterative approach where emergent themes were compared to existing research and theories. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.010DOI Listing

Illness representations and coping practices for self-managing hypertension among sub-Saharan Africans: A comparative study among Ghanaian migrants and non-migrant Ghanaians.

Patient Educ Couns 2019 Apr 5. Epub 2019 Apr 5.

Department of Public Health, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam University Medical Centres, Amsterdam, The Netherlands.

Objective: Hypertension (HTN) control is a major obstacle among sub-Saharan African populations partly due to poor self-management. We explored and compared how persons' social and physical context shapes their illness representations regarding HTN and the coping strategies they develop and adapt to mitigate challenges in self-managing HTN.

Methods: A cross sectional multisite qualitative study using semi-structured interviews among 55 Ghanaians with HTN living in The Netherlands and urban and rural Ghana. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07383991193013
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http://dx.doi.org/10.1016/j.pec.2019.04.008DOI Listing
April 2019
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Patients' ratings of the in-hospital discharge briefing and post-discharge primary care follow-up: The association with 30-day readmissions.

Patient Educ Couns 2019 Mar 27. Epub 2019 Mar 27.

The Clalit Research Institute, Clalit Health Services, Tel Aviv, Israel.

Objective: We examined whether patients' ratings of their in-hospital discharge briefing and their post-discharge Primary Care Physicians' (PCP) review of the discharge summary are associated with 30-day readmissions.

Methods: A prospective study of 594 internal-medicine patients at a tertiary medical-center in Israel. The in-hospital baseline questionnaire included sociodemographic characteristics, physical, mental, and functional health status. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.018DOI Listing

Gender differences in information needs and preferences regarding depression among individuals with multiple sclerosis, inflammatory bowel disease and rheumatoid arthritis.

Patient Educ Couns 2019 Apr 6. Epub 2019 Apr 6.

Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.

Objective: We assessed the information needs of persons with any of three immune-mediated inflammatory diseases (multiple sclerosis [MS], inflammatory bowel disease [IBD] and rheumatoid arthritis [RA]) regarding depression, as a first step toward developing patient-relevant information resources, ultimately to facilitate self-management and appropriate care. We also compared information needs across genders.

Methods: We surveyed participants with MS, IBD and RA regarding depression-related information needs including types of treatments, effectiveness, risks, benefits, and perceived helpfulness of treatments. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.007DOI Listing
April 2019
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What we know about media communication on antibiotics and antimicrobial resistance: A systematic review of the scientific literature.

Patient Educ Couns 2019 Mar 27. Epub 2019 Mar 27.

Department of Journalism and Communication, University Carlos III of Madrid, Madrid, Spain.

Objective: Systematically review the literature regarding media communication about antibiotics and anti-microbial resistance (AMR) to synthesise its key characteristics and impact effectiveness, identifying gaps and areas for further research.

Methods: A comprehensive systematic review covering five international databases for articles published between 1 September 2008 and 1 September 2018 was performed using the registered protocol (PROSPERO: CRD42018116464). The search using terms related to media communication and antibiotics or AMR yielded 19 eligible studies, which were analysed and qualitatively synthesised. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.020DOI Listing

How do health professionals decide whether an interpreter is needed for families in neonatal and pediatric units?

Patient Educ Couns 2019 Apr 4. Epub 2019 Apr 4.

School of Applied Psychology, Griffith University, Mt Gravatt, Australia.

Objective: To examine how health professionals decide whether family members require an interpreter.

Methods: 69 health professionals, doctors, nurses, and allied health, from neonatal and pediatric units participated. Interviews used a verbal protocol analysis, which elicited their thoughts about using interpreters, including how they decided if an interpreter was needed. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.004DOI Listing

Do pain management websites foster self-management support for people with persistent pain? A scoping review.

Patient Educ Couns 2019 Apr 8. Epub 2019 Apr 8.

Department of Medicine, University of Otago, Wellington, New Zealand.

Objectives: To evaluate if the contents of pain management websites include the current best practice self-management support strategies for people with persistent pain, are cultural tailored and to determine the website quality.

Methods: Websites were searched from three major search engines (Google, Bing, and Yahoo). Websites providing information on self-management strategies and websites that were freely available to the public were included. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.009DOI Listing

Can Verona Coding Definitions of Emotional Sequences (VR-CoDES) be applied to standardized Chinese medical consultations? - A reliability and validity investigation.

Patient Educ Couns 2019 Apr 5. Epub 2019 Apr 5.

Third Xiangya Hospital of Central South University, Department of Psychology, 138 Tong Zi Po road, Changsha, United States. Electronic address:

Objective: To investigate the reliability and validity of the Chinese version of VR-CoDES.

Methods: The VR-CoDES was translated into Chinese, and a focus group was held to discuss its cultural adaptation. Video consultations between 75 fourth-year medical students and 2 standardized patients (SPs) were coded by two raters with the Chinese VR-CoDES. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.025DOI Listing

Inter-ICU transfer of patients with ventilator dependent respiratory failure: Qualitative analysis of family and physician perspectives.

Patient Educ Couns 2019 Apr 5. Epub 2019 Apr 5.

Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, 96 Jonathan Lucas Dr., Suite 816 CSB, Charleston, SC, 29425, USA. Electronic address:

Objectives: Ventilator dependent respiratory failure (VDRF) patients are seriously ill and often transferred between ICUs. Our objective was to obtain multi-stakeholder insights into the experiences of families during inter-ICU transfer.

Methods: We conducted a qualitative study using semi-structured interviews with family members of VDRF patients as well as clinicians that have received or transferred VDRF patients to our hospital. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.005DOI Listing
April 2019
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The impact of descriptive norms on motivation to participate in cancer screening - Evidence from online experiments.

Patient Educ Couns 2019 Apr 4. Epub 2019 Apr 4.

University College London, ResearchDepartment of Behavioural Science and Health, 1-19 Torrington Place, WC1E 6BT, London, UK.

Objective: The current study tested in two online experiments whether manipulating normative beliefs about cancer screening uptake increases intention to attend colorectal screening among previously disinclined individuals.

Methods: 2461 men and women from an Internet panel (Experiment 1 N = 1032; Experiment 2, N = 1423) who initially stated that they did not intend to take up screening were asked to guess how many men and women they believe to get screened for colorectal cancer. Across participants, we varied the presence/absence of feedback on the participant's estimate, as well as the stated proportion of men and women doing the screening test. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.001DOI Listing

Factors related to the expression of emotions by early-stage breast cancer patients.

Patient Educ Couns 2019 Apr 2. Epub 2019 Apr 2.

Department of Neurological, Biomedical and Movement Sciences, Section of Clinical Psychology, University of Verona, Italy.

Objective: (1) To report the number and type of emotional expressions (cues/concerns) raised by breast cancer patients; (2) to identify the influence of setting, patient characteristics, and doctor-patient interaction on emotional expression.

Methods: 308 Italian-speaking female patients were recruited at their first breast cancer consultation. The visits were audio-recorded and analysed for number and type of emotional expressions (VR-CoDES). Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.002DOI Listing

Provider burnout and patient-provider communication in the context of hypertension care.

Patient Educ Couns 2019 Mar 30. Epub 2019 Mar 30.

Center for Healthful Behavior Change, Department of Population Health, NYU School of Medicine, New York, NY, USA. Electronic address:

Objective: Burnout is prevalent among healthcare providers and associated with poor patient-provider communication. Patient-provider communication is essential for effective care, particularly among patients with conditions such as hypertension. We examined the association between provider burnout and patient-provider communication in hypertension care. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.014DOI Listing

Supporting children with burns: Developing a UK parent-focused peer-informed website to support families of burn-injured children.

Patient Educ Couns 2019 Apr 2. Epub 2019 Apr 2.

Centre for Appearance Research, Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK.

Background: Children's burn injuries can have a significant psychosocial impact on parents. However, the stress involved in caring for a child following a burn can often go unrecognized and does not necessarily prompt help seeking by parents.

Objective: It is common for adults to seek health-related support and information via the Internet. Read More

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http://dx.doi.org/10.1016/j.pec.2019.04.003DOI Listing

Implementation of an organisation-wide health literacy approach to improve the understandability and actionability of patient information and education materials: A pre-post effectiveness study.

Patient Educ Couns 2019 Mar 30. Epub 2019 Mar 30.

University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney Health Literacy Lab, NSW, Australia.

Objective: Limited examples exist globally of coordinated, organisation-wide health literacy approaches to systematically improve the understandability and actionability of patient health information. Even fewer have been formally evaluated. The aim of this study was to use the Patient Education Materials Assessment Tool (PEMAT) to evaluate the effectiveness of an organisation-wide, evidence-based approach to improve the understandability and actionability of patient information materials in regional health service in New South Wales, Australia. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.022DOI Listing

Impact of adding a video to patient education on quality of life among adults with atrial fibrillation: a randomized controlled trial.

Patient Educ Couns 2019 Mar 31. Epub 2019 Mar 31.

Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Laval University, Quebec City, Canada; Quebec Heart and Lung Institute-Laval University, Quebec City, Canada; Faculty of Pharmacy, Laval University, Quebec City, QC, Canada. Electronic address:

Objective: To assess whether adding a video on atrial fibrillation (AF) to a face-to-face educational session improves quality of life (QoL), knowledge, and health resource utilization (HRU) among AF patients.

Methods: In this parallel clinical trial, adults with AF received a face-to-face educational session on AF and were randomly allocated to watch an educational video or not. Self-reported questionnaires measured QoL (primary outcome; score 0-100), AF knowledge (score 0-25), and HRU. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.015DOI Listing

An unexpected preoperative conversation, a new perspective on palliative care research.

Authors:
S R Isenberg

Patient Educ Couns 2019 Mar 28. Epub 2019 Mar 28.

Temmy Latner Centre for Palliative Care and Lunenfeld-Tanenbaum Research Institute, Sinai Health System, 60 Murray Street, 4th Floor, Box 13, Toronto, Ontario, M5T 3L9, Canada; Division of Palliative Care, Department of Family and Community Medicine, University of Toronto, Toronto, Canada; Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. Electronic address:

During the course of recruitment for a randomized control trial, the author encounters a patient who changes her perspective on research and who inspires her to continue work in the field of palliative care. The author describes this encounter and her reflections regarding it using quotations from the patient's presurgical consent visit for major surgery with his surgeon and wife. The author explores the layers of complexity in the preoperative visit--the patient's changing medical condition, patient-companion relationship, and patient-provider relationship--that lead to a reconsideration of whether to proceed with surgery. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.012DOI Listing
March 2019
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Toward effective interventions to reduce diabetes distress among adults with type 1 diabetes: Enhancing Emotion regulation and cognitive skills.

Patient Educ Couns 2019 Mar 27. Epub 2019 Mar 27.

Department of Medicine, University of California, San Francisco, CA, USA. Electronic address:

Objective: We tested three models to determine how improvements in emotion regulation (ER) and cognitive skills (CS) as a result of intervention operate to affect reductions in diabetes distress DD.

Methods: Change data were drawn from the baseline and 9-month T1-REDEEM trial. Adults with type 1 diabetes were recruited from several U. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.021DOI Listing
March 2019
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Prenatal counseling in extreme prematurity - Insight into preferences from experienced parents.

Patient Educ Couns 2019 Mar 23. Epub 2019 Mar 23.

Scientific Institute for Quality of Care, Radboud university medical center, Nijmegen, the Netherlands.

Objective: In-depth analysis of parental preferences in prenatal counseling in extreme prematurity.

Methods: A nationwide qualitative interview study among experienced parents of extremely premature babies born at 24 - 24 weeks of gestation. Semi-structured interviews were held until saturation, transcribed and qualitatively analyzed to search for parental counseling preferences. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07383991183070
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http://dx.doi.org/10.1016/j.pec.2019.03.016DOI Listing
March 2019
7 Reads

What patient involvement means to new patients at two HIV clinics: A longitudinal, qualitative study.

Patient Educ Couns 2019 Mar 25. Epub 2019 Mar 25.

Department of Medicine, Baylor College of Medicine, Houston, TX, United States; Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States; VA Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX, United States. Electronic address:

Objectives: This study 1) defines patient involvement from the perspective of patients new to a provider, 2) describes provider communication that patients perceive as promoting involvement, and 3) examines changes in patient definitions of involvement over time.

Methods: We enrolled 56 patients at two HIV clinics in Houston, Texas, from August 2013 until March 2015. We interviewed patients three times during the first year of care and analyzed interviews using content analysis. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.017DOI Listing

Awareness, attitudes, and beliefs about music-induced hearing loss: Towards the development of a health communication strategy to promote safe listening.

Patient Educ Couns 2019 Mar 23. Epub 2019 Mar 23.

Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland; Health Systems, Policy and Communication Unit, Swiss Paraplegic Research, Nottwil, Switzerland.

Objective: Worldwide, 1.1 billion young people are at risk of developing hearing loss due to unsafe listening. The World Health Organization plans a global health campaign to promote behavior change. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.013DOI Listing

Using patient companions as interpreters in the Emergency Department: An interdisciplinary quantitative and qualitative assessment.

Patient Educ Couns 2019 Mar 8. Epub 2019 Mar 8.

Université Laval, Canada.

Objectives: To explore the perceived and actual quality of communication and the conversational mechanisms through which misunderstandings arise in linguistically diverse Emergency Department consultations.

Methods: A mixed method approach was used, based on audio-records of consultations which rely on patient companions for linguistic support, and ethnographic contextual data. Interpreting errors and their potential impact on the clinical reasoning process and doctor-patient relationships were quantitatively assessed. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.004DOI Listing
March 2019
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Evaluation of the Patient Activated Learning System (PALS) to improve knowledge acquisition, retention, and medication decision making among hypertensive adults: Results of a pilot randomized controlled trial.

Patient Educ Couns 2019 Mar 4. Epub 2019 Mar 4.

Department of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, New York, NY, USA. Electronic address:

Background: There are few engaging, patient centered, and reliable e-Health sources, particularly for patients with low health literacy.

Objectives: We tested the Patient Activated Learning System (PALS) against WebMD. We hypothesized that participants using PALS would have higher knowledge scores, greater perceived learning, comfort, and trust than participants using WebMD. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07383991183081
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http://dx.doi.org/10.1016/j.pec.2019.03.001DOI Listing
March 2019
2 Reads

Exploring research participants' perceptions of cardiovascular risk information-Room for improvement and empowerment.

Patient Educ Couns 2019 Mar 22. Epub 2019 Mar 22.

Centre for Research Ethics & Bioethics, Uppsala University, Uppsala, Sweden.

Objective: The objective of this study was to explore research participants' (adults, age 50-65) perceptions of receiving cardiovascular risk information.

Methods: Five focus group interviews (N = 31) were performed with research participants aged 50-65 who participated in the Swedish CArdioPulmonary BioImage Study (SCAPIS). The interviews were analyzed using qualitative content analysis. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.010DOI Listing
March 2019
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Patient satisfaction with information, concerns, beliefs and adherence to topical corticosteroids.

Patient Educ Couns 2019 Jan 24. Epub 2019 Jan 24.

School of Pharmacy, University of Sydney, Sydney, New South Wales, Australia. Electronic address:

Objective: Adherence to topical corticosteroids (TCS) for inflammatory skin conditions is sub-optimal. This Australian study aimed to test the hypothesis that patients who are more satisfied with the level of information they receive about TCS, are less concerned about using TCS and more adherent to healthcare professionals' instructions.

Methods: Individuals who were prescribed or had used TCS in the past month were invited to complete an online cross-sectional survey. Read More

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http://dx.doi.org/10.1016/j.pec.2019.01.019DOI Listing
January 2019

Warranting the decision-maker, not the decision: How healthcare practitioners evaluate the legitimacy of patients' unprompted requests for risk-reducing mastectomy.

Patient Educ Couns 2019 Mar 18. Epub 2019 Mar 18.

Department of Psychological Sciences, University of Liverpool, United Kingdom.

Objective: Shared decision-making exists to reconcile healthcare practitioners' responsibilities to respect patients' autonomy whilst ensuring well-made decisions. Patients sometimes make unprompted requests for procedures that carry medical and other risks, such as risk-reducing mastectomy (RRM). Faced with pre-formed decisions into which they have had little input, it is unclear how practitioners can reconcile respecting autonomy with ensuring well-made decisions. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.007DOI Listing

Assessing helpful and harmful family and friend involvement in adults' type 2 diabetes self-management.

Patient Educ Couns 2019 Mar 1. Epub 2019 Mar 1.

Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN, USA; School of Nursing, Vanderbilt University, Nashville, TN, USA.

Objective: Develop and evaluate a measure assessing helpful and harmful family/friends' involvement in adults' type 2 diabetes (T2D) self-management.

Methods: Prior mixed-methods research, cognitive interviews, and expert input informed measure development. We administered the measure in two studies (N = 392 and N = 512) to evaluate its factor structure, internal consistency reliability, test-retest reliability, and construct, criterion and predictive validity. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.027DOI Listing

Supporting children and adolescents inclusion in decisions and self-management: What can help?

Patient Educ Couns 2019 04;102(4):605-606

Trinity College Dublin, School of Nursing and Midwifery, D'Olier Street, Dublin 2, Ireland. Electronic address:

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http://dx.doi.org/10.1016/j.pec.2019.03.003DOI Listing

Patient coaching in specialist consultations. Which patients are interested in a coach and what communication barriers do they perceive?

Patient Educ Couns 2019 Mar 18. Epub 2019 Mar 18.

Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Nivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands; Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.

Objective: To characterize patients interested in support by a patient coach to guide them in medical specialist consultations.

Methods: We compared 76 patients interested in a patient coach with 381 patients without such an interest, using a representative panel of patients with a chronic disease in the Netherlands. Independent variables were demographic factors, socio-economic status, perceived efficacy in patient-provider interaction, communication barriers, health literacy, (duration and type of) disease(s) and activation level. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.011DOI Listing

Contralateral prophylactic mastectomy: What should not be forgotten to improve communication between clinicians and patients!

Patient Educ Couns 2019 Mar 15. Epub 2019 Mar 15.

Division of Breast Surgery, Department of Women's and Children's Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8 - 00168, Rome, Italy.

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http://dx.doi.org/10.1016/j.pec.2019.03.006DOI Listing

Development of a measure of collective efficacy within personal networks: A complement to self-efficacy in self-management support?

Patient Educ Couns 2019 Mar 2. Epub 2019 Mar 2.

NIHR Collaboration for Leadership in Applied Health Research (CLAHRC) Wessex, Health Sciences, University of Southampton, Highfield Campus, Southampton, SO17 1BJ, UK. Electronic address:

Objective: To develop and evaluate the Collective Efficacy of Networks (CENS) questionnaire to measure perceived collective efficacy within personal social networks.

Methods: A mixed methods approach was used, guided by theory and with extensive input from adults with long-term conditions who completed the initial questionnaire (n = 78) with test-retest assessed at 2 weeks (n = 68). A second sample (n = 85) completed a postal questionnaire including CENS, theoretically linked constructs (self-efficacy, social support) and health outcomes (loneliness, mental and physical health). Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.026DOI Listing

Depression's response to fear tactics: An integration of health promotion principles, eye-tracking technology and clinical tools.

Patient Educ Couns 2019 Mar 8. Epub 2019 Mar 8.

Department of Communication, Texas A&M University, College Station TX, USA.

Objective: The main objective of this study was to utilize eye-tracking technology and self-report measures to test the effectiveness of varying strengths of fear appeals when educating about the seriousness of depression and motivate depressed individuals to engage in health-information-seeking.

Methods: We analyzed data from 117 university employees affected by a range of depression symptoms who were randomly assigned to a low-threat, moderate threat, and high-threat message condition in a lab-based experimental setting. Attention patterns were captured while participants viewed the health message. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.001DOI Listing
March 2019
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Development and validation of the healthcare providers patient-activation scale.

Patient Educ Couns 2019 Mar 8. Epub 2019 Mar 8.

Australian Centre for Heart Health, Melbourne, Victoria, Australia; Faculty of Health, Deakin University, Burwood, Victoria, Australia; Centre on Behavioural Health, Hong Kong University, Hong Kong.

Objective: It has become increasingly important to assess healthcare providers' role in chronic disease self-management (CDSM) and patient activation (PA). The present study extends previous work relating to patients' behaviours by assessing healthcare providers' own behaviours in supporting PA.

Method: 50 items were generated: half assessed a PA approach; half reflected a non-patient-activation approach. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.005DOI Listing

Emotional labour in palliative and end-of-life care communication: A qualitative study with generalist palliative care providers.

Patient Educ Couns 2019 03 17;102(3):494-502. Epub 2018 Oct 17.

King's College London, Cicely Saunders Institute of Palliative Care, Policy, and Rehabilitation, London, UK; Sussex Community NHS Foundation Trust, Brighton General Hospital, Brighton, UK. Electronic address:

Objective: To explore generalist palliative care providers' experiences of emotional labour when undertaking conversations around palliative and end-of-life care with patients and families, to inform supportive strategies.

Methods: Semi-structured interviews conducted with generalist staff (those providing 'primary' or 'general' palliative care, not palliative care specialists) who had attended a communication workshop. Sampling was purposive (by gender, profession, experience). Read More

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http://dx.doi.org/10.1016/j.pec.2018.10.013DOI Listing

Educational intervention (CUIDAR) in cancer patients treated with surgery: A quasi-experimental study.

Patient Educ Couns 2019 Mar 6. Epub 2019 Mar 6.

Instituto Nacional de Cancerología, Bogotá, Colombia.

Objective: To assess the effect of an educational intervention (CUIDAR) in cancer patients during the post-operatory, aimed to strength the competence to care patients at home in the dimensions knowledge, instrumental unicity, enjoy, anticipation and social relationships and interactions.

Methods: Quantitative quasi-experimental design with control and intervention groups, 192 patients who received surgery in the Instituto Nacional de Cancerología in Bogotá, Colombia. The intervention was conducted since the admission to the sixth week after release. Read More

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http://dx.doi.org/10.1016/j.pec.2019.03.002DOI Listing

Recognising and managing the psychosocial needs of family carers: It's time for change.

Patient Educ Couns 2019 03;102(3):401-403

Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), School of Psychology, The University of Sydney, Sydney, Australia.

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http://dx.doi.org/10.1016/j.pec.2019.02.016DOI Listing

Validating a path model of adherence to prenatal care recommendations among pregnant women.

Patient Educ Couns 2019 Mar 1. Epub 2019 Mar 1.

School of Population Health, University of Toledo, 2801 W. Bancroft Street, MS#119, Toledo, OH 43606, USA.

Objective: To date, no study has reported a diagrammatic path model that involves patient-provider communication on pregnant women's adherence to prenatal care recommendations. To bridge this gap, this study aimed to validate a path model to display the direct and indirect influences on adherence to prenatal care recommendations.

Methods: A cross-sectional study founded on an evidence-based proposed theoretical framework was conducted among pregnant women (18-45 years) in their second or third trimester (n = 401) in the Midwestern United States. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.028DOI Listing
March 2019
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A stitch in time saves nine: Perceptions about colorectal cancer screening after a non-cancer colonoscopy result. Qualitative study.

Patient Educ Couns 2019 Feb 28. Epub 2019 Feb 28.

Department of Public Health Programmes, Randers, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Objectives: To explore perceptions of colorectal cancer (CRC) screening among participants who have experienced a 'false alarm' for CRC, and to explore perceptions about the relevance of screening for themselves or others.

Methods: Semi-structured interviews with screening participants who had participated in the Danish CRC screening program and experienced a 'false alarm' for colorectal cancer. A thematic analysis was performed, based on an interpretive tradition of ethnography. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.025DOI Listing
February 2019

Implementation, participation and satisfaction rates of a web-based decision support tool for patients with metastatic colorectal cancer.

Patient Educ Couns 2019 Feb 22. Epub 2019 Feb 22.

Department of Medical Oncology, Amsterdam University Medical Centers, Location AMC, Cancer Center Amsterdam, Amsterdam, the Netherlands. Electronic address:

Objective: To examine implementation and patients' and providers' participation and satisfaction of a newly developed decision support tool (DST) for patients with metastatic colorectal cancer (mCRC) in palliative setting.

Methods: Our DST consisted of a consultation sheet and web-based tailored information for mCRC treatment options. We conducted an implementation trajectory in 11 Dutch hospitals and evaluated implementation, participation and satisfaction rates. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.020DOI Listing
February 2019

Are we preparing future doctors to deal with emotionally challenging situations? Analysis of a medical curriculum.

Patient Educ Couns 2019 Feb 25. Epub 2019 Feb 25.

Department of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. Electronic address:

Objective: Skilful communication by doctors is necessary for healthcare delivery during emotionally challenging situations. This study analyses a medical curriculum for the frequency and intensity of teaching content on communication in emotionally challenging situations.

Methods: A questionnaire with 31 questions ("EmotCog31") was used to evaluate teaching sessions at 17 departments of a medical school for one semester. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.024DOI Listing
February 2019
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Development of the concept of patient-centredness - A systematic review.

Patient Educ Couns 2019 Feb 27. Epub 2019 Feb 27.

The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1014, Copenhagen K, Denmark. Electronic address:

Objective: Patient-centredness is often linked to high-quality patient care, but the concept is not well-defined. This study aims to provide an overview of how patient-centredness has been defined in the literature since Mead and Bower's review in 2000, and to provide an updated definition of the concept.

Method & Design: We performed a systematic literature search in PubMed to identify original articles with a sufficient definition of patient-centredness. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.023DOI Listing
February 2019

Health beliefs and medication adherence in patients with hypertension: A systematic review of quantitative studies.

Patient Educ Couns 2019 Feb 23. Epub 2019 Feb 23.

School of Nursing, University of North Carolina at Chapel Hill, NC, USA.

Objective: This review synthesizes findings of quantitative studies examining the relationship between health beliefs and medication adherence in hypertension.

Methods: This review included published studies in PubMed, CINHAL, EMBASE, and PsycINFO databases. Studies were included if they examined beliefs of patients with hypertension. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07383991193006
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http://dx.doi.org/10.1016/j.pec.2019.02.022DOI Listing
February 2019
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2.199 Impact Factor

Offering patients opportunities to reveal their subjective experiences in psychiatric assessment interviews.

Patient Educ Couns 2019 Feb 22. Epub 2019 Feb 22.

University of Helsinki, Department of Social Sciences, Helsinki, Finland. Electronic address:

Objective: With the intention of understanding the dynamics of psychiatric interviews, we investigated the usual (DSM/ICD-based) psychiatric assessment process and an alternative assessment process based on a case formulation method. We compared the two different approaches in terms of the clinicians' practices for offering patients opportunities to reveal their subjective experiences.

Methods: Using qualitative and quantitative applications of conversation analysis, we compared patient-clinician interaction in five usual psychiatric assessments (AAU) with five assessment interviews based on dialogical sequence analysis (DSA). Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.021DOI Listing
February 2019

The impact of patient-physician alliance on trust following an adverse event.

Patient Educ Couns 2019 Feb 22. Epub 2019 Feb 22.

Pennsylvania State University, College of Medicine, Hershey, PA, USA.

Objective: Adverse events in maternity care have a negative impact on the patient-physician relationship. This study assesses the effects of healthcare institutions, communication, and patient involvement on patient trust following adverse events.

Methods: Surveys were distributed online to women across the US who had given birth. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.015DOI Listing
February 2019

Healthy aging with HIV: The role of self-management support.

Patient Educ Couns 2019 Feb 21. Epub 2019 Feb 21.

C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyère St, Ottawa, ON, K1N 5C8, Canada; Department of Family Medicine, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 5Z3, Canada; Institute of Clinical and Evaluative Sciences, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada; Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada. Electronic address:

People living with HIV on antiretroviral treatment have significantly improved longevity, but as a result may also face increasing multimorbidity due to aging and long-term medication use. Thus, care needs for this population have evolved to require a chronic disease management approach in which self-management plays a central role. Here we highlight the importance of expanding self-management support options for people living with HIV, and discuss strategies for implementing and evaluating self-management interventions, outlining potential opportunities, challenges and solutions. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.019DOI Listing
February 2019

Identifying decisions in optometry: A validation study of the decision identification and classification taxonomy for use in medicine (DICTUM) in optometric consultations.

Patient Educ Couns 2019 Feb 18. Epub 2019 Feb 18.

Department of Medicine, Nordland Hospital Trust, Bodø, Norway; Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway.

Objective: The aim of this study was to assess the validity and reliability of the Decision Identification and Classification Taxonomy for Use in Medicine (DICTUM) applied to optometry, to compare decisions in medical and optometric consultations, and to describe decisions in optometry.

Methods: The study had a cross-sectional design. Data was collected from January to August 2016. Read More

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http://dx.doi.org/10.1016/j.pec.2019.02.018DOI Listing
February 2019

Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions.

Patient Educ Couns 2019 Feb 11. Epub 2019 Feb 11.

Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.

Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07383991193003
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http://dx.doi.org/10.1016/j.pec.2019.02.012DOI Listing
February 2019
3 Reads