Abstract：
:Cooperation has emerged as a fundamental characteristic of human society, and many argue that this ability is the basis for the phenomenal development in our capability as a species. When we focus our attention to the interactions that occur in healthcare, we inevitably notice power asymmetry due to unequal knowledge, experience, and status. However, as many have argued since the 1970s, there is an ethical imperative to respect the agency of individuals, offer information, collaborate, and support deliberation when difficult decisions arise. This process is particularly important when reasonable alternative courses of action exist and where the priorities and preferences of individuals would be expected to sway such decisions. This position article argues that this process, commonly described as shared decision making, involves work that is cognitive, emotional, and relational, and, particularly if people are ill, should have the underpinning goal of restoring autonomy. It covers the origin of the term and describes the core components; it describes how to do the cognitive, emotional, and relational work that is required, and offers a model to guide the process.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Elwyn Gdoi
10.1016/j.pec.2020.11.032subject
Has Abstractpub_date
2020-12-01 00:00:00eissn
0738-3991issn
1873-5134pii
S0738-3991(20)30656-Xpub_type
杂志文章abstract：:Amongst all the long-term complications of diabetes it is believed that foot ulceration and amputation are the most preventable: small studies have suggested that more than 50% of amputations should be avoidable by screening and appropriate education. There is ample evidence that simple non-invasive screening tests ar...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00746-m
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:Obesity is a complex condition involving biological, psychological, sociocultural and environmental components. Impulsivity seems to be a particularly important factor. Whiteside and Lynam recently proposed dividing impulsivity into four separate dimensions: Urgency, lack of Premeditation, lack of Perseveranc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.03.003
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE:To determine self-referrals' motives to visit the accident & emergency departments (AED) and to compare their characteristics to patients contacting the GP cooperative. METHODS:Postal questionnaires were send to AED self-referrals and logistic regression analysis was used to contrast self-referrals to patien...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.10.012
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:Pilot-testing of the adapted Study on Lifestyle intervention and Impaired glucose tolerance Maastricht (SLIM) and to determine its feasibility and likelihood of achieving desired impact. METHODS:Pilot intervention study (a 10-month combined lifestyle intervention) using a one group pre-test post-test design ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.05.024
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVES:This study aimed to investigate patients' willingness to initiate a preventive treatment and compared two established effect measures to the newly developed Delay of Events (DoE) measure that expresses treatment effect as a gain in event-free time. METHODS:In this cross-sectional, randomized survey experime...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2016.07.028
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:To examine the information seeking behavior and health literacy of caregivers of individuals living with spinal cord injury in Switzerland and their impact on the caregiving experience. METHODS:Nationwide survey of family caregivers of people with spinal cord injury (N = 717). Caregivers aged 18+ who assiste...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.02.024
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVE:To determine whether explaining the causal links between illness management and symptom reduction would help younger and older adults learn and apply health information. METHOD:Ninety younger and 51 older adults read about a fictitious disease with or without explanations about the cause-and-effects (causal ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.01.009
更新日期：2017-06-01 00:00:00
abstract：:This paper provides an overview of prevalence, types, effects and treatment for affective disorders, with particular emphasis on educational and psychoeducational interventions. It reviews several models of psychoeducation including the approaches used in various programs at the Psychiatric hospital in which the autho...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(92)90195-o
更新日期：1992-04-01 00:00:00
abstract：:Research in interaction and interviewing behaviors usually has focused on the verbal behaviors exhibited by the interactants. These behaviors have been looked upon and analyzed in isolation, that is, as a single event. There is little or no information on physician-patient interactions that analyzes verbal behaviors a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(84)90052-1
更新日期：1984-01-01 00:00:00
abstract：OBJECTIVE:Patient education in children with rare chronic diseases like children's interstitial lung disease (chILD) remains a challenge. AIMS:To develop and evaluate a component-based educational program for individual counselling and to improve patients' and caregivers' self-efficacy and treatment satisfaction. Furt...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2019.01.016
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:(1) To investigate the impact of education on patients' knowledge; (2) to determine if educational interventions are related to health behavior change in cardiac patients; and (3) to describe the nature of educational interventions. METHODS:A literature search of several electronic databases was conducted fo...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2014.01.012
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVE:With the average age of diagnosis of autism hovering between 4 and 5 years of age, many children do not receive critical early intervention. Health information messages may be useful for increasing parents' understanding of the importance of early autism screening. METHODS:Messages promoting autism screening...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.06.024
更新日期：2020-06-27 00:00:00
abstract：OBJECTIVE:To profile and compare the content and presentation of written communications related to informed decision-making about mammography. METHODS:Materials from 16 screening programs organized at the national or regional level were analyzed according to five major information domains suggested by the internationa...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.09.012
更新日期：2006-10-01 00:00:00
abstract：:Females, especially older women, historically have been excluded from coronary heart disease (CHD) studies. The PrimeTime program was a randomized clinical trial designed to study the effects of a comprehensive lifestyle management program (very low-fat vegetarian diet, smoking cessation, stress-management training, m...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0738-3991(98)00074-3
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:To determine the effect of nurse-led program based on Pender's Health Promotion Model on the exercise behaviors of coronary artery patients. METHODS:The two-arm parallel, single-blind, randomized controlled trial was conducted with a total of 62 patients, intervention (n = 32) and control group (n = 30). Int...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.10.003
更新日期：2020-10-10 00:00:00
abstract：OBJECTIVE:The aim of this study was to offer a comparative analysis of informal interpreters during medical consultations with both good and poor mutual understanding between general practitioners (GPs) and patients. METHODS:Sixteen video-registered medical interviews of Turkish immigrant patients were analysed. Stret...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.10.005
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVE:to systematically review all available studies that investigated the longitudinal relationships between the psychological characteristics of children and adolescents suffering from asthma and those of their caregivers, and the onset and course of the asthma. METHODS:relevant studies were identified using Med...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.03.011
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:Considered as a reflection of human rights in our modern day, patient rights have been gaining increasing importance. This particular subject has been discussed from various perspectives in different countries and legal sanctions imposed. "Patient Rights Directives" in Turkey came into effect in 1988. The pre...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.02.013
更新日期：2006-04-01 00:00:00
abstract：OBJECTIVE:Breast cancer is the most common cancer among women worldwide, increasing the relevance of an efficient and successful care process. As length of stay (LOS) in the hospital decreases, patients' satisfaction with the LOS varies. We hypothesize that successful discharge planning can improve this evaluation. ME...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.08.012
更新日期：2019-12-01 00:00:00
abstract：:The effect of message source on message recall and perceived credibility was examined in a randomized study comparing two different computer-tailored bulletins promoting fruit and vegetable consumption among rural African American church members. An expert oriented (EXP) bulletin was compared with a spiritual and past...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0738-3991(98)00132-3
更新日期：1999-02-01 00:00:00
abstract：:Much research has explored the interaction between doctor and patient in the consultation and patient centredness has generally emerged as the preferred mode of consultation style. The present study aimed to examine and compare general practitioners' (GPs) and patients' beliefs about the importance of the different as...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(01)00200-2
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVE:To critically examine properties of clinician-patient communication measures and offer suggestions for selecting measures appropriate to the purposes of research or clinical practice assessment. METHODS:We analyzed different types of communication measures by focusing on their ontological properties. We desc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.03.021
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:Appropriate palliative care communication is pivotal to optimizing the quality of life in dying patients and their families. This review aims at describing communication patterns in palliative care and discussing potential relations between communication patterns and upcoming telecare in the practice of palli...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2013.07.002
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:The purpose of this article is to clarify the concept of empowerment and to correct common misconceptions about its use in diabetes care and education. METHODS:The patient empowerment approach is well suited to helping patients make self-selected changes related to weight, nutrition, and physical activity. A...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2009.07.025
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVES:Shared decision making (SDM) requires an active role from patients, which might be difficult for some. We aimed to identify what patients need to be ready (i.e., well-equipped and enabled) to participate in SDM about treatment, and what patient- and decision-related characteristics may influence readiness. ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.08.031
更新日期：2020-09-13 00:00:00
abstract：OBJECTIVE:Results of third year medical students' attitudes and stress levels towards the acquisition of communication skills before and after a Communication and Clinical Skills Course (CCSC) at the Faculty of Medicine of the University of Porto (FMUP), Portugal, are presented. METHODS:115 students attending third-ye...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.07.005
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To introduce a method for quantifying clinicians' use of assessment of understanding (AU) questions, and to examine medicine residents' AU usage during counseling of standardized patients about prostate or breast cancer screening. METHODS:Explicit-criteria abstraction was done on 86 transcripts, using a data...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.03.013
更新日期：2009-10-01 00:00:00
abstract：:The substantial health-enhancing potential of physical activity can be realised on population level best if people can incorporate physical activity into their daily life routines. Physically active commuting to and from work provides a promising mode for such activity. In a series of three studies we explored more sp...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00013-5
更新日期：1998-04-01 00:00:00
abstract：:Although significant others (spouses, relatives and friends) of cancer patients play an important role in providing support and assistance to the patient, their need for information regarding the disease is frequently overlooked by the health care system. This analysis examines information needs of (1) diagnosed cance...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90060-x
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVE:The study aim was the development of a method to further enhance the educational benefit of medical students' reflective writing. The setting is a Doctoring course at the Warren Alpert Medical School of Brown University, which includes reflective writing assignments, termed "field notes", combining students' ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.11.014
更新日期：2010-08-01 00:00:00
