Abstract：
OBJECTIVE:To determine the relative contributions of health literacy (HL) and illness and medication beliefs to medication adherence among older COPD patients and determine the pathways through which they operate. METHODS:The study was conducted using data from a prospective cohort of COPD patients in New York City and Chicago. We used structural equation modeling to examine the pathways linking HL, through medications and illness beliefs, with COPD medication adherence. RESULTS:Out of 393 older adults with COPD, 123 (31%) had limited HL and 208 (53%) reported low adherence to daily COPD medications. Those with limited HL were more likely to have low medication adherence (p < 0.0001). Medications concerns (p = 0.001) and medication necessity (p = 0.003) demonstrated a mediational role between HL and adherence. However, in the final multivariate model, HL did not have direct effect on medication adherence (p = 0.12) and illness beliefs (p = 0.16) did not demonstrate a mediational role between HL and adherence. CONCLUSION:Our findings suggest that low HL is not a direct predictor of poor medication adherence among COPD patients. PRACTICE IMPLICATIONS:Addressing medication concerns and reinforcing the need for daily COPD medications may be a more effective strategy for increasing adherence in this population.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Agarwal P,Lin J,Muellers K,O'Conor R,Wolf M,Federman AD,Wisnivesky JPdoi
10.1016/j.pec.2020.11.024subject
Has Abstractpub_date
2020-11-25 00:00:00eissn
0738-3991issn
1873-5134pii
S0738-3991(20)30648-0pub_type
杂志文章abstract：OBJECTIVE:When a child is hospitalized due to an illness or injury, the entire family may experience stress and/or anxiety. According to parents who have been in such a situation, providing adequate information is one of the most valuable ways to help the family deal with such feelings. Most mild head injuries suffered...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.10.001
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:Sharing qualitative research findings with participants, namely member-check, is perceived as a procedure designed to enhance study credibility and participant involvement. It is rarely used, however, and its methodological usefulness and ethical problems have been questioned. This article explores benefits a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.12.016
更新日期：2011-03-01 00:00:00
abstract：:The primary aim of this study was to assess the impact of patient medication counseling by comparing the levels of patient's medication knowledge and adherence achieved by medication counseling in an outpatient clinic. Ninety patients were randomized in the ratio of 1:2 into either counseled or usual care group. Their...
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(03)00193-9
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:The use of the diabetes online community (DOC) is growing across all age groups. The aim of this exploratory study was to describe why older adults participated in the DOC, and how DOC users interacted with their healthcare providers. METHODS:Telephone interviews (N=20) were conducted with older adult DOC us...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.08.023
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:This study investigates HIV positive adolescents' health literacy and whether factors associated with health literacy in HIV-positive adults are associated with health literacy among HIV-positive adolescents. METHODS:Adolescents in this study were behaviorally and perinatally HIV-infected youth (n=186) from ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.014
更新日期：2010-04-01 00:00:00
abstract：OBJECTIVE:To investigate the perspectives of general practitioners (GPs) on the practice of soliciting additional concerns (ACs) and the acceptability and utility of two brief interventions (prompts) designed to aid the solicitation. METHODS:Eighteen GPs participating in a feasibility randomised controlled trial were ...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2015.12.005
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:To explore if - and possibly how - a medical interview may affect adrenocortical activity in musculo-skeletal pain patients with and without alexithymia. METHODS:Female patients (N = 54) recruited from a patient organization for fibromyalgia completed the Toronto Alexithymia Scale (TAS-20) and subgroups with...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2005.03.005
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVE:To explore the effectiveness of a patient education programme for chronic disease self-management in terms of whether (a) patients are taught to perform the medical procedure and (b) nurses have evidence of patients' proficiency when they start self-management. METHODS:Patients were followed through an educa...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.10.001
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:We aimed to evaluate the effect of a decision aid (DA) with patient narratives on decisional conflict in surgery choice for Japanese women with early-stage breast cancer. METHODS:Two hundred ten women with early-stage breast cancer were randomly assigned to an intervention or control group. Groups 1 and 2 re...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2016.09.011
更新日期：2017-03-01 00:00:00
abstract：:In the Netherlands considerable attention has been given to dementia, but hardly any is paid to normal forgetfulness. Two information meetings about the differences between normal forgetfulness and dementia were organized in order to meet current information needs. Evaluation of those meetings gave more insight into t...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(94)90004-3
更新日期：1994-10-01 00:00:00
abstract：OBJECTIVE:Huntington's disease (HD) is an inherited disorder, characterized by a progressive degeneration of the brain. Due to the nature of the symptoms, the genetic element of the disease, and the fact that there is no cure, HD patients and those in their support network often experience considerable stress and anxie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.06.002
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To explore primary care practitioners approach to and management of menstrual disorders using a sociological perspective. METHODS:Semi-structured interviews of primary care practitioners with an iterative approach to recruitment and analysis informed by grounded theory. RESULTS:Two broad approaches to patie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.12.002
更新日期：2006-01-01 00:00:00
abstract：:Clients seek genetic counseling in order to become informed, to make better decisions, and, if possible, to be reassured. Genetic knowledge, however, is fragmentary and incomplete and therefore it may involve more uncertainty than is desirable. In a cohort of 30 counseling sessions we studied the genetic information t...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(97)00052-9
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVE:To examine the changes in performance on heart failure knowledge assessments administered before and after discharge education. METHODS:We conducted a randomized controlled trial comparing the effects of a 1-h, one-on-one teaching session with a nurse educator to the standard discharge process in patients wi...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2011.05.019
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:Poor prognosis is difficult to impart, particularly across a cultural divide. This study compared prognostic communication with immigrants (with and without interpreters) versus native-born patients in audio-taped oncology consultations. METHODS:Ten oncologists, 78 patients (31 Australian-born, 47 immigrants...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.03.006
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVES:Translate, adapt and validate the Patient-Practitioner Orientation Scale (PPOS) for use in Brazil. METHODS:The PPOS was translated to Portuguese using a modified Delphi technique. The final version was applied to 360 participants. Reliability (test-retest and internal consistency) and construct validity (ex...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.014
更新日期：2013-04-01 00:00:00
abstract：:The quality of Internet information needs to be evaluated and several tools exist for this purpose. However, none have demonstrated reliability and validity. This study tested the internal consistency and validity of the information quality tool (IQT), quality scale (QS) and DISCERN using 89 web sites discussing smoki...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00124-6
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVE:Culture and ethnicity have often been cited as barriers in establishing an effective and satisfying doctor-patient relationship. The aim of this paper is to gain more insight in intercultural medical communication difficulties by reviewing observational studies on intercultural doctor-patient communication. I...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2005.11.014
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:To explore treatment decision-making experiences of Australian migrants with cancer from Arabic, Chinese, or Greek backgrounds and their relatives. METHODS:73 patients and 18 caregivers from cancer support groups and oncology clinics participated in either a focus group (n=14) or semi-structured interview (n...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.01.012
更新日期：2015-06-01 00:00:00
abstract：UNLABELLED:Social characteristics (e.g. race, gender, age, education) are associated with health care disparities. We introduce social concordance, a composite measure of shared social characteristics between patients and physicians. OBJECTIVE:To determine whether social concordance predicts differences in medical vis...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.07.015
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:This study explored patient recall of clinician presentation of information about prescription medication, looking specifically for communication patterns and differences by patient individual characteristics and by medication availability type. METHODS:A cross sectional survey collected information about 21...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.10.002
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVE:To describe and evaluate a consensus finding and expert validation process for the development of patient-centred communication assessments for a national Licensing Exam in Medicine. METHODS:A multi-professional team of clinicians and experts in communication, assessment and role-play developed communication...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.12.003
更新日期：2020-12-09 00:00:00
abstract：OBJECTIVE:To evaluate residents' ability to engage standardized patients in informed decision making during a pregnancy loss scenario. METHODS:Forty patient encounters between interns and standardized patients were coded to assess informed decision-making practices, exploration of unexpressed concerns, and support pro...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.06.016
更新日期：2017-12-01 00:00:00
abstract：:The study objective was to evaluate the effect of a patient information video during the informed consent process of a perinatal trial. Ninety women, between 19 and 33 weeks gestation, were randomised to receive written information about this perinatal trial and watch an information video or to receive written informa...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0738-3991(96)00968-8
更新日期：1997-03-01 00:00:00
abstract：OBJECTIVE:To examine the influence of patient and physician communication factors on diagnostic delay (DD). METHODS:242 patients diagnosed with colorectal cancer (CRC) in the past 6 months who experienced symptoms prior to diagnosis were administered a 2-h semi-structured qualitative interview to assess communication ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.05.002
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:To direct attention to the concept of vulnerability, how it affects interactions in subtle ways and is difficult to detect in studies of clinical dialogues. METHODS:A reflection on three everyday examples of what seems like insignificant details in physician-patient interaction, enlightened by readings with ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.07.025
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVE:To examine professional medical interpreters' perspectives of in-person and remote interpreting modalities. METHODS:Survey of interpreters at three medical centers assessing satisfaction with aspects of communication using each modality, and adequacy of videoconferencing medical interpretation (VMI) and tele...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.08.006
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of a lifestyle-related risk factor modification intervention on coronary artery disease (CAD) patients' lifestyle changes. METHOD:A randomized controlled study was conducted in Nepal. A total of 224 CAD patients (112 in each study group) were included at baseline, and 196 patients (...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.11.030
更新日期：2020-12-01 00:00:00
abstract：:The information-seeking behavior of cancer outpatients has been studied with the purpose of collecting data for the development of an educational intervention: stimulating communication between cancer outpatients and their specialists. The intention to seek information, the realization of the intention and the reasons...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(93)90087-d
更新日期：1993-11-01 00:00:00
abstract：OBJECTIVES:To examine the effect of one standardized patient question on the length, number and type of new topics pharmacists addressed. To explore how community pharmacists counsel secret shoppers on two types of over-the-counter (OTC) medications-ibuprofen (IB) and emergency contraceptives (EC). METHODS:25 pharmaci...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.07.012
更新日期：2016-09-01 00:00:00
