What is clinical empathy? Perspectives of community members, university students, cancer patients, and physicians.

Abstract:

OBJECTIVES:To explore what undergraduates, community members, oncology patients, and physicians consider empathic behavior in a physician. METHODS:150 undergraduates, 152 community members, 95 physicians, and 89 oncology patients rated 49 hypothetical physician behaviors for how well they fit their personal definition of physician empathy. Dimensions of empathy were explored and compared across groups. RESULTS:Three dimensions of empathy were Conscientious and Reassuring, Relationship Oriented, and Emotionally Involved. Relationship Oriented was the most strongly endorsed, followed by Emotionally Involved, with Conscientious and Reassuring coming in last. There were no group differences for Conscientious and Reassuring, but the Relationship Oriented factor was more endorsed by the clinical groups (physicians and patients) than the non-clinical groups. The Emotionally Involved factor was endorsed by physicians notably more than by patients. CONCLUSION:What is considered clinical empathy is not the same across individuals and stakeholder groups. PRACTICE IMPLICATIONS:Physicians and patients differ in how much they include the physicians' emotionality and emotion-related actions in their definition of empathy. Communication training for physicians that emphasizes behaviors associated with empathy (listening, understanding a person's feelings and perspectives, and showing interest in and concern for the whole person) may enhance patients' perception of clinical empathy.

journal_name

Patient Educ Couns

authors

Hall JA,Schwartz R,Duong F,Niu Y,Dubey M,DeSteno D,Sanders JJ

doi

10.1016/j.pec.2020.11.001

subject

Has Abstract

pub_date

2020-11-09 00:00:00

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(20)30598-X

pub_type

杂志文章
  • Recognizing decision needs: first step for collaborative deliberation in dementia care networks.

    abstract:OBJECTIVE:This study describes the process elements of decision-making for dementia, in order to enrich a model to facilitate shared decision-making for professionals working with people with dementia and their informal caregivers. METHODS:We performed a qualitative study based on secondary analysis of 117 interviews ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.01.024

    authors: Groen van de Ven L,Smits C,Elwyn G,Span M,Jukema J,Eefsting J,Vernooij-Dassen M

    更新日期:2017-07-01 00:00:00

  • Decision analysis for newly diagnosed hypertensive patients: a qualitative investigation.

    abstract::This study adopted a qualitative approach to explore patients' views on the usefulness of a decision analytic decision aid (DA). Semi-structured interviews were conducted with 15 newly diagnosed hypertensive patients who had been recruited for a factorial randomised controlled trial of two decision aids. Issues invest...

    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)00148-4

    authors: Weiss MC,Montgomery AA,Fahey T,Peters TJ

    更新日期:2004-05-01 00:00:00

  • The role of self-disclosure by peer mentors: Using personal narratives in depression care.

    abstract:OBJECTIVE:Self-disclosure is recognized as an important aspect of peer support, but little is known about its use by peers. This study aimed to qualitatively understand peer self-disclosure in the context of depression care delivery to older adults. METHODS:69 audio-recordings of peer-client meetings were coded for se...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2019.02.006

    authors: Truong C,Gallo J,Roter D,Joo J

    更新日期:2019-07-01 00:00:00

  • Increasing patient activation through diabetes self-management education: Outcomes of DESMOND in regional Western Australia.

    abstract:OBJECTIVE:To evaluate the effects of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) program on patient activation in adults living with type 2 diabetes (T2D). METHODS:233 individuals attended a DESMOND program in 26 locations across regional Western Australia. Individuals complete...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2019.10.013

    authors: Miller VM,Davies MJ,Etherton-Beer C,McGough S,Schofield D,Jensen JF,Watson N

    更新日期:2020-04-01 00:00:00

  • The LEAD trial-The effectiveness of a decision aid on decision making among citizens with lower educational attainment who have not participated in FIT-based colorectal cancer screening in Denmark: A randomised controlled trial.

    abstract:OBJECTIVES:This trial tested the effectiveness of a self-administered web-based decision aid, targeted at citizens with lower educational attainment, on informed choice about colorectal cancer screening participation as assessed by group levels of knowledge, attitudes and uptake. METHODS:The randomised controlled tria...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pec.2019.08.029

    authors: Gabel P,Edwards A,Kirkegaard P,Larsen MB,Andersen B

    更新日期:2020-02-01 00:00:00

  • The application of behavioral procedures to childhood asthma: current and future perspectives.

    abstract::The development and application of behavioral procedures to childhood asthma during the past three decades is reviewed, with particular implications for researchers and practitioners. In particular, the article describes two major categories of procedures that comprise the current state of the art of behavioral interv...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(91)90047-9

    authors: Creer TL

    更新日期:1991-02-01 00:00:00

  • Developing a dyadic OPTION scale to measure perceptions of shared decision making.

    abstract:OBJECTIVE:Our aim was to develop a measurement which enables research into the interdependent nature of clinical encounters. The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the c...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2009.07.009

    authors: Melbourne E,Sinclair K,Durand MA,Légaré F,Elwyn G

    更新日期:2010-02-01 00:00:00

  • Measuring appraisal during advanced cancer: psychometric testing of the appraisal of caregiving scale.

    abstract:OBJECTIVE:Examine the psychometric properties of the Appraisal of Caregiving Scale (ACS). METHODS:Data were collected as part of the FOCUS Program trial in Michigan (N = 484 caregivers). RESULTS:Exploratory factor analysis found the ACS measured Threat, General Stress, and Benefit appraisals. Cronbach's alphas for al...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2015.01.009

    authors: Lambert SD,Yoon H,Ellis KR,Northouse L

    更新日期:2015-05-01 00:00:00

  • Intergenerational differences in the intention to use psychological cybercounseling: A Chinese case study.

    abstract:OBJECTIVE:This study applied an extended theory of planned behavior (E-TPB) model to investigate factors that contribute to the intention to use psychological cybercounseling in a Chinese sample. The moderating effects of intergenerational differences on relationships of E-TPB variables were also tested. METHODS:A tot...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2020.02.035

    authors: Teo T,Shi W,Huang F,Hoi CKW

    更新日期:2020-08-01 00:00:00

  • Perceived organizational affiliation and its effects on patient trust: Role modeling with embodied conversational agents.

    abstract:OBJECTIVE:Verbal and non-verbal behaviors, which are known as "relational contextualization cues", relay information about relationships and how they are structured. We developed a computer-simulated provider conducting an informed consent process for clinical research to investigate the effects of a provider's alignme...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.03.017

    authors: Zhang Z,Bickmore TW,Paasche-Orlow MK

    更新日期:2017-09-01 00:00:00

  • Behavioral and psychosocial effects of intensive lifestyle management for women with coronary heart disease.

    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

    authors: Toobert DJ,Glasgow RE,Nettekoven LA,Brown JE

    更新日期:1998-11-01 00:00:00

  • Following the clues: teaching medical students to explore patients' contexts.

    abstract:OBJECTIVE:Physicians often overlook important contextual clues that patients give during an encounter. The objective of our study was to increase medical students' knowledge and skills in identifying contextual issues. METHODS:Six consecutive learning experiences, including a standardized patient (SP) encounter and ac...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2010.06.035

    authors: Thompson BM,Teal CR,Scott SM,Manning SN,Greenfield E,Shada R,Haidet P

    更新日期:2010-09-01 00:00:00

  • The English version of the Verona medical interview classification system (VR-MICS). An assessment of its reliability and a comparative cross-cultural test of its validity.

    abstract:OBJECTIVE:This study aimed to assess the inter-rater and intra-rater reliability of the English translation of the original Italian version of the VR-MICS and to evaluate its sensitivity by comparing the coding of English and Italian general practice consultations with emotionally distressed and non-distressed patients...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2005.01.001

    authors: Del Piccolo L,Mead N,Gask L,Mazzi MA,Goss C,Rimondini M,Zimmermann C

    更新日期:2005-09-01 00:00:00

  • Psychological adjustment to familial genetic risk assessment: differences in two longitudinal samples.

    abstract::Heritable cancer risk assessment is an increasingly common method of deriving valuable information relevant to deciding on appropriate screening regimens and preventive treatments. Assessments of heritable risk typically include familial-genetic evaluation, where analyses relate family pedigree to cancer risk, and DNA...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(99)00082-8

    authors: Ritvo P,Robinson G,Irvine J,Brown L,Matthew A,Murphy KJ,Stewart DS,Styra R,Wang C,Mullen M,Cole D,Rosen B

    更新日期:2000-05-01 00:00:00

  • Evaluation of a computer based interactive diabetes education program designed to train the estimation of the energy or carbohydrate contents of foods.

    abstract::The objective of this study was to evaluate a computer based interactive diabetes education program designed to train patients with diabetes to correctly estimate the energy or carbohydrate contents of foods. The acceptance and the operator convenience of the program were evaluated with an integrated program and writt...

    journal_title:Patient education and counseling

    pub_type:

    doi:10.1016/s0738-3991(01)00159-8

    authors: Nebel IT,Blüher M,Starcke U,Müller UA,Haak T,Paschke R

    更新日期:2002-01-01 00:00:00

  • Correlates of preferring a passive role in decision-making among patients with schizophrenia or bipolar disorder.

    abstract:OBJECTIVE:To assess the factors associated with the persistence of clinician-led style in the therapeutic relationship in cases of serious mental illness, and the conditioning factors that the patients identify as determinants of their health. METHOD:Assessment of preferences in the decision-making process and health-...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2020.10.019

    authors: Morán-Sánchez I,Bernal-López MLÁ,Salmerón D,Pérez-Cárceles MD

    更新日期:2020-10-17 00:00:00

  • Perceptions of educational needs for patients after myocardial infarction.

    abstract::Twelve physicians, 33 nurses, and 30 patients completed questionnaires to elicit similarities and differences in perceptions of educational needs of post-myocardial infarction (MI) patients. Results, using chi-square analysis, indicated that the three groups generally agreed upon which areas should be included in educ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(84)90038-7

    authors: Casey E,O'Connell JK,Price JH

    更新日期:1984-01-01 00:00:00

  • Improving youth question-asking and provider education during pediatric asthma visits.

    abstract:OBJECTIVE:We conducted a pragmatic randomized controlled trial to test the effectiveness of an asthma question prompt list with video intervention to increase youth question-asking and provider education during visits. METHODS:English or Spanish-speaking youth ages 11-17 with persistent asthma and their parents were e...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pec.2018.01.013

    authors: Sleath B,Carpenter DM,Davis SA,Watson CH,Lee C,Loughlin CE,Garcia N,Reuland DS,Tudor G

    更新日期:2018-06-01 00:00:00

  • Factors associated with professional healthcare advice seeking in women at risk for developing breast cancer-related lymphedema.

    abstract: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) ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.10.010

    authors: Sherman KA,Kilby CJ,Elder E,Ridner SH

    更新日期:2018-03-01 00:00:00

  • Treatment effect expressed as the novel Delay of Event measure is associated with high willingness to initiate preventive treatment - A randomized survey experiment comparing effect measures.

    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

    authors: Berglund E,Westerling R,Sundström J,Lytsy P

    更新日期:2016-12-01 00:00:00

  • Interaction-A missing piece of the jigsaw in interpreter-mediated medical consultation models.

    abstract::In 2015, at the International Conference on Communication in Healthcare in New Orleans, USA, we formed a symposium panel to discuss and debate how interdisciplinary research can inform interpreter-mediated medical consultation training. In all our work, a recurring theme is not just the strengths but also the shortcom...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.04.021

    authors: Li S,Gerwing J,Krystallidou D,Rowlands A,Cox A,Pype P

    更新日期:2017-09-01 00:00:00

  • A communication skills intervention for parents of pediatric surgery patients.

    abstract:OBJECTIVE:It was hypothesized that parents exposed to a communication skills intervention would participate (e.g., ask questions, express concerns) in a pre-surgical consultation more than parents in the control group. METHODS:Sixty-five parents of prospective pediatric surgery patients were randomly assigned to eithe...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pec.2013.03.015

    authors: Cegala DJ,Chisolm DJ,Nwomeh BC

    更新日期:2013-10-01 00:00:00

  • Low perceived service quality in community pharmacy is associated with poor medication adherence.

    abstract:OBJECTIVE:Community pharmacists are highly accessible healthcare professionals, whose regular contact with patients provides ongoing opportunities to improve medication safety and promote medication adherence. This study investigates whether patients who experience low service quality in community pharmacies are less a...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2020.07.009

    authors: Carter S,Ng R,El-Den S,Schneider C

    更新日期:2021-02-01 00:00:00

  • Themes affecting health-care consumers' choice of a hospital for elective surgery when receiving web-based comparative consumer information.

    abstract:OBJECTIVE:To get insights into the decision-making strategy of health-care consumers when confronted with comparative consumer information. METHODS:Qualitative descriptive study among 18 consumers who had a hip or knee replacement no longer than five years ago. To study their decision-making strategies a paper draft f...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2009.10.027

    authors: Moser A,Korstjens I,van der Weijden T,Tange H

    更新日期:2010-03-01 00:00:00

  • Readability of patient information booklets for women with breast cancer.

    abstract::Providing accurate information, in both verbal and written formats, is seen as an important component of patient care. For individuals diagnosed with cancer, acquiring information may be a particularly pertinent issue in terms of coping with the disease. Numerous information booklets are available for people with canc...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(96)00988-3

    authors: Beaver K,Luker K

    更新日期:1997-06-01 00:00:00

  • What mediates the effect of confrontational counselling on smoking cessation in smokers with COPD?

    abstract:OBJECTIVE:Within the framework of a randomized, active treatment controlled trial, we used a mediation analysis to understand the mechanisms by which an intervention that uses confrontation with spirometry for smoking cessation achieves its effects. METHODS:Participants were 228 smokers from the general population wit...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pec.2008.11.017

    authors: Kotz D,Huibers MJ,West RJ,Wesseling G,van Schayck OC

    更新日期:2009-07-01 00:00:00

  • The self-care behavior inventory: a model for behavioral instrument development.

    abstract::The Self-Care Behavior (SCB) Inventory was developed as part of a long-term study of self-care practices of persons who have multiple sclerosis (MS) in Denmark. The universe of behaviors regarding the physical, social, emotional, environmental, and spiritual aspects of coping with the illness was ascertained by inform...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(85)90036-9

    authors: McLaughlin J,Sliepcevich EM

    更新日期:1985-09-01 00:00:00

  • Understanding the relationship between knowledge and African Americans' donation decision-making.

    abstract:OBJECTIVE:To explore the association between different types of knowledge related to donation and transplantation and the expression of donation intentions via one's driver's license, a donor card, or sharing one's wishes with family. METHODS:Cross-sectional data were gathered via self-administered questionnaire from ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2007.09.017

    authors: Jacob Arriola KR,Robinson DH,Perryman JP,Thompson N

    更新日期:2008-02-01 00:00:00

  • Unpredicted gender preference of obstetricians and gynecologists by Muslim Israeli-Arab women.

    abstract:OBJECTIVES:To investigate the gender preference of Muslim Israeli-Arab women regarding obstetricians/gynecologists, and identify other features that affect their choice. METHODS:The study included 167 responders to an anonymous questionnaire. RESULTS:Around one-half of the responders had no gender preference regardin...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2011.05.016

    authors: Amir H,Tibi Y,Groutz A,Amit A,Azem F

    更新日期:2012-02-01 00:00:00

  • Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus.

    abstract:OBJECTIVE:To validate a hypothesized model exploring the influencing pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycosylated hemoglobin (HbA1c) levels in patients with type 2 diabetes (T2DM). METHODS:Overall, 295 patients with T2DM were recruited from five endocrine...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2015.08.021

    authors: Lee YJ,Shin SJ,Wang RH,Lin KD,Lee YL,Wang YH

    更新日期:2016-02-01 00:00:00