Abstract：
OBJECTIVE:Experimental studies have found that clinician-expressed empathy improves patients' information recall in (advanced) cancer consultations. It remains unclear, however, whether these results are generalizable to clinical care and, if so, what the underlying mechanism is. We aimed to i) determine the relationship between clinician-expressed empathy and patients' information recall in clinical advanced breast cancer consultations; and ii) test whether the relationship between clinician-expressed empathy and recall is mediated by a decrease in patients' anxiety. METHODS:Forty-one consultations between oncologists and female patients with advanced breast cancer were audio recorded. Patients' post-consultation information recall and pre- and post-consultation anxiety (0-100) were assessed. Recall was scored according to a self-created questionnaire. Clinician-expressed empathy (0-100) was assessed by observers. Structural Equation Modelling was used for all analyses. RESULTS:Participants remembered 61% of the information discussed. Clinician-expressed empathy significantly increased patients' total information recall (p = .041) and recall of treatment aims/positive effects (p = .028). The mediating role of anxiety could not be established. CONCLUSION:Although the underlying mechanism remains unclear, clinicians have a powerful tool to improve seriously ill breast cancer patients' recall of information: empathy. PRACTICE IMPLICATIONS:These insights should encourage clinicians to express empathy; practical communication training might prove helpful.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Westendorp J,Stouthard J,Meijers MC,Neyrinck BAM,de Jong P,van Dulmen S,van Vliet LMdoi
10.1016/j.pec.2020.10.025subject
Has Abstractpub_date
2020-10-22 00:00:00eissn
0738-3991issn
1873-5134pii
S0738-3991(20)30562-0pub_type
杂志文章abstract：:Surveys estimate that 3-6% of the patients seen by physicians are gay or lesbian. There are unique health risks of gays and lesbians that are important to the clinician in determining an accurate diagnosis, providing patient education, and arriving at an appropriate treatment plan. One of the most significant medical ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(02)00189-1
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVE:To investigate whether the Verona Coding Definitions of Emotional Sequences to code health providers' responses (VR-CoDES-P) can be used for assessment of medical students' responses to patients' cues and concerns provided in written case vignettes. METHODS:Student responses in direct speech to patient cues ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.026
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:Examine influences of diabetes-specific social support (D-SS) and depressive symptoms on glycemic control over time, among adults randomized to a diabetes self-management education and support (DSME/S) intervention or usual care. METHODS:Data were from 108 African-American and Latino participants in a 6-mont...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2015.05.019
更新日期：2015-11-01 00:00:00
abstract：:The study was designed to investigate self esteem, modes of coping and interfamilial relationships of asthmatic children and adolescents. Fifty-one asthmatic children (mean age: 12.26 +/- 2.56 years; 57% boys and 43% girls) were questioned about psychological factors of self image, coping with stressful situations and...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(96)00945-7
更新日期：1997-02-01 00:00:00
abstract：OBJECTIVE:To develop a feasibility study of a theory-driven telephone counseling program to enhance psychosocial and physical well-being for cancer survivors after treatment. METHODS:Participants (n=66) were recruited from two Colorado hospitals with self-administered questionnaires at baseline and two weeks post-inte...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.04.002
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVES:This paper describes the development and pilot testing of a communication skills curriculum based on medical student curriculum and modified for use with patients. METHODS:Six key concepts from our introductory medical education communication skills curriculum were identified. The core knowledge and skills ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.026
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVE:We examined the prevalence and extent of informed decision-making (IDM) and patient-centered decision-making (PCDM) in primary care visits of African Americans with depression. METHODS:We performed a cross-sectional analysis of audiotaped clinical encounters and post-visit surveys of 76 patients and their cl...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.07.027
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:Recent studies have recognised that the communication skills learned in the training environment are not always transferred back into the clinical setting. This paper reports a study which investigated the potential of clinical supervision in enhancing the transfer process. METHODS:A randomised controlled tr...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2005.08.008
更新日期：2006-03-01 00:00:00
abstract：:This study's hypotheses were that both shortly after instruction and after an 8-month follow-up, diabetic children taught via anchored instruction (AI), a format for problem solving, would outperform controls. Subjects were 81 9-15-year-old campers with insulin dependent diabetes who were randomly assigned to AI or co...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/0738-3991(94)90049-3
更新日期：1994-06-01 00:00:00
abstract：:How can health professional teams provide patient-centred care in the treatment of chronic disease? What education and training is needed to achieve this? Patient-centred care means helping people living with a condition make informed choices to maximise their quality of life. The health professional's role is to faci...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00727-h
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:To gain an understanding of how patient satisfaction (PS) with the doctor (PSD) is conceptualized through an empirical review of how it is currently being measured. The content of PS questionnaire items was examined to (a) determine the primary domains underlying PSD, and (b) summarize the specific doctor-rel...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2015.05.020
更新日期：2015-06-10 00:00:00
abstract：OBJECTIVES:The ecological validity of video-vignettes design investigating patient-provider communication hinges on the engagement of analogue patients (APs) with the vignette. The present study aimed to compare engagement in two commonly utilized groups of APs, patients and disease-naïve individuals. Engagement was as...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.04.012
更新日期：2016-10-01 00:00:00
abstract：:One way to reduce the need and demand for hospital services is via health promotion initiatives. A prenatal instructors' education module preventing the learning of violence as acceptable behaviour by children in their first year of life was developed by a health promoting hospital in partnership with its community. C...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(01)00190-2
更新日期：2001-12-15 00:00:00
abstract：OBJECTIVE:This study investigated whether doctors' attire influences the perception of empathy in the patient-doctor relationship during a therapeutic encounter. METHODS:A total number of 143 patients were divided into four groups when they were consulting a Traditional Korean Medicine doctor. Depending on the group, ...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2012.02.017
更新日期：2012-12-01 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:To evaluate patterns of and factors associated with a lack of pharmacotherapy as well as low adherence to treatment of hypothyroidism in pregnancy. METHODS:This multinational, cross-sectional, internet-based study recruited pregnant woman in 18 countries. Data about women's socio-demographic and medical char...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.04.006
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVE:Patient activation can be measured using the Patient Activation Measure (PAM) developed by Hibbard et al., however, little is known about the uses of the PAM in research and in practice. This study aims to explore its differing utility in four UK exemplar sites. METHODS:Data from four exemplars in a range of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.05.006
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVE:Written medicine information is essential to support spoken information from pharmacists, but must be fit-for-purpose. This study applied "user testing" to the booklet supplied to UK patients taking anticoagulant medicines. METHODS:"User testing" uses mixed-methods, applied iteratively, to assess document pe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.03.016
更新日期：2011-06-01 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：OBJECTIVE:Develop a system of practice tools and procedures to prompt shared decision making in primary care. SDM-GRIP (Shared Decision Making Guidance Reminders in Practice) was developed for suspected stable coronary artery disease (CAD), prior to the percutaneous coronary intervention (PCI) decision. METHODS:Progra...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.12.028
更新日期：2011-11-01 00:00:00
abstract：:The perception of the diagnosis of infertility and the openness of patients about infertility was investigated among 108 infertile couples. Husbands and wives answered a structured questionnaire. The perception of diagnosis was in 38% of the cases different from the medical diagnosis. Patients perceived the diagnosis ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(95)00852-7
更新日期：1996-08-01 00:00:00
abstract：OBJECTIVE:Poor communication is cited as a main cause of poor patient outcomes and errors in healthcare, and clear communication can be especially critical during transitions such as discharge. In this project, communication was standardized for clarity, and techniques were implemented to continue care from inpatient, ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.03.009
更新日期：2015-07-01 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:Primary care providers (PCPs) are encouraged to counsel their obese patients about weight loss. We used focus groups to explore how PCPs communicate with patients about weight management. METHODS:During the summer of 2010, we conducted five focus groups of community-based PCPs who had patients enrolled in a ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.06.033
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:Clinicians worldwide seek to educate and support heart failure patients to engage in self-care. We aimed to describe self-care behaviors of patients from 15 countries across three continents. METHODS:Data on self-care were pooled from 5964 heart failure patients from the United States, Europe, Australasia an...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.02.017
更新日期：2013-07-01 00:00:00
abstract：:In order to understand the problems of unwanted infertility in a country--the Gambia--where the desire for children and the fertility is very high, a population-based survey was undertaken. All infertile women in 24 randomly selected enumeration areas were assessed. The study included a review of the problems faced an...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(97)01006-9
更新日期：1997-05-01 00:00:00
abstract：OBJECTIVE:This study explored the patient's experience of the doctor-patient relationship and information giving in health care. The views of patients with a range of literacy levels were examined. METHOD:321 patients at an in-patient cardiology unit provided the sample. The Health Literacy (HL) of participants was as...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.09.026
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVE:To assess doctors' communication skills in mainland China using the SEGUE Framework. METHODS:A survey on doctors' communication skills with doctors (n = 1361) and patients (n = 1757) from 14 provinces in eastern, central and western China was conducted. RESULTS:The doctors' self-evaluation scores were highe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.12.013
更新日期：2020-12-23 00:00:00
abstract：OBJECTIVE:To test whether an intervention consisting of four patient-centered consultations improves glycemic control and self-management skills in patients with poorly regulated type 2 diabetes (T2DM), compared to a control group receiving usual care. METHODS:Unblinded parallel randomized controlled trial including 9...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2019.06.014
更新日期：2019-12-01 00:00:00
abstract：:This study aims to find out how hospital patients in Finland perceive and evaluate the education they receive. It represents the first part of a patient education project at one university hospital in which the ultimate goal is to support patients' decision-making and self-care and in this way to facilitate the indepe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00223-9
更新日期：2003-11-01 00:00:00
