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 97 adults diagnosed with T2DM ≥ 1 year and hemoglobin A1c (HbA1c) levels ≥ 8.0% (64 mmol/mol). Consultations incorporated tools supporting self-reflection, learning processes, and goal setting. Primary outcome was HbA1c. Secondary outcomes were autonomy support, motivation, self-management skills, and well-being. RESULTS:Average HbA1c decreased slightly in both groups. Autonomy support and frequency of healthy eating were significantly higher in the intervention group. Most participants in the intervention group chose to set goals related to diet and physical exercise. Implementation of the intervention was inconsistent. CONCLUSION:Despite increased autonomy support and individual goal-setting, the intervention was not superior to usual care in terms of glycemic control. More research is needed on how individual preferences and goals can be supported in practice to achieve sustainable behavior changes. PRACTICE IMPLICATIONS:The intervention promoted participant engagement and supported exploration of participants' challenges and preferences. Further exploration of more flexible use of tools adapted to individual contexts is recommended.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Varming AR,Rasmussen LB,Husted GR,Olesen K,Grønnegaard C,Willaing Idoi
10.1016/j.pec.2019.06.014subject
Has Abstractpub_date
2019-12-01 00:00:00pages
2238-2245issue
12eissn
0738-3991issn
1873-5134pii
S0738-3991(19)30246-0journal_volume
102pub_type
杂志文章,随机对照试验abstract：:We must humbly acknowledge that the healthcare system is less and less about empathy despite interacting with patients is a prerequisite for care: shared decision making is the cornerstone for compliance to treatment and therefore its -effectiveness. Empathy is not about tricks, it is about "client-centred therapy" a ...
journal_title：Patient education and counseling
pub_type： 评论,信件
doi：10.1016/j.pec.2020.03.024
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVES:(a) To determine levels of and factors explaining partners' burden, anxiety and depressive symptoms at two months post-stroke, (b) to predict partners' burden, anxiety and depressive symptoms at one year post-stroke based on patient and partner characteristics available at two months post-stroke. METHODS:Pr...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2016.04.007
更新日期：2016-10-01 00:00:00
abstract：:Socioeconomically disadvantaged elderly are less likely to participate in fecal occult blood testing (FOBT). A quasi-experimental design was used in this operational replication study to determine predictors at baseline of subsequent participation in FOBT. Sixty-five percent of the 211 participants in the replication ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(97)00088-8
更新日期：1998-06-01 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:To assess the associated obstetric and sociodemographic risk of vulnerability to postnatal depression in a population-based study. METHODS:All women presenting for postpartum care (n=1656) were surveyed at pregnancy care units of southern-eastern Hungary between January 2004 and May 2006 with an anonymously ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.02.004
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:This systematic review aims to examine the roles of family members (FMs) in treatment decision-making for adult patients without cognitive or psychiatric disorders affecting their ability to participate in decision-making. METHODOLOGY:A comprehensive, systematic search of the Cochrane Library, PsycINFO, PubM...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.08.003
更新日期：2017-12-01 00:00:00
abstract：:Responding to emotion is a central function of communication in medicine. However, many clinicians miss opportunities to engage their patients' emotions, and these lapses can negatively affect the patient's relationship with the clinician. As such, responding to emotion serves as a useful example of communication chal...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.07.023
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:Poor oral contraceptive (OC) knowledge may contribute to premature OC discontinuation and unintended pregnancy. Yet, to understand relationships between OC knowledge and contraceptive behavior, knowledge must be adequately measured. This review evaluates the findings and methodological limitations of research...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.10.016
更新日期：2010-12-01 00:00:00
abstract：:This paper reports on a qualitative study, which explores the narratives of patients, who live with medically unexplained symptoms (MUS) and who have not secured a diagnostic label. Interviews were undertaken with 18 participants (5 men and 13 women) who attended a neurology outpatients department in the UK. Three fea...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.02.010
更新日期：2005-02-01 00:00:00
abstract：OBJECTIVE:A 2006 national survey of pediatric clerkship directors revealed that only 25% taught cultural competence, but 81% expressed interest in a validated cultural competence curriculum. The authors designed and evaluated a multi-modality cultural competence curriculum for pediatric clerkships including a validated...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.029
更新日期：2010-04-01 00:00:00
abstract：:Widespread access to the Internet has the potential to improve the health care and quality of life of people with chronic illnesses, including people living with HIV-AIDS. However, the Internet is not equally accessible to all persons. We surveyed 96 men and 51 women living with HIV-AIDS regarding their experiences us...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(01)00134-3
更新日期：2002-02-01 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: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：OBJECTIVE:This study attempts to identify a structure among patient-related factors that could predict treatment adherence in statin patients, especially with regards to the necessity-concern framework. METHODS:414 Swedish patients using statins completed a questionnaire about their health, treatment, locus of control...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.001
更新日期：2013-04-01 00:00:00
abstract：:The objective of the study was to validate the model of empathic opportunity (EO) and potential empathic opportunity (PEO) using the Roter Interaction Analysis System (RIAS) in a sample of cancer patients. Thirty-nine audio taped consultations at an outpatient oncology clinic performed by four oncologists were previou...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2003.09.006
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and information satisfaction in a one-year follow-up. METHODS:Within a cluster RCT, 18 Dutch hospitals were randomized to DA counseling or care-as-usual, patients (n = 382) init...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2018.10.006
更新日期：2019-03-01 00:00:00
abstract：:The health care system in Canada is gradually shifting towards greater emphasis on patient involvement, health promotion and management of chronic illness. Nurses can play a key role in shaping these changes. This article provides an overview of several facets of the nurse's role in patient education: national policy ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90045-m
更新日期：1990-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations. METHODS:Subjects (N=224) were randomised to 6 months of twice weekly (1) resistance training; (2) all-round...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.pec.2005.10.008
更新日期：2006-10-01 00:00:00
abstract：OBJECTIVE:To study the influence of the presentation of results of a preventive medical examination on risk perception and willingness to seek help for work-related fatigue or being overweight. METHODS:A factorial design experiment was conducted, presenting workers (n = 82) with vignettes including eight scenarios of ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.02.011
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:Communication between professionals is essential because it contributes to an optimal continuum of care. Whether patients experience adequate continuum of care is uncertain. To address this, a questionnaire was developed to elucidate this care process from a patients' perspective. In this study, the instrumen...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.04.035
更新日期：2011-05-01 00:00:00
abstract：:A three-day residential Body Awareness Program (BAP) was developed to teach people with Chronic A-specific Psychosomatic Symptoms (CAPS) to react adequately to disturbances of the balance between a daily workload and the capacity to deal with it. The short-term effects of the program for people with CAPS are presented...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.02.014
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVE:Determine treatment adherence in patients with multiple chronic conditions (MCC). METHODS:A random patient sample ≥ 15 years, discharged from hospital with ≥1 chronic conditions (CC) was interviewed after 6-12 months. Analysis included variables in 5 dimensions (WHO): socio-demographics, disease, treatment, ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.12.012
更新日期：2010-11-01 00:00:00
abstract：:The purpose of this cross-sectional study is to examine the relationship between social support, coping, and subjective well-being by testing three hypotheses: (1) social support influences subjective well-being via coping; (2) coping influences subjective well-being via social support; (3) there is a reciprocal relat...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00033-6
更新日期：2000-02-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to describe older hospital patients' discharge experiences on participation in the discharge planning. METHODS:A sample of 254 patients aged 80+ was interviewed using a questionnaire developed by the research team. Data were collected by face-to-face interviewing during the firs...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2010.08.025
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVE:To evaluate how limited English proficiency affects treatment outcome in head and neck cancer (HNC) patients treated with curative intent radiation therapy (RT). METHODS:From 2004 to 2010, 131 patients with HNC underwent RT. Patient's self-reported primary language and race/ethnicity were obtained at hospita...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.031
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:Patient engagement has been credited with contributing to improved outcomes and experiences of care. Patient engagement has become a widely used term, but remains a poorly understood concept in healthcare. Citations for the term have increased throughout the healthcare-related disciplines without a common def...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2016.09.002
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To explore general practitioners (GPs') beliefs about the causes and solutions to obesity, to compare them to those held by a lay sample and to assess the role of beliefs about causes in explaining beliefs about solutions. METHODS:Questionnaires regarding the causes and solutions to obesity were completed by...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.11.022
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:Our aim was to synthesise qualitative literature about the perceived impact and experience of participating in peer support interventions for individuals with chronic disease. METHODS:We carried out a meta-ethnography to synthesize 25 papers meeting specific inclusion criteria. RESULTS:Thirteen concepts wer...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2013.02.002
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:Examine the uncertainty management process of individuals with Lynch syndrome (LS). METHODS:19 phone interviews were conducted with individuals with LS. The interview guide included questions on family communication, risk perceptions, and uncertainty management. Data were analyzed using the constant comparis...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.07.017
更新日期：2021-02-01 00:00:00
abstract：BACKGROUND:In facilitating informed decision making about PSA screening, men are often asked to consider the potential consequences of the test, including a diagnosis of prostate cancer and how they would want to be treated. However, there is no empirical evidence thus far demonstrating that men are able to consider th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.02.002
更新日期：2006-04-01 00:00:00
