End-user views of an electronic encounter decision aid linked to routine depression screening.


OBJECTIVE:Our aim was to gather community stakeholder input to inform the development of a digital system linking depression screening to decision support. METHODS:Views and feature requirements were identified through (1) focus groups with patients and consumers with depression, and interviews with primary care clinicians and (2) usability sessions where patients and consumers used the current version of encounter decision aid (eDA) in a primary care waiting room. Qualitative data were analyzed using the framework method. RESULTS:We conducted six focus groups with 15 participants, seven clinician interviews and 10 usability sessions. Patients were comfortable completing the Patient Health Questionnaire (PHQ-9) and receiving the electronic eDA in clinic. They felt this would allow patients to prepare for their visit and instill a sense of agency. Participants were comfortable receiving the PHQ-9 results and a subsequent eDA on a tablet in the waiting room. CONCLUSION:Patients with and without depression, as well as clinicians, viewed linking the PHQ-9, results, and eDA positively. Patients were comfortable doing this in the clinic waiting room. PRACTICE IMPLICATIONS:Linking depression decision support to screening was viewed positively by patients and clinicians, and could help overcome barriers to shared decision-making implementation in this population.


Patient Educ Couns


Dannenberg MD,Bienvenida JCM,Bruce ML,Nguyen T,Hinn M,Matthews J,Bartels SJ,Elwyn G,Barr PJ




Has Abstract


2019-03-01 00:00:00














  • Understanding the interplay of cancer patients' instrumental concerns and emotions.

    abstract:OBJECTIVE:1) to assess patients' descriptions of concerns, and 2) to inform a conceptual framework in which the impact of the nature of concerns on doctor-patient communication is specified. METHODS:Six focus groups were conducted with 39 cancer patients and survivors. In these focus groups participants were asked to ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Brandes K,van der Goot MJ,Smit EG,van Weert JCM,Linn AJ

    更新日期:2017-05-01 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


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

    更新日期:2021-02-01 00:00:00

  • Effect of a decision aid with patient narratives in reducing decisional conflict in choice for surgery among early-stage breast cancer patients: A three-arm randomized controlled trial.

    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


    authors: Osaka W,Nakayama K

    更新日期:2017-03-01 00:00:00

  • Understanding patient perceptions of shared decision making.

    abstract:OBJECTIVE:This study aims to develop a conceptual model of patient-defined SDM, and understand what leads patients to label a specific, decision-making process as shared. METHODS:Qualitative interviews were conducted with 23 primary care patients following a recent appointment. Patients were asked about the meaning of...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Shay LA,Lafata JE

    更新日期:2014-09-01 00:00:00

  • Patient-provider discussions about lung cancer screening pre- and post-guidelines: Health Information National Trends Survey (HINTS).

    abstract:OBJECTIVE:In 2013, the USPSTF issued a Grade B recommendation that long-term current and former smokers receive lung cancer screening. Shared decision-making is important for individuals considering screening, and patient-provider discussions an essential component of the process. We examined prevalence and predictors ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Carter-Harris L,Tan AS,Salloum RG,Young-Wolff KC

    更新日期:2016-11-01 00:00:00

  • Family violence and associated help-seeking behavior among older African American women.

    abstract:OBJECTIVE:Little is known about how older African American women define family violence (FV) and what FV survivors might expect from their healthcare providers. The purpose of this study was to understand how these women define FV, where they seek help for FV, and what barriers they face in these efforts. METHODS:We c...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Paranjape A,Tucker A,McKenzie-Mack L,Thompson N,Kaslow N

    更新日期:2007-10-01 00:00:00

  • Implementation of patient education software in an anticoagulation clinic to decrease visit times for new patient appointments.

    abstract:OBJECTIVE:Patient education on high-risk medications such as warfarin is important, and they require quick follow-up after initiation to maximize efficacy and safety. In our Anticoagulation Clinic, two 60-minute new patient appointments are available each day, contributing to prolonged lead-time. We instituted standard...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Patino MI,Kraus P,Bishop MA

    更新日期:2019-05-01 00:00:00

  • Promoting glycemic control through diabetes self-management: evaluating a patient activation intervention.

    abstract::This study compared an activation intervention to passive education in a randomized attention-control trial of 232 patients with type 2 diabetes. The activation intervention was based on Expanding Patient Involvement in Care (EPIC) trials, and was compared to time-matched passive education viewing of ADA video-tapes. ...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Williams GC,McGregor H,Zeldman A,Freedman ZR,Deci EL,Elder D

    更新日期:2005-01-01 00:00:00

  • Decision-making in nephrology: shared decision making?

    abstract::Shared decision-making is considered an important ideal for physician-patient interaction. The ideal states that health-related values should be discussed together. It raises two questions: (a) for which decisions is the ideal of shared decision-making relevant? (b) Which aspects of treatment should be discussed? The ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Lelie A

    更新日期:2000-01-01 00:00:00

  • Validation of the electronic prescription as a method for measuring treatment adherence in hypertension.

    abstract:OBJECTIVE:To validate electronic prescriptions (e-prescriptions) as a method for measuring treatment adherence in patients with hypertension. METHODS:This prospective study initially included 120 patients treated for hypertension in primary care centers. Adherence was measured using the gold standard, the medication e...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Márquez-Contreras E,López García-Ramos L,Martell-Claros N,Gil-Guillen VF,Márquez-Rivero S,Pérez-López E,Garrido-Lopez MA,Farauste C,López-Pineda A,Casado-Martinez JJ,Orozco-Beltran D,Quesada JA,Carratalá-Munuera C

    更新日期:2018-09-01 00:00:00

  • Social support, coping and subjective well-being in patients with rheumatic diseases.

    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


    authors: Savelkoul M,Post MW,de Witte LP,van den Borne HB

    更新日期:2000-02-01 00:00:00

  • Implementation and evaluation of a therapeutic patient education programme during a clinical trial in Yaoundé, Cameroon - Trial ANRS-12286/MOBIDIP.

    abstract:OBJECTIVES:High adherence is needed to maintain antiretroviral therapy efficacy. Few attempts at therapeutic patient education (TPE) have been made in sub-Saharan Africa. We describe patients' achievements before intervention and identified needs, TPE programme implementation and evaluation, and patients' satisfaction....

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Galy A,Ciaffi L,Mberyo GM,Mbouyap P,Abessolo H,Toby R,Essomba F,Lamarre G,Bikié A,Bell O,Koulla-Shiro S,Delaporte E

    更新日期:2018-07-01 00:00:00

  • Evaluative research on palliative support teams: a literature review.

    abstract::Sixteen studies on the effectiveness of palliative support teams were analyzed. It was established that in most cases uncontrolled designs with repeated measurements were used. The assessment methods varied strongly. However, the Support Team Assessment Schedule was the most frequently used instrument. Effects reporte...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Francke AL

    更新日期:2000-08-01 00:00:00

  • Complementary therapy and cancer: decision making by patients and their physicians setting a research agenda.

    abstract::An invitational meeting, entitled Complementary and Alternative Therapy: Decision Making by Cancer Patients and Their Physicians, brought together Canadian health care providers and researchers who had expertise in patient-physician communication with those who were knowledgeable about complementary therapy and cancer...

    journal_title:Patient education and counseling



    authors: Herbert CP,Verhoef M,White M,O'Beirne M,Doll R

    更新日期:1999-10-01 00:00:00

  • Everyday couples' communication research: Overcoming methodological barriers with technology.

    abstract::Relationship behaviors contribute to compromised health or resilience. Everyday communication between intimate partners represents the vast majority of their interactions. When intimate partners take on new roles as patients and caregivers, everyday communication takes on a new and important role in managing both the ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Reblin M,Heyman RE,Ellington L,Baucom BRW,Georgiou PG,Vadaparampil ST

    更新日期:2018-03-01 00:00:00

  • Patient education in Switzerland: from diabetes to chronic diseases.

    abstract::The Division of Therapeutic Education for Chronic Diseases at the University Hospital of Geneva has been playing an important role in the field of therapeutic patient education for more than 25 years. More than 16,000 patients have been hospitalised and an excess of 75,000 h have been spent with a rather novel interdi...

    journal_title:Patient education and counseling

    pub_type: 历史文章,杂志文章


    authors: Assal JP,Golay A

    更新日期:2001-07-01 00:00:00

  • Long-waiting outpatients: target audience for health education.

    abstract::The study examines the meaning of waiting time in an outpatient department. Attention is payed to the activities of the patients and companions during the waiting time, the potential for health education programmes during the waiting time and the form such a health education programme should take. The setting was the ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Bamgboye EA,Jarallah JS

    更新日期:1994-04-01 00:00:00

  • Verbal behaviors and patterns exhibited by physicians during genetic counseling sessions.

    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


    authors: Mendez A,Shymansky JA

    更新日期:1984-01-01 00:00:00

  • A national dissemination of an evidence-based self-management program: a process evaluation study.

    abstract::While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Program, throughout a lar...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Lorig KR,Hurwicz ML,Sobel D,Hobbs M,Ritter PL

    更新日期:2005-10-01 00:00:00

  • Gender differences in information needs and preferences regarding depression among individuals with multiple sclerosis, inflammatory bowel disease and rheumatoid arthritis.

    abstract:OBJECTIVE:We assessed the information needs of persons with any of three immune-mediated inflammatory diseases (multiple sclerosis [MS], inflammatory bowel disease [IBD] and rheumatoid arthritis [RA]) regarding depression, as a first step toward developing patient-relevant information resources, ultimately to facilitat...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Marrie RA,Walker JR,Graff LA,Patten SB,Bolton JM,Marriott JJ,Fisk JD,Hitchon C,Peschken C,Bernstein CN,CIHR Team in Defining the Burden and Managing the Effects of Immune-mediated Inflammatory Disease.

    更新日期:2019-09-01 00:00:00

  • Patient age: a neglected factor when considering disease management in adults with type 2 diabetes.

    abstract:OBJECTIVE:The average age at diagnosis for type 2 diabetes is decreasing. However, because age is most often controlled for in clinical research, little is known regarding how adult age is associated with diabetes disease-related variables. METHODS:In a community based study with type 2 diabetes patients (N=506), afte...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Hessler DM,Fisher L,Mullan JT,Glasgow RE,Masharani U

    更新日期:2011-11-01 00:00:00

  • Drug labels: are they a readable material?

    abstract:OBJECTIVE:This study aims to evaluate cardiovascular drug labels from the perspective of how readable the text materials are. METHODS:Comparison of drug labels written in accordance with the 1997 Brazilian legislation with those written in accordance with the 2003 Brazilian legislation, with journalistic text and scie...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Didonet J,Mengue SS

    更新日期:2008-10-01 00:00:00

  • Can patients tell when they are unwanted? "Turfing" in residency training.

    abstract:OBJECTIVES:When a physician believes that the troubles of caring for a patient outweigh the rewards, he or she can move--"turf", the unwanted patient from his or her own to another physician's territory. Physicians receiving such patients can feel burdened by, and resentful about, caring for those who are "turfed" to t...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Caldicott CV,Dunn KA,Frankel RM

    更新日期:2005-01-01 00:00:00

  • Involving patients and their families in deciding to use next generation sequencing: Results from a nationally representative survey of U.S. oncologists.

    abstract:OBJECTIVE:Next generation sequencing (NGS) may aid in tumor classification and treatment. Barriers to shared decision-making may influence use of NGS. We examined, from oncologists' perspectives, whether barriers to involving patients/families in decision-making were associated with NGS use. METHODS:Using data from th...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Spees LP,Roberts MC,Freedman AN,Butler EN,Klein WMP,Prabhu Das I,de Moor JS

    更新日期:2021-01-01 00:00:00

  • Finding the right balance of physical activity: a focus group study about experiences among patients with chronic fatigue syndrome.

    abstract:OBJECTIVE:To explore contexts of experiences of physical activity perceived as beneficial or harmful for CFS patients. METHODS:A qualitative study with empirical data from two focus groups with purposive sampling. Mean age was 50, two of ten participants were male, and social demographics varied. Participants were inv...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Larun L,Malterud K

    更新日期:2011-05-01 00:00:00

  • Doctor, what's wrong with me? Factors that delay the diagnosis of colorectal cancer.

    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


    authors: Siminoff LA,Rogers HL,Thomson MD,Dumenci L,Harris-Haywood S

    更新日期:2011-09-01 00:00:00

  • Clinician-patient communication measures: drilling down into assumptions, approaches, and analyses.

    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


    authors: Street RL Jr,Mazor KM

    更新日期:2017-08-01 00:00:00

  • The link between perception of clinical empathy and nonverbal behavior: The effect of a doctor's gaze and body orientation.

    abstract:OBJECTIVES:Clinical empathy is considered to be one of the most important skills for medical professionals. It is primarily conveyed by nonverbal behavior; however, little is known about the importance of different types of cues and their relation to engagement and sincerity as possible correlates of perceived clinical...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Brugel S,Postma-Nilsenová M,Tates K

    更新日期:2015-10-01 00:00:00

  • The impact of descriptive norms on motivation to participate in cancer screening - Evidence from online experiments.

    abstract:OBJECTIVE:The current study tested in two online experiments whether manipulating normative beliefs about cancer screening uptake increases intention to attend colorectal screening among previously disinclined individuals. METHODS:2461 men and women from an Internet panel (Experiment 1 N = 1032; Experiment 2, N = 1423...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: von Wagner C,Hirst Y,Waller J,Ghanouni A,McGregor LM,Kerrison RS,Verstraete W,Vlaev I,Sieverding M,Stoffel ST

    更新日期:2019-09-01 00:00:00

  • Web-based self-management support training for health professionals: a pilot study.

    abstract:OBJECTIVE:To evaluate a web-based self-management training for health professionals. Patients spend 99% of their time outside the healthcare system. Thus self-management support from health professionals is central to optimal care. Our objective was to teach health professionals the skills to provide this support. MET...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Yank V,Laurent D,Plant K,Lorig K

    更新日期:2013-01-01 00:00:00