Abstract:
OBJECTIVE:To describe the characteristics of primary care attendees with depressive symptoms who use mental health websites. METHODS:789 individuals with depressive symptoms recruited and followed up annually for nine years. Self-reported written surveys included mental health, professional and self-help use, e-mental health interventions or therapeutic websites. Marginal logistic regression examined association between mental health website (MHW) use and patient's mental health, health services use, anti-depressant use and self-help strategies. RESULTS:36% of participants used an MHW at least once. MHW users were more likely to be female, younger, highly educated and employed. MHW use increased with depressive symptom severity; reported in 16% of assessments when minimal symptoms were present and 28% when severe symptoms were present. MHW use was associated with: GP mental health visits, psychologist and psychiatrist visits and other self-help strategies including self-help books and telephone helplines. CONCLUSION(S):Mental health websites were more likely to be used by those with severe depressive symptoms rather than those with mild depression as recommended in current guidelines. PRACTICE IMPLICATION(S):Whilst mental health websites offer potential to support the high volume of people with mild depression new strategies may be required to ensure uptake.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Gunn J,Cameron J,Densley K,Davidson S,Fletcher S,Palmer V,Chondros P,Dowrick C,Pirkis Jdoi
10.1016/j.pec.2017.07.008subject
Has Abstractpub_date
2018-01-01 00:00:00pages
105-112issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(17)30421-4journal_volume
101pub_type
杂志文章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
doi:10.1016/j.pec.2007.05.019
更新日期:2007-10-01 00:00:00
abstract::Since publication of Unequal Treatment by the Institute of Medicine in 2003, there has been a growing recognition of the role of provider implicit racial bias in patient care. Provider implicit racial bias has been consistently negatively associated with both care satisfaction and provider trust among racial/ethnic mi...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.04.023
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:The presentation of risks and benefits in clinical practice is common particularly in situations in which treatment recommendations involve trade-offs. The treatment of breast cancer risk with selective estrogen receptor modulators (SERMs) is such a decision. We investigated the influence of health care prov...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.06.033
更新日期:2017-12-01 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: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
更新日期:2017-09-01 00:00:00
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
doi:10.1016/j.pec.2020.03.001
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:This study sought to explore the perceived influence of narrative medicine training on clinical skill development of fourth-year medical students, focusing on competencies mandated by ACGME and the RCPSC in areas of communication, collaboration, and professionalism. METHODS:Using grounded-theory, three metho...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.01.014
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:to examine the relationship between literacy and asthma management with a focus on the oral exchange. METHODS:study participants, all of whom reported asthma, were drawn from the New England Family Study (NEFS), an examination of links between education and health. NEFS data included reading, oral (speaking...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.02.023
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To review the theory and research evidence suggesting that tailored interactive multimedia computer programs (IMCPs) aimed at optimizing patient health behaviors could lessen socio-demographic health disparities. METHODS:Selective critical review of research regarding IMCPs tailored to psychological mediator...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2010.11.012
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To assess the effect of a patient decision aid on the quality of decision-making for patients with age-related cataracts. METHODS:773 patients with cataracts aged 50-80 years were randomly assigned to receive either the intervention decision aid (including standard information, quantitative information on th...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.10.036
更新日期:2020-11-09 00:00:00
abstract:OBJECTIVE:This study explores whether an Experiential Training Programme (ETP) in communication skills (CS) improves students' ability to identify patients clues compared to those who follow a non-experiential training throughout their medical studies. METHOD:Intervention Group (IG): 85 4th-year medical students who r...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.05.018
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to gain a greater understanding of the potential mechanisms of life coaching in relation to young people with Type 1 diabetes (T1DM); including how it influences their motivation and their ability to see opportunities and overcome barriers. METHODS:Within the theoretical framewo...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.10.010
更新日期:2020-03-01 00:00:00
abstract::There are several instruments to assess how patients evaluate their medical treatment choice. These are used to evaluate decision aids. Our objective is to investigate which psychological factors play a role when patients evaluate their medical treatment choices. A pool of 36 items was constructed, covering concepts s...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.07.010
更新日期:2005-06-01 00:00:00
abstract::Despite my efforts and those of quite a few experienced colleagues we failed to diagnose our friend's wife illness and prevent her demise. But a sad and frustrating experience also stimulates reflection and dwelling on potential errors we made and hope to identify the next time. ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.07.017
更新日期:2018-11-01 00:00:00
abstract::Seeking to end violence and distress in their relationship is the goal of women abused by intimate partners. The theoretical framework guiding development of the domestic violence survivor assessment (DVSA) was Landenburger's theory of entrapment and recovery. Social context and need to balance care for others and her...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00216-6
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVES:To assess the supportive care needs and interest in related services among brain tumour patients and their carers and to compare the level of unmet needs to other cancer populations. METHODS:A cross-sectional survey was posted to 363 households who were subscribed to the Queensland Cancer Fund Brain Tumour ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.01.020
更新日期:2008-05-01 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:Although peer coaching can help patients manage chronic conditions, few studies have evaluated the effects of peer coaching on coaches, and no studies have systematically examined these effects in the context of chronic pain coaching. METHODS:Peer coach outcomes were assessed as part of a randomized trial of...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.02.007
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:To assess if exposure to varying "facts and myths" message formats affected participant knowledge and recall accuracy of information related to influenza vaccination. METHODS:Consenting patients (N=125) were randomized to receive one of four influenza related messages (Facts Only; Facts and Myths; Facts, Myt...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2013.06.017
更新日期:2013-09-01 00:00:00
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
doi:10.1016/s0738-3991(01)00105-7
更新日期:2001-07-01 00:00:00
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
doi:10.1016/j.pec.2004.10.002
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To determine which formats communicate medication adherence effectively to patients. METHODS:HIV-infected adults on antiretrovirals viewed examples of refill data in 5 formats: (1) percentage of doses, (2) number of days late to refill ("days late"), (3) calendar of days with/without medications, (4) pie cha...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.08.002
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Identify health literacy (HL) screening instruments available to CAD patients; describe the prevalence of low HL; explore the predictors of low HL; and, identify the association between HL, health behaviors, and outcomes among these patients. METHODS:A literature search of electronic databases was conducted ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.09.002
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:First-degree relatives (FDRs) of people diagnosed with colorectal cancer (CRC) have a two- to threefold increased risk of developing the same disease. Tailored print interventions based on behavior change theories have demonstrated considerable promise in facilitating health-promoting behaviors. This study co...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2008.01.013
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To explore illness perception (IP) and its predictors among Chinese patients with myocardial infarction (MI). METHODS:The revised Illness Perception Questionnaire (IPQ-R) was used in the present study. A cross-sectional, descriptive design was employed. The study was conducted in four major hospitals in Guan...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.11.010
更新日期:2011-12-01 00:00:00
abstract::The study objective was to investigate physicians' perceptions of three patient decision aids (DA). Semi-structured telephone interviews were conducted with 20 family physicians and 12 gynecologists about a DA for women considering long-term hormone replacement therapy; with 16 respirologists about a DA for the use of...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(03)00050-8
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:In the context of patients visiting cancer specialists, the objective is to test the association between both patient-centered communication (including Affective Behavior and Participation Behavior) and Instrumental Behavior and patients' post-visit satisfaction with a variety of visit phenomena. METHODS:Met...
journal_title:Patient education and counseling
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.pec.2009.09.015
更新日期:2009-12-01 00:00:00
abstract::The patient role as discussed in popular and professional literature is in a transitional period, but actual patient behaviors remain predominantly traditional. This article summarizes advice to the public concerning patient-physician communication from the past 25 years of popular periodicals and recent self-help lit...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/0738-3991(88)90042-0
更新日期:1988-04-01 00:00:00
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
更新日期:2018-06-01 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