Abstract：
OBJECTIVE:To evaluate residents' ability to engage standardized patients in informed decision making during a pregnancy loss scenario. METHODS:Forty patient encounters between interns and standardized patients were coded to assess informed decision-making practices, exploration of unexpressed concerns, and support provision. RESULTS:Interns engaged in minimum informed decision making but did not address all of the communicative elements necessary for informed decisions, and most elements were only partially addressed. Patients in this study did not receive information about all management options, their concerns were not addressed, and there was limited support communicated for their decision. CONCLUSION:This study offers an initial assessment of a communicative approach to evaluate and improve decision making during early pregnancy loss. A comprehensive approach to making informed decisions must include discussion of all management options, exploration of patient preferences and concerns, and support for the patient's decision. PRACTICE IMPLICATIONS:Physicians could benefit from communication skills training to communicate more effectively with patients to help them make more informed decisions.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Brann M,Bute JJdoi
10.1016/j.pec.2017.06.016subject
Has Abstractpub_date
2017-12-01 00:00:00pages
2269-2274issue
12eissn
0738-3991issn
1873-5134pii
S0738-3991(17)30362-2journal_volume
100pub_type
杂志文章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：OBJECTIVE:Despite numerous benefits of consuming a healthy diet and receiving regular physical activity, engagement in these behaviors is suboptimal. Since primary care visits are influential in promoting healthy behaviors, we sought to describe whether and how diet and physical activity are discussed during older adul...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.03.020
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:This study evaluated a psychosocial screening intervention that offers cancer patients counselling. The assumption underlying the intervention was that barriers are often present that hamper patients' awareness of and active request for psychosocial care. An active yet unobtrusive approach was hypothesized to...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章
doi：10.1016/j.pec.2007.09.010
更新日期：2008-01-01 00:00:00
abstract：:Patient-clinician communication that promotes patient engagement enhances health care quality. Yet, disseminating effective communication interventions to practicing clinicians remains challenging. Current methods do not have large and sustainable effects. In this paper, we argue that both top-down approaches (mandate...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.05.015
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVES:To evaluate the Flinders Program in improving self-management in common chronic conditions. To examine properties of the Partners in Health scale (PIH). METHODS:Participants were randomized to usual care or Flinders Program plus usual care. Self-management competency, quality of life, and other outcomes wer...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2015.06.003
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:This paper explores factors that influence the formulation of risk perception among men with a family history of prostate cancer who are currently attending a prostate cancer screening clinic. METHODS:Semi-structured interviews were conducted with fifteen participants. Interview transcripts were analyzed usi...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.11.020
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To explore primary care practitioners approach to and management of menstrual disorders using a sociological perspective. METHODS:Semi-structured interviews of primary care practitioners with an iterative approach to recruitment and analysis informed by grounded theory. RESULTS:Two broad approaches to patie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.12.002
更新日期：2006-01-01 00:00:00
abstract：:An analysis of 11 physicians' speech content regarding medications was conducted on 267 encounters with hypertensive patients. Scored were categories for questions, instructions, directions to take and justifications for taking medications. The median inter-auditor agreement was 83%. The results indicate that the phys...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(85)90003-5
更新日期：1985-06-01 00:00:00
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
更新日期：1985-09-01 00:00:00
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
doi：10.1016/0738-3991(84)90052-1
更新日期：1984-01-01 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：:General practitioners' (GPs') anti-smoking advice promotes patients' smoking cessation but little is known about how GPs use their short consultations to give advice. We used semi-structured interviews with 27 UK GPs to investigate how GPs believe they should advise smokers to stop and the reasons underpinning these b...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(03)00020-x
更新日期：2004-02-01 00:00:00
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
doi：10.1016/j.pec.2010.10.030
更新日期：2011-11-01 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:To evaluate developments in health status (HS) and overall quality of life (QOL), and the impact of self-efficacy on HS and QOL in relation to COPD pulmonary rehabilitation (PR). METHODS:A longitudinal study of 100 COPD patients before and up to 3 months after COPD PR. Self-efficacy was measured by the COPD ...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章
doi：10.1016/j.pec.2009.11.019
更新日期：2010-10-01 00:00:00
abstract：OBJECTIVE:Perceptions of mastery and self-efficacy may be related to better outcomes in pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). This study examined (1) whether patients with COPD improved during a rehabilitation programme with respect to quality of life (QoL) and percepti...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.02.015
更新日期：2006-04-01 00:00:00
abstract：:Information needs, satisfaction with information and information sources of women referred for surgical biopsy in mammography screening were explored. Forty-five Finnish women (23 benign and 22 malignant finding) replied to a mailed questionnaire containing fixed-choice and open-ended questions 10 weeks after biopsy. ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00118-4
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVE:A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). METHODS:In three Veterans Affairs t...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.07.012
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to review and evaluate the evidence related to psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS) that was developed and tested to measure health maintenance behaviours of heart failure (HF) patients and translated into several languages. METHO...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.02.005
更新日期：2017-07-01 00:00:00
abstract：PURPOSE:The primary purpose is to review diabetes workplace interventions and the degree to which they improve diabetes-related outcomes in employees diagnosed with or at risk for T2DM. METHODS:Three electronic databases and ancestry searches were used to identify peer reviewed articles published in English from 2000 ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2018.01.001
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVE:To investigate the applied and conceptual relationship between two measures of shared decision making using the OPTION instrument developed in Wales and the Informed Decision Making instrument developed in Seattle, USA using audio-taped consultation data from a UK general practice population. METHODS:Twelve ...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2007.09.001
更新日期：2008-01-01 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：UNLABELLED:Lifestyle modification programs tailored to experience, culture, psychosocial characteristics, and world-view can improve knowledge, self-care behaviors, and glucose control among Latinos with diabetes. Few data exist, however, on improving diabetes self-management among Latinos. In addition, views and pract...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2006.12.003
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:To explore leadership perspectives on how to maintain high quality efficient care that is also person-centered and humanistic. METHODS:The authors interviewed and collected narrative transcripts from a convenience sample of 32 institutional healthcare leaders at seven U.S. medical schools. The institutional ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.04.025
更新日期：2019-10-01 00:00:00
abstract：:Although 'patient-centred' consulting skills are increasingly seen as crucial for the delivery of effective primary care, there is significant lack of clarity over the precise definition of the term, optimal methods of measurement, and the relationship between patient-centred care and patient outcomes. The present stu...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(02)00099-x
更新日期：2002-09-01 00:00:00
abstract：OBJECTIVE:The use of the diabetes online community (DOC) is growing across all age groups. The aim of this exploratory study was to describe why older adults participated in the DOC, and how DOC users interacted with their healthcare providers. METHODS:Telephone interviews (N=20) were conducted with older adult DOC us...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.08.023
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:To describe the type of care provided by a nationally-representative sample of informal caregivers, the frequency of unmet supportive care needs, and examine characteristics associated with unmet needs. METHODS:Using data from the Health Information National Trends Survey, we identified caregivers of an adul...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.015
更新日期：2020-03-01 00:00:00
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：OBJECTIVES:This study explored healthcare professionals' accounts of patient participation, focusing particularly on aspects related to patients' contributions to the planning and design of healthcare services and products. It aimed to determine (1) how healthcare professionals experience patient participation, (2) wha...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.03.011
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:To profile and compare the content and presentation of written communications related to informed decision-making about mammography. METHODS:Materials from 16 screening programs organized at the national or regional level were analyzed according to five major information domains suggested by the internationa...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.09.012
更新日期：2006-10-01 00:00:00
