Abstract:
OBJECTIVE:To explore whether negative emotions expressed by adolescent cancer survivors during follow-up consultations were associated with potential late effects (persisting disease or treatment-related health problems). METHODS:We video-recorded 66 follow-up consultations between 10 pediatricians and 66 adolescent survivors of leukemia, lymphoma or stem-cell transplantations. In transcripts of the recordings, we identified utterances coded as both 1) expressions of negative emotions (VR-CoDES), and 2) late effect-related discussions. Principles of thematic content analysis were used to investigate associations between the two. RESULTS:Of the 66 video-recorded consultations, 22 consultations contained 56 (49%) utterances coded as both emotional concerns and discussions of potential late effects. Negative emotions were most commonly associated with late effects such as fatigue ("I'm struggling with not having energy"), psychosocial distress ("When I touch this (scar) I become nauseous"), pain ("I'm wondering how long I am going to have this pain?"), and treatment-related effects on physical appearance ("Am I growing?"). CONCLUSIONS:Negative emotions expressed by adolescent cancer survivors during follow-up consultations were frequently associated with potential late effects. These late effects were not the medically most serious ones, but reflected issues affecting the adolescents' daily life. PRACTICE IMPLICATION:Eliciting and exploring patients' emotional concerns serve as means to obtain clinically relevant information regarding potential late effect and to provide emotional support.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Mellblom AV,Ruud E,Loge JH,Lie HCdoi
10.1016/j.pec.2017.06.008subject
Has Abstractpub_date
2017-11-01 00:00:00pages
2098-2101issue
11eissn
0738-3991issn
1873-5134pii
S0738-3991(17)30352-Xjournal_volume
100pub_type
杂志文章abstract:OBJECTIVE:To investigate 1) younger (< 65) and older (> 65) adults' preference for and understanding of graph formats presenting risk information, and 2) the contribution of age, health literacy, numeracy and graph literacy in understanding information. MATERIALS AND METHODS:To assess preferences, participants (n = 21...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.06.031
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:We aimed to specifically examine patients' and caregivers' perspectives about the use of the vignette technique (VT) integrating clinical scenarios, as a potential tool for facilitating advance care planning (ACP) discussions. METHODS:Secondary analysis of data from three studies that incorporated the VT, fo...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.03.021
更新日期:2016-08-01 00:00:00
abstract::Much research has explored the interaction between doctor and patient in the consultation and patient centredness has generally emerged as the preferred mode of consultation style. The present study aimed to examine and compare general practitioners' (GPs) and patients' beliefs about the importance of the different as...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00200-2
更新日期:2002-07-01 00:00:00
abstract::Patient delay is the interval between the day someone first becomes aware of an unexplained symptom and the day they seek medical consultation. This pre-diagnostic period is comprised of several stages which may involve delay on the part of the individual. This study investigated factors influencing the process of det...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(00)00104-x
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVES:To examine how medical students notice issues in a vignette and construct their meaning, and how this construction influences their plan to communicate with the patient. METHODS:Following a breaking bad news course for 112 senior medical students, we qualitatively analyzed the participants' written descript...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.04.004
更新日期:2018-09-01 00:00:00
abstract::To assess the prevalence and correlates of perceived unmet need among people with systemic lupus erythematosus (SLE) 386 people with SLE, recruited from a support association in NSW, Australia, completed a mail-back survey that included 97 items measuring perceived unmet needs across seven domains: physical, daily liv...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.03.015
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:While most existing health literacy (HL) measures focus primarily on reading comprehension, the functional, communicative and critical HL scales from Ishikawa et al. [19] aim to measure a broader HL spectrum. The objective of this study was to evaluate the validity of the Dutch translation of this instrument....
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.07.014
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:The study aim was the development of a method to further enhance the educational benefit of medical students' reflective writing. The setting is a Doctoring course at the Warren Alpert Medical School of Brown University, which includes reflective writing assignments, termed "field notes", combining students' ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.11.014
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To determine whether explaining the causal links between illness management and symptom reduction would help younger and older adults learn and apply health information. METHOD:Ninety younger and 51 older adults read about a fictitious disease with or without explanations about the cause-and-effects (causal ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.01.009
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:Question Prompt Lists (QPL) increase patient active participation in oncology interactions, but questions remain regarding how QPLs influence patient-oncologist information exchange. We examined how a QPL influenced information exchange during oncology interactions with African-American patients. METHODS:Da...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.09.020
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:Randomized controlled trials in patient education often have difficulty enrolling vulnerable populations-specifically, older, poorer, and less educated individuals. We undertook a randomized controlled trial (RCT) of an educational intervention for arthritis management, which included strategies to remove lit...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.06.017
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:To examine the effect of one standardized patient question on the length, number and type of new topics pharmacists addressed. To explore how community pharmacists counsel secret shoppers on two types of over-the-counter (OTC) medications-ibuprofen (IB) and emergency contraceptives (EC). METHODS:25 pharmaci...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.07.012
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:Relatively few studies have tracked retention effects of stroke education in low- and high-risk groups. Such information is important to improve the design of stroke prevention programs. METHODS:The frequency of risk factors within the sample was defined as "high" if 30% or more of participants in that group...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.08.024
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To review the strengths and weaknesses of deliberative and intuitive processes in the context of patient decision support and to discuss implications for decision aid (DA) design. METHODS:Conceptual review of the strengths and weaknesses of intuitive and analytical decision making and applying these findings...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.11.016
更新日期:2013-05-01 00:00:00
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
doi:10.1016/j.pec.2017.03.021
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:Low patient recruitment into diabetes prevention programs is a challenge. The primary aim of this study was to demonstrate that an increased recruitment rate can be achieved by communicating personalized risk of progression to type 2 diabetes, estimating risk reduction with weight loss, and offering program c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.10.017
更新日期:2020-10-12 00:00:00
abstract:OBJECTIVE:Leading health agencies recommend physicians to provide information regarding genetic testing for autism spectrum disorders (ASD) to parents of affected children. How to effectively provide this information, however, is unclear for physicians. This qualitative study examined the information needs regarding AS...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.12.023
更新日期:2016-06-01 00:00:00
abstract::This study compared the impact of three educational messages about hypertension used at a worksite blood pressure screening program. The messages sought to change beliefs and health behaviors related to hypertension. Each participant who had either been previously diagnosed as hypertensive or had an elevated blood pre...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0738-3991(89)90007-4
更新日期:1989-08-01 00:00:00
abstract:OBJECTIVE:In an effort to examine the decreasing oral health trend of Australian dental patients, the Health Belief Model (HBM) was utilised to understand the beliefs underlying brushing and flossing self-care. The HBM states that perception of severity and susceptibility to inaction and an estimate of the barriers and...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.06.014
更新日期:2010-02-01 00:00:00
abstract::The effects of a pharmacy-based intervention on the knowledge and attitudes of asthma patients was studied with a small convenience sample in four Finnish community pharmacies. The intervention consisted of patient education, counselling and outcomes monitoring according to Therapeutic Outcomes Monitoring (TOM) concep...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/s0738-3991(00)00158-0
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVE:To describe ways family members assist adult patients with prescription medications at home, during medical visits and at the pharmacy. METHODS:Online survey of 400 adults (caregivers) who help another adult (care recipient) with prescription medication use. Regression modeled the contribution of caregiver c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.12.018
更新日期:2018-05-01 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:This article explores the effect of conflicting information, defined as contradictory information about medication topics from different sources, on medication adherence in a sample of chronically ill patients. We specifically investigate whether conflicting information and physician support directly affect m...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.11.006
更新日期:2010-11-01 00:00:00
abstract::Females, especially older women, historically have been excluded from coronary heart disease (CHD) studies. The PrimeTime program was a randomized clinical trial designed to study the effects of a comprehensive lifestyle management program (very low-fat vegetarian diet, smoking cessation, stress-management training, m...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0738-3991(98)00074-3
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVE:To describe a new tool designed to capture patients' perception of their low back pain (LBP) episodes-the patient perception scale (PPS) and test its ability to predict episode outcomes. METHODS:Thirty-two family physicians recruited 526 low back pain patients during an office visit. Physicians completed a s...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.pec.2007.03.015
更新日期:2007-07-01 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 present evidence supporting best-practices for prescription drug labeling and educational materials. METHODS:Articles were selected from three online databases (PubMed, Embase, CINAHL). Eligible manuscripts were: 1) English-language, 2) randomized, controlled trials, and 3) focused on improving prescripti...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.03.012
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To examine the information seeking behavior and health literacy of caregivers of individuals living with spinal cord injury in Switzerland and their impact on the caregiving experience. METHODS:Nationwide survey of family caregivers of people with spinal cord injury (N = 717). Caregivers aged 18+ who assiste...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.02.024
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:Test whether a single e-learning session can improve empathy and communication across pre-registration and postgraduate physiotherapy students. METHODS:Design: Two-phase sequential mixed methods study. Phase 1: Pilot randomised control trial. Phase 2: Qualitative study using interpretive phenomenological ana...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2021.01.022
更新日期:2021-01-20 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