Explaining the causal links between illness management and symptom reduction: Development of an evidence-based patient education strategy.


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 information) of illness management. A knowledge test (applied vs. factual items) was administered immediately and 1-week following the presentation of health booklets. Reading comprehension, working memory and health literacy were assessed as covariate variables. RESULTS:Younger adults outperformed older individuals on the applied and factual items at both time points. After controlling for covariates, causal information facilitated the comprehension and application of health information for younger but not older adults. Reading comprehension was the best predictor of test performance in the older sample. CONCLUSIONS:Providing an explanation of why illness management is effective for reducing symptomatology can help improve knowledge and application of health information for younger individuals. For older adults, lowering the verbal demands of patient education materials may be a better way to help them learn new health information. PRACTICE IMPLICATIONS:Use of causal information as a teaching strategy in patient education may enhance individuals' ability to learn about and implement self-care strategies.


Patient Educ Couns


Zhang KM,Swartzman LC,Petrella RJ,Gill DP,Minda JP




Has Abstract


2017-06-01 00:00:00














  • The influence of a question prompt list on patient-oncologist information exchange in an African-American population.

    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


    authors: Barton E,Moore TF,Hamel L,Penner L,Albrecht T,Eggly S

    更新日期:2020-03-01 00:00:00

  • Predictors of fecal occult blood screening among older socioeconomically disadvantaged Americans: a replication study.

    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


    authors: Weinrich SP,Weinrich MC,Atwood J,Boyd M,Greene F

    更新日期:1998-06-01 00:00:00

  • How well do GPs fulfill their educator role in consultations for depression and anxiety?

    abstract:OBJECTIVE:To assess general practitioners' (GPs) provision of patient education with respect to patients with depression or anxiety. METHODS:The study relied on the prospective self-recording of patient consultations by GPs. The participating GPs (n = 78) completed 385 registration forms. For each performance indicato...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Smolders M,Laurant M,Roberge P,Akkermans R,Wensing M,Grol R

    更新日期:2008-11-01 00:00:00

  • Evaluating the benefits of a patient information video during the informed consent process.

    abstract::The study objective was to evaluate the effect of a patient information video during the informed consent process of a perinatal trial. Ninety women, between 19 and 33 weeks gestation, were randomised to receive written information about this perinatal trial and watch an information video or to receive written informa...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Weston J,Hannah M,Downes J

    更新日期:1997-03-01 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

  • Empathy in high-tech and high-touch medicine.

    abstract:OBJECTIVE:Surgeons and psychiatrists have been described as two contrary groups, the one healing by hands and the other by words. Empathy is needed in every physician-patient relationship. We tested whether (1) surgeons and psychiatrists show different levels of cognitive and emotional empathy; (2) measurements of cogn...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Dehning S,Reiß E,Krause D,Gasperi S,Meyer S,Dargel S,Müller N,Siebeck M

    更新日期:2014-05-01 00:00:00

  • Physician communication to patients regarding medications.

    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


    authors: Scherwitz L,Hennrikus D,Yusim S,Lester J,Vallbona C

    更新日期:1985-06-01 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

  • The importance of physician listening from the patients' perspective: enhancing diagnosis, healing, and the doctor-patient relationship.

    abstract:OBJECTIVE:The research findings reported here describe the importance and various functions of physician listening according to patients. METHODS:Fifty-eight patients of the McGill University Health Centre were interviewed using a qualitative, interpretive design approach. RESULTS:Patients explained why listening was...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Jagosh J,Donald Boudreau J,Steinert Y,Macdonald ME,Ingram L

    更新日期:2011-12-01 00:00:00

  • Measuring self-care in patients with heart failure: A review of the psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS).

    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


    authors: Sedlar N,Socan G,Farkas J,Mårtensson J,Strömberg A,Jaarsma T,Lainscak M

    更新日期:2017-07-01 00:00:00

  • A qualitative study of stress and coping responses in doctors breaking bad news.

    abstract:OBJECTIVE:Breaking bad news (BBN) is a significant source of stress for doctors. In this study we qualitatively explored doctors' perceptions of their BBN experiences, to identify the range of appraisal and coping processes associated with this task. METHODS:Individual semi-structured interviews were conducted with 28...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Shaw JM,Brown RF,Dunn SM

    更新日期:2013-05-01 00:00:00

  • Recognizing decision needs: first step for collaborative deliberation in dementia care networks.

    abstract:OBJECTIVE:This study describes the process elements of decision-making for dementia, in order to enrich a model to facilitate shared decision-making for professionals working with people with dementia and their informal caregivers. METHODS:We performed a qualitative study based on secondary analysis of 117 interviews ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Groen van de Ven L,Smits C,Elwyn G,Span M,Jukema J,Eefsting J,Vernooij-Dassen M

    更新日期:2017-07-01 00:00:00

  • Education in patient-physician communication: how to improve effectiveness?

    abstract:OBJECTIVE:Despite educational efforts expertise in communication as required by the CanMEDS competency framework is not achieved by medical students and residents. Several factors complicate the learning of professional communication. METHODS:We adapted the reflective-impulsive model of social behaviour to explain the...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Wouda JC,van de Wiel HB

    更新日期:2013-01-01 00:00:00

  • Exploring message framing to engage parents in early screening for autism spectrum disorder.

    abstract:OBJECTIVE:With the average age of diagnosis of autism hovering between 4 and 5 years of age, many children do not receive critical early intervention. Health information messages may be useful for increasing parents' understanding of the importance of early autism screening. METHODS:Messages promoting autism screening...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Delehanty A,Lee J,Hooker JL,Cortese J,Woods J

    更新日期:2020-06-27 00:00:00

  • The practice of prescribing: discovering differences in what we tell patients about prescription medications.

    abstract:OBJECTIVE:This study explored patient recall of clinician presentation of information about prescription medication, looking specifically for communication patterns and differences by patient individual characteristics and by medication availability type. METHODS:A cross sectional survey collected information about 21...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Ledford CJ,Childress MA,Ledford CC,Mundy HD

    更新日期:2014-02-01 00:00:00

  • Physicians' opening questions and patients' satisfaction.

    abstract:OBJECTIVE:To determine the association between the format of physicians' opening questions that solicit patients' presenting concerns and patients' post-visit evaluations of (i.e., satisfaction with) the affective-relational dimension of physicians' communication. METHODS:Videotape and questionnaire data were collecte...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Robinson JD,Heritage J

    更新日期:2006-03-01 00:00:00

  • The prepared family caregiver: a problem-solving approach to family caregiver education.

    abstract::Early hospital discharges, greater reliance on outpatient care, and the growing prevalence of chronic diseases has increased the demands on family members who care for patients at home. Family caregivers need information and training to insure that patients' needs are met and that home care is coordinated with that of...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Houts PS,Nezu AM,Nezu CM,Bucher JA

    更新日期:1996-01-01 00:00:00

  • Evaluating pharmacists' ability to counsel on tobacco cessation using two standardized patient scenarios.

    abstract:OBJECTIVES:To evaluate the impact that role-playing two pre/post standardized patient scenarios within a tobacco cessation training program had on pharmacists' counseling skills. Second, to analyze the validity of the observation coding tool used to evaluate pharmacist's role-play performance. METHODS:Pharmacists perf...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Martin BA,Chewning BA

    更新日期:2011-06-01 00:00:00

  • Best-practices for the design and development of prescription medication information: A systematic review.

    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


    authors: Mullen RJ,Duhig J,Russell A,Scarazzini L,Lievano F,Wolf MS

    更新日期:2018-08-01 00:00:00

  • Psychological adjustment to familial genetic risk assessment: differences in two longitudinal samples.

    abstract::Heritable cancer risk assessment is an increasingly common method of deriving valuable information relevant to deciding on appropriate screening regimens and preventive treatments. Assessments of heritable risk typically include familial-genetic evaluation, where analyses relate family pedigree to cancer risk, and DNA...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Ritvo P,Robinson G,Irvine J,Brown L,Matthew A,Murphy KJ,Stewart DS,Styra R,Wang C,Mullen M,Cole D,Rosen B

    更新日期:2000-05-01 00:00:00

  • Improving self-care among older patients with type II diabetes: the "Sixty Something..." Study.

    abstract::A 10-session, self-management training program was designed specifically for persons over 60 years of age having Type II diabetes. It targeted social learning variables, especially problem-solving skills and self-efficacy, found to be related to diabetes self-care in earlier correlational research. One hundred two adu...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Glasgow RE,Toobert DJ,Hampson SE,Brown JE,Lewinsohn PM,Donnelly J

    更新日期:1992-02-01 00:00:00

  • Factors in the doctor-patient relationship that accentuate physicians' hurt feelings when patients terminate the relationship with them.

    abstract:OBJECTIVE:The present study explores the emotional effect of the injury experienced by physician's, as a consequence of a patient's termination of their relationship. METHODS:A vignette study using different scenarios describing a patient who switched to another doctor was distributed to 119 family physicians. A three...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Hareli S,Karnieli-Miller O,Hermoni D,Eidelman S

    更新日期:2007-07-01 00:00:00

  • Self-care materials in the practice of cardiology: an explorative study among American cardiologists.

    abstract::American practitioners were surveyed about the role of self-care materials in the management of cardiology patients. Respondents indicated their patients commonly use self-care materials and seek recommendation of appropriate readings. Over half those responding had reviewed 'some' popular works, but few had been able...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Starker S

    更新日期:1994-08-01 00:00:00

  • Are primary health care providers prepared to implement an anti-smoking program in Syria?

    abstract:OBJECTIVE:To document primary health care (PHC) providers' tobacco use, and how this influences their smoking cessation practices and attitudes towards tobacco-control policies. METHODS:Anonymous questionnaires were distributed to PHC providers in 7 randomly selected PHC centers in Aleppo, Syria. RESULTS:All PHC prov...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Asfar T,Al-Ali R,Ward KD,Vander Weg MW,Maziak W

    更新日期:2011-11-01 00:00:00

  • Impact of telephone counseling on the quality of life of patients discharged after coronary artery bypass grafts.

    abstract:BACKGROUND:This study aimed to assess the impact of telephone counseling on quality of life in patients with coronary artery bypass graft. METHODS:A quasi-experimental study was conducted with 71 discharged patients after coronary artery bypass graft surgery at Ekbatan Edcuational hospital in Hamadan, Iran, in 2014. T...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验


    authors: Bikmoradi A,Masmouei B,Ghomeisi M,Roshanaei G,Masiello I

    更新日期:2017-12-01 00:00:00

  • Coping with new treatments for cancer: a feasibility study of daily diary measures.

    abstract::This article describes a study of the feasibility and value of using daily diary measures to assess coping, adjustment and symptoms in patients participating in phase I clinical trials of new anticancer drugs. Ten patients (six women, four men) with advanced metastatic cancer were studied during a four-week phase I tr...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章


    authors: Sherliker L,Steptoe A

    更新日期:2000-04-01 00:00:00

  • Predictors of adolescent smoking cessation and smoking reduction.

    abstract:OBJECTIVE:To investigate the processes of change, demographic, health- and smoking-related predictors of both smoking cessation and smoking reduction in adolescents. METHODS:Data were drawn from a sample of 755 adolescent smokers who participated in a study testing the efficacy of a text messaging-based intervention f...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Haug S,Schaub MP,Schmid H

    更新日期:2014-06-01 00:00:00

  • Can medication education improve the drug compliance of the elderly? Evaluation of an in hospital program.

    abstract::We report the evaluation of a pharmacist-led medication education program for the elderly. The program consisted of a single group-based education session followed by individual pre-discharge counseling. Patients also received an individual medication record card. The study design was a nonrandomised trial. Patients i...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章


    authors: Hawe P,Higgins G

    更新日期:1990-10-01 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

  • A tale of two studies: the importance of setting, subjects and context in two randomized, controlled trials of a web-based decision support for perimenopausal and postmenopausal health decisions.

    abstract:OBJECTIVE:Knowledge relevant to women's peri- and postmenopausal health decisions has been evolving rapidly. Web-based decision supports can be rapidly updated and have the potential to improve the quality of patients' decisions. We developed and tested a web-based decision support for peri- and postmenopausal health d...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Saver BG,Gustafson D,Taylor TR,Hawkins RP,Woods NF,Dinauer S,Casey S,MacLaren-Loranger A

    更新日期:2007-05-01 00:00:00