Abstract:
OBJECTIVE:This article discusses the physician-patient working alliance and reviews the empirical research that has been generated on the working alliance to date. METHODS:The paper presents a brief history of the study of the physician-patient relationship, and discusses constructs that have examined aspects of the relationship, such as empathy, trust, and shared decision-making. Lastly, a meta-analysis was conducted based on the seven empirical studies (a total N of 1023 patients) that have examined the physician-patient working alliance. RESULTS:Results of the meta-analysis found medium to large effect sizes between the working alliance and various behavioral care indices. The working alliance is positively associated with patient adherence, satisfaction, and improved patient outcomes. CONCLUSION:Overall, the physician-patient working alliance provides researchers and medical-care providers with a unified construct that combines cognitive and affective dimensions inherent in the relationship in medical care. Furthermore, the PPWAI provides an efficient and inexpensive way to assess the physician-patient relationship in medical treatment. PRACTICE IMPLICATIONS:The present findings warrant the development of an intervention focused on working alliance training that could be offered to healthcare providers.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Fuertes JN,Toporovsky A,Reyes M,Osborne JBdoi
10.1016/j.pec.2016.10.018subject
Has Abstractpub_date
2017-04-01 00:00:00pages
610-615issue
4eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30488-8journal_volume
100pub_type
杂志文章,meta分析,评审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 identify, appraise and synthesise the results of systematic reviews of the literature (SRLs) that examines the effectiveness of interventions to increase advance directive (AD) completion rate. METHODS:Narrative review of the literature-an overview of SRLs focused on interventions to improve patients' AD ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2009.09.027
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness of a TTM-based motivational counselling approach by trained practice nurses to promote physical activity of low back pain patients in a German primary care setting. METHODS:Data were collected in a cluster-randomized controlled trial with three study arms via questionnaires a...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2007.09.018
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:The objective was to explore patients' and spouses' perception and attitudes towards participating in a patient and family advisory council. METHODS:A qualitative study with interviews conducted within a phenomenological-hermeneutical frame, inspired by Ricoeur were conducted with current and former particip...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.11.025
更新日期:2020-11-24 00:00:00
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
doi:10.1016/s0738-3991(00)00118-x
更新日期:2000-08-01 00:00:00
abstract::Surveys estimate that 3-6% of the patients seen by physicians are gay or lesbian. There are unique health risks of gays and lesbians that are important to the clinician in determining an accurate diagnosis, providing patient education, and arriving at an appropriate treatment plan. One of the most significant medical ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(02)00189-1
更新日期:2003-10-01 00:00:00
abstract::Art That Heals developed five programs at the UCLA Medical Center/Cancer Center which used arts interventions to reduce stress and facilitate coping with hospitalization. These experiences were well received by patients and nursing staff. Educational modules were developed so that others may learn from these program m...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(93)90064-4
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine the perceptions of men, practice nurses (PNs) and general practitioners (GPs) on patient decision coaching for prostate cancer screening. METHODS:Seven focus groups were conducted with 47 participants, representing three stakeholder groups - men, GPs and PNs. All fo...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.01.003
更新日期:2018-05-01 00:00:00
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
doi:10.1016/s0738-3991(99)00047-6
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To document cases of adverse or near adverse events in communication skills training (CST) and to identify risk factors and strategies to reduce the likelihood of their occurrence. METHODS:Six physician CST cases meeting criteria for an adverse or near adverse collected from experienced facilitators are anal...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.12.009
更新日期:2010-10-01 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:OBJECTIVE:This systematic review aims to examine the roles of family members (FMs) in treatment decision-making for adult patients without cognitive or psychiatric disorders affecting their ability to participate in decision-making. METHODOLOGY:A comprehensive, systematic search of the Cochrane Library, PsycINFO, PubM...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2017.08.003
更新日期:2017-12-01 00:00:00
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
pub_type:
doi:10.1016/s0738-3991(99)00055-5
更新日期:1999-10-01 00:00:00
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
doi:10.1016/j.pec.2008.07.026
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this review is to critique contemporary experimental research and to recommend future directions for research interventions on nursing aides' therapeutic communication with older adults who have cognitive impairment and/or dementia in institutional long-term care settings. METHODS:This literat...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2008.05.026
更新日期:2008-10-01 00:00:00
abstract::The information-seeking behavior of cancer outpatients has been studied with the purpose of collecting data for the development of an educational intervention: stimulating communication between cancer outpatients and their specialists. The intention to seek information, the realization of the intention and the reasons...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(93)90087-d
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVE:We examined the reach and impact of five decision aids (DAs) routinely distributed to breast cancer patients as part of a shared decision making demonstration project. METHODS:From 2005 to 2008, we surveyed patients' change in knowledge and decisional conflict (DC) before and after their review of DAs. Using...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.05.011
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:Many express concern that modern medicine fails to provide adequate psychosocial and mental health care. Our educational system has not trained the primary care providers who care for most of these patients. Our objective here is to propose a quantum change: prepare residents and students during all years of ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.09.010
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:Lower health literacy is associated with poorer health outcomes. Few interventions poised to mitigate the impact of health literacy in hypertensive patients have been published. We tested if a multi-level quality improvement intervention could differentially improve Systolic Blood Pressure (SBP) more so in pa...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.10.015
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:A clinician's ability to infer patients' thoughts and feelings is a critical component of high quality care. The goal of this article is to present a new test to measure this ability in clinicians, called the Test of Accurate Perception of Patients' Affect (TAPPA). METHODS:Audiovisual clips were taken from p...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.004
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:Patient-centered approaches to medicine suggest the need for physicians to become more aware of concerns and needs expressed in patient narratives. However, patients and physicians have different goals and discourse styles during consultations. We attempt to bridge these differences by providing patients with...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2006.03.011
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To evaluate a patient-centred self-management educational group program for patients with chronic systolic heart failure as compared to usual care education during inpatient cardiac rehabilitation. METHODS:A multicentre cluster randomized controlled trial of 475 patients was conducted. In the intervention co...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2016.02.010
更新日期:2016-07-01 00:00:00
abstract::In this article, we report the long-term outcomes of an intervention for informal caregivers who are the main provider of stroke survivors' emotional and physical support. Based on the stress-coping theory of Lazarus and Folkman two intervention designs were developed: a group support program and individual home visit...
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(01)00230-0
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:It is important for health professionals to have behavior change skills to empower people to manage long-term-conditions. Theoretically derived, competency-based training can be particularly effective where it considers reflective and automatic routes to behavior change. The aim of this study was to develop,...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.04.013
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS:Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and caesarean...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.04.008
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:Appropriate palliative care communication is pivotal to optimizing the quality of life in dying patients and their families. This review aims at describing communication patterns in palliative care and discussing potential relations between communication patterns and upcoming telecare in the practice of palli...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.07.002
更新日期:2013-12-01 00:00:00
abstract::Many factors contribute to patients' self-management success. In the main these are attitudes, beliefs or perceptions of the patients rather than demographic characteristics. Patients do need not only to acquire knowledge and self-management abilities, but also the desire to apply them on a life-long basis. They requi...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/0738-3991(95)00748-o
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to improve patient education in clinic by evaluating patient perceptions of education provided, as well as patient self-confidence related to topics within cystic fibrosis (CF). The study assessed whether self-confidence matched knowledge and defined patient-specific goals for ed...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.06.004
更新日期:2018-10-01 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::Patient autonomy is a guiding principle in medical decision-making in America. This is challenging when patients become mentally incapacitated and cannot express their preferences. Advance care planning (ACP) addresses this challenge. ACP is a deliberative and communicative process that helps people formulate and comm...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/0738-3991(95)00739-m
更新日期:1995-09-01 00:00:00