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 definition. This study seeks to define the concept by identifying its attributes in the context of its use. METHODS:A concept analysis of the scientific literature in the health disciplines was performed using the Rogers method. RESULTS:The analysis revealed four defining attributes of patient engagement: personalization, access, commitment and therapeutic alliance. Patient engagement is defined as the desire and capability to actively choose to participate in care in a way uniquely appropriate to the individual, in cooperation with a healthcare provider or institution, for the purposes of maximizing outcomes or improving experiences of care. CONCLUSION:Patient engagement is both process and behavior and is shaped by the relationship between the patient and provider and the environment in which healthcare delivery takes place. PRACTICE IMPLICATIONS:The definition and the identified attributes serve as a heuristic in designing patient engagement strategies and as a basis for future development of the patient engagement concept in healthcare.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Higgins T,Larson E,Schnall Rdoi
10.1016/j.pec.2016.09.002subject
Has Abstractpub_date
2017-01-01 00:00:00pages
30-36issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30409-8journal_volume
100pub_type
杂志文章,评审abstract：OBJECTIVE:To explore treatment decision-making experiences of Australian migrants with cancer from Arabic, Chinese, or Greek backgrounds and their relatives. METHODS:73 patients and 18 caregivers from cancer support groups and oncology clinics participated in either a focus group (n=14) or semi-structured interview (n...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.01.012
更新日期：2015-06-01 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:Contextual factors are known to influence the acquisition and application of communication skills in clinical settings. Little is known about residents' perceptions of these factors. This article aims to explore residents' perceptions of contextual factors affecting the acquisition and application of communic...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.01.002
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVE:With increased recognition of the importance of sound communication skills and communication skills education, reliable assessment tools are essential. This study reports on the psychometric properties of an assessment tool based on the Kalamazoo Consensus Statement Essential Elements Communication Checklist....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.013
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:This paper considers clinician/parent communication difficulties noted by parents involved in end-of-life decision-making in the light of linguistic theory. METHODS:Grice's Cooperative Principle and associated maxims, which enable effective communication, are examined in relation to communication deficiencie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.10.025
更新日期：2016-04-01 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：:Recognition that communication plays a central role in the provision of quality patient care has led to learning more about interactions between patients and their health care providers. The present study examined interactions between women with breast cancer and their cancer care specialists from the patients' perspe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(00)00147-6
更新日期：2001-04-01 00:00:00
abstract：OBJECTIVE:To test whether the coping in deliberation (CODE) framework can be adapted to a specific preference-sensitive medical decision: risk-reducing bilateral salpingo-oophorectomy (RRSO) in women at increased risk of ovarian cancer. METHODS:We performed a systematic literature search to identify issues important t...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.004
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To evaluate whether a consultation skills training (CST) program with oncologists and trainees would improve skills in detecting and responding to patient distress, thereby improving their patients' emotional functioning and reducing psychological distress. METHODS:Randomized-controlled trial with 29 medical...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2009.09.018
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:To review and synthesise definitions of the teach-back method in the literature. The second aim is to synthesise the barriers, facilitators and perceptions of teach-back use in healthcare consultations with patients. METHODS:A systematic review and thematic synthesis following Braun and Clarke's method. RES...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.07.026
更新日期：2021-01-01 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 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:This integrative literature review investigates the factors influencing patient education in Shared Medical Appointments. METHODS:Following template analysis method, we used key concepts of the Social Cognitive Theory (SCT) and Social Constructivism as a priori themes. After detailed analysis of the included...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2020.03.006
更新日期：2020-09-01 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：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
doi：10.1016/j.pec.2012.11.006
更新日期：2013-05-01 00:00:00
abstract：OBJECTIVE:Hospitalized smokers are often highly motivated to quit and receptive to assistance. There are few published accounts of hospital-based smoking cessation programmes implemented outside of a trial setting, particularly outside North America. We describe the implementation and effectiveness of a dedicated smoki...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.09.024
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:A 2006 national survey of pediatric clerkship directors revealed that only 25% taught cultural competence, but 81% expressed interest in a validated cultural competence curriculum. The authors designed and evaluated a multi-modality cultural competence curriculum for pediatric clerkships including a validated...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.029
更新日期：2010-04-01 00:00:00
abstract：OBJECTIVE:to establish which kind of physician communicative responses to patient cues and concerns are appreciated by lay people. METHODS:A balanced sample (259 people) was recruited in public places to participate in a full day observation of four videotaped standardized medical consultations. In a two-step procedur...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2011.06.010
更新日期：2013-03-01 00:00:00
abstract：:In this qualitative study stroke patients rehabilitating in nursing homes experienced an increase in their autonomy (particularly in self-determination, independence and self-care) in the last weeks before discharge. The change in autonomy was found to be related to regained abilities and self-confidence, and to patie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00113-5
更新日期：2000-10-01 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
abstract：OBJECTIVES:This study aimed to investigate patients' willingness to initiate a preventive treatment and compared two established effect measures to the newly developed Delay of Events (DoE) measure that expresses treatment effect as a gain in event-free time. METHODS:In this cross-sectional, randomized survey experime...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2016.07.028
更新日期：2016-12-01 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：OBJECTIVE:Breast cancer is the most common cancer among women worldwide, increasing the relevance of an efficient and successful care process. As length of stay (LOS) in the hospital decreases, patients' satisfaction with the LOS varies. We hypothesize that successful discharge planning can improve this evaluation. ME...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.08.012
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:This study attempts to identify a structure among patient-related factors that could predict treatment adherence in statin patients, especially with regards to the necessity-concern framework. METHODS:414 Swedish patients using statins completed a questionnaire about their health, treatment, locus of control...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.001
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:To quantify and compare the determinants of different types of medication non-adherence in cholesterol lowering and asthma maintenance medications using a theoretical approach. METHODS:Study design was online cross sectional survey. A conceptual framework was developed using Andersen's Behavioral Model and L...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.02.017
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:This study presents ongoing research aimed at understanding the suitability and impact of various decision aids (DAs) on patients with different chronic conditions in the Spanish National Health System. METHODS:A three-phase process was employed to develop and evaluate DAs for patients with hip or knee osteo...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.06.001
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To develop, pilot test and psychometrically validate a shorter version of the coronary artery disease education questionnaire (CADE-Q), called CADE-Q SV. METHODS:Based on previous versions of the CADE-Q, cardiac rehabilitation (CR) experts developed 20 items divided into 5 knowledge domains to comprise the f...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.11.002
更新日期：2016-03-01 00:00:00
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
doi：10.1016/j.pec.2010.05.027
更新日期：2011-05-01 00:00:00
abstract：:Despite believing end-of-life (EOL) discussions with patients are important, doctors often do not have them. Multiple factors contribute to this shortfall, which interventions including reimbursement changes and communication skills training have not significantly improved to date. One commonly cited but under-researc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.12.008
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVE:Our aim was to develop a measurement which enables research into the interdependent nature of clinical encounters. The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.009
更新日期：2010-02-01 00:00:00
