Abstract：
OBJECTIVE:Provider communication that supports patient autonomy has been associated with numerous positive patient outcomes. However, to date, no research has examined the relationship between perceived provider communication style and patient-assessed decision quality in breast cancer. METHODS:Using a population-based sample of women with localized breast cancer, we assessed patient perceptions of autonomy-supportive communication from their surgeons and medical oncologists, as well as patient-reported decision quality. We used multivariable linear regression to examine the association between autonomy-supportive communication and subjective decision quality for surgery and chemotherapy decisions, controlling for sociodemographic and clinical factors, as well as patient-reported communication preference (non-directive or directive). RESULTS:Among the 1690 women included in the overall sample, patient-reported decision quality scores were positively associated with higher levels of perceived autonomy-supportive communication from surgeons (β=0.30; p<0.001) and medical oncologists (β=0.26; p<0.001). Patient communication style preference moderated the association between physician communication style received and perceived decision quality. CONCLUSION:Autonomy-supportive communication by physicians was associated with higher subjective decision quality among women with localized breast cancer. These results support future efforts to design interventions that enhance autonomy-supportive communication. PRACTICE IMPLICATIONS:Autonomy-supportive communication by cancer doctors can improve patients' perceived decision quality.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Martinez KA,Resnicow K,Williams GC,Silva M,Abrahamse P,Shumway DA,Wallner LP,Katz SJ,Hawley STdoi
10.1016/j.pec.2016.06.025subject
Has Abstractpub_date
2016-12-01 00:00:00pages
1947-1954issue
12eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30290-7journal_volume
99pub_type
杂志文章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：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:To develop, implement and evaluate a workshop to help adolescents develop independent and active relationships with their physicians. METHODS:A needs-assessment survey informed the development of a workshop delivered by medical student volunteers and incorporated into the career and personal planning curricu...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.07.007
更新日期：2006-08-01 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:To explore patient observations of teamwork-related behaviors such as inter-team communication through a newly designed survey. METHODS:In this cross-sectional study, 101 patients (N=86) and caregivers (N=15) recruited from the emergency department (ED) of an urban, academic medical center (>85,000 visits/ye...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.06.002
更新日期：2014-09-01 00:00:00
abstract：:Health professionals play an important role in meeting the information and support needs of individuals following a diagnosis of cancer. The aim of this study was to evaluate the acceptability and impact of a hospital-based cancer support nurse (CSN) service. A total of 98 patients completed a structured telephone int...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(01)00174-4
更新日期：2002-05-01 00:00:00
abstract：OBJECTIVE:The present study aimed to contribute to the design of effective health education information. Based on cognitive-psychological theory, pictures were expected to improve understanding of two existing textual instructions for using asthma devices (inhaler chamber and peak flow meter). From an analysis of the a...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2005.12.003
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:The current study tested in two online experiments whether manipulating normative beliefs about cancer screening uptake increases intention to attend colorectal screening among previously disinclined individuals. METHODS:2461 men and women from an Internet panel (Experiment 1 N = 1032; Experiment 2, N = 1423...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.04.001
更新日期：2019-09-01 00:00:00
abstract：:There are several instruments to assess how patients evaluate their medical treatment choice. These are used to evaluate decision aids. Our objective is to investigate which psychological factors play a role when patients evaluate their medical treatment choices. A pool of 36 items was constructed, covering concepts s...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.07.010
更新日期：2005-06-01 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：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：:The perception of the diagnosis of infertility and the openness of patients about infertility was investigated among 108 infertile couples. Husbands and wives answered a structured questionnaire. The perception of diagnosis was in 38% of the cases different from the medical diagnosis. Patients perceived the diagnosis ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(95)00852-7
更新日期：1996-08-01 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：OBJECTIVE:To meet the need for an interactive product on exercise during pregnancy and postpartum, we developed and evaluated a personally tailored multimedia CD-ROM. METHODS:Pregnant and postpartum women, who were randomly assigned to either the experimental group (PregXercise CD-ROM) or the control group (CD-ROM wit...
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.2007.10.017
更新日期：2008-02-01 00:00:00
abstract：UNLABELLED:Few studies have investigated the views of health professionals with respect to their use of chronic disease self-management (CDSM) in the workplace. OBJECTIVE:This qualitative study, conducted in an Australian health care setting, examined health professional's formal self-management (SM) training and thei...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.036
更新日期：2010-04-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.10.001
更新日期：2017-04-01 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
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journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2008.01.019
更新日期：2008-07-01 00:00:00
abstract：:Patients with diabetes are ultimately responsible for their disease management, but many patients with diabetes do not have the necessary knowledge or skill. Recently developed National Standards for diabetes care include patient education. A nonprobability, convenience sample of 50 patients and 50 staff nurses was se...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90074-u
更新日期：1990-12-01 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 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
doi：10.1016/j.pec.2014.03.004
更新日期：2014-06-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.05.001
更新日期：2019-10-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2012.02.017
更新日期：2012-12-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.02.004
更新日期：2010-11-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 历史文章,杂志文章
doi：10.1016/s0738-3991(01)00105-7
更新日期：2001-07-01 00:00:00
abstract：:The health care system in Canada is gradually shifting towards greater emphasis on patient involvement, health promotion and management of chronic illness. Nurses can play a key role in shaping these changes. This article provides an overview of several facets of the nurse's role in patient education: national policy ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90045-m
更新日期：1990-08-01 00:00:00
abstract：OBJECTIVE:To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients' perspectives regarding their experiences with smoking cessation and relapse. METHODS:In-depth interviews were conducted with 20 lung and head and neck cancer patients and 11 health care providers....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.09.024
更新日期：2009-12-01 00:00:00
abstract：:Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evid...
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/j.pec.2004.05.011
更新日期：2005-05-01 00:00:00
abstract：OBJECTIVES:To evaluate if the contents of pain management websites include the current best practice self-management support strategies for people with persistent pain, are cultural tailored and to determine the website quality. METHODS:Websites were searched from three major search engines (Google, Bing, and Yahoo). ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2019.04.009
更新日期：2019-09-01 00:00:00
abstract：:The objective of the study was to validate the model of empathic opportunity (EO) and potential empathic opportunity (PEO) using the Roter Interaction Analysis System (RIAS) in a sample of cancer patients. Thirty-nine audio taped consultations at an outpatient oncology clinic performed by four oncologists were previou...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2003.09.006
更新日期：2004-09-01 00:00:00
