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 of lung cancer screening discussions pre- and post-USPSTF guidelines. METHODS:Data were obtained from two cycles of the Health Information National Trends Survey (2012; 2014). The analyzed sample comprised screening-eligible current and former smokers with no personal history of lung cancer (n=746 in 2012; n=795 in 2014). Descriptive and multiple logistic regression analyses were conducted; patient-reported discussion about lung cancer screening with provider was the outcome of interest. RESULTS:Contrary to expectations, patient-provider discussions about lung cancer screening were more prevalent pre-guideline, but overall patient-provider discussions were low in both years (17% in 2012; 10% in 2014). Current smokers were more likely to have had a discussion than former smokers. Significant predictors of patient-provider discussions included family history of cancer and having healthcare coverage. CONCLUSIONS:The prevalence of patient-provider discussions about lung cancer screening is suboptimal. PRACTICE IMPLICATIONS:There is a critical need for patient and provider education about shared decision-making and its importance in cancer screening decisions.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Carter-Harris L,Tan AS,Salloum RG,Young-Wolff KCdoi
10.1016/j.pec.2016.05.014subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1772-1777issue
11eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30212-9journal_volume
99pub_type
杂志文章abstract:OBJECTIVE:Patient involvement focused the growth of Shared Decision Making (SDM) in contemporary healthcare practice, research, and education. Whilst important, securing appropriate patient involvement or equipping patients to choose is not necessarily the principal purpose of SDM. The purpose of SDM like all medical d...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.07.020
更新日期:2019-10-01 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
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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
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更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To review the literature relating to the use of simulated patient methods to enhance communication skills of pharmacists. METHODOLOGY:We searched Embase, Lilacs, Medline, Scielo, and Scopus databases between 1980 and 2008, using "communication skills", "patient counseling" and "pharmacist" as keywords. This ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2009.07.012
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:To explore the effectiveness of a patient education programme for chronic disease self-management in terms of whether (a) patients are taught to perform the medical procedure and (b) nurses have evidence of patients' proficiency when they start self-management. METHODS:Patients were followed through an educa...
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:to evaluate the impact of a communication skills course for nurses on how to handle difficult communication situations in their daily work. METHODS:a 7-h course was developed using a construct of "Awareness, Feelings, Listen, Solve" (AFLS). A pedagogy of experiential, learner-centered learning was adopted. T...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2010.02.013
更新日期:2011-01-01 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
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.06.033
更新日期:2012-10-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/0738-3991(95)00727-h
更新日期:1995-09-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.08.013
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The main aim of this study was to establish the contents of the lay illness models on depression, cancer, hypertension, schizophrenia and influenza in healthy and ill people suffering from these diseases who have/have not coexisted with people with these health alterations. METHODS:Dimensions of lay illness ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.03.016
更新日期:2007-07-01 00:00:00
abstract::An interactive model, which takes into account both situation and individual, is likely to be most useful in understanding the occurrence of stress in professional life. Reversal theory, when applied in the way detailed in the present paper, yields just such a model. It also, in the way discussed, provides a number of...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(93)90004-g
更新日期:1993-12-01 00:00:00
abstract:OBJECTIVE:To study how comprehension of cardiovascular disease (CVD) risk is influenced by: (1) infographics about qualitative risk information, with/without risk numbers; (2) which qualitative risk dimension is emphasized; (3) heart age vs. traditional risk format. METHODS:For aim 1, a 2 (infographics versus text) x ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.03.015
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To direct attention to the concept of vulnerability, how it affects interactions in subtle ways and is difficult to detect in studies of clinical dialogues. METHODS:A reflection on three everyday examples of what seems like insignificant details in physician-patient interaction, enlightened by readings with ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.07.025
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to examine the extent to which functional, interactive and critical health literacy are associated with patients' perceived control over care and frequency of GP visits. METHODS:Data from the Dutch 'National Panel of People with Chronic Illness or Disability' was used (N=2508). Healt...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.04.006
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:Perceptions of mastery and self-efficacy may be related to better outcomes in pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). This study examined (1) whether patients with COPD improved during a rehabilitation programme with respect to quality of life (QoL) and percepti...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.02.015
更新日期:2006-04-01 00:00:00
abstract::The primary aim of this study was to assess the impact of patient medication counseling by comparing the levels of patient's medication knowledge and adherence achieved by medication counseling in an outpatient clinic. Ninety patients were randomized in the ratio of 1:2 into either counseled or usual care group. Their...
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(03)00193-9
更新日期:2004-07-01 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:OBJECTIVE:We aimed at studying information needs of patients and their families, and their attitude towards the counterparts' information needs. Factors influencing psychological status of patients were investigated. METHODS:Self-designed questionnaires for information needs and attitude were delivered to participants...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.12.022
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Patient-provider communication is critical in primary care. Canada's unique health system, population distribution, and cultural context suggest there is value in addressing the topic in the Canadian context. We conducted a scoping review to synthesize recent Canadian literature to inform practice in primary ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2017.11.008
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:This study reports effects of a 'bottom-up' pedagogy using doctor-patient conversation transcripts to improve medical students' use of open questions in soliciting patient problems. METHODS:We implemented an innovative approach involving students reviewing transcripts of medical interviews, skills practice u...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.03.022
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To test whether an intervention consisting of four patient-centered consultations improves glycemic control and self-management skills in patients with poorly regulated type 2 diabetes (T2DM), compared to a control group receiving usual care. METHODS:Unblinded parallel randomized controlled trial including 9...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2019.06.014
更新日期:2019-12-01 00:00:00
abstract::Responding to concerns articulated by Canadian women living with breast cancer and their families, the federal government has provided $2.7 million over five years to establish five regional information exchange pilot projects. Women experience considerable variation in access to information reflecting different resou...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(96)00898-1
更新日期:1996-07-01 00:00:00
abstract::Information needs, satisfaction with information and information sources of women referred for surgical biopsy in mammography screening were explored. Forty-five Finnish women (23 benign and 22 malignant finding) replied to a mailed questionnaire containing fixed-choice and open-ended questions 10 weeks after biopsy. ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(99)00118-4
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To evaluate how limited English proficiency affects treatment outcome in head and neck cancer (HNC) patients treated with curative intent radiation therapy (RT). METHODS:From 2004 to 2010, 131 patients with HNC underwent RT. Patient's self-reported primary language and race/ethnicity were obtained at hospita...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.07.031
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:The primary purpose is to review diabetes workplace interventions and the degree to which they improve diabetes-related outcomes in employees diagnosed with or at risk for T2DM. METHODS:Three electronic databases and ancestry searches were used to identify peer reviewed articles published in English from 2000 ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2018.01.001
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:Dialysis patients report a low health-related quality of life (HRQOL) due to high disease burden and far-reaching consequences of dialysis treatment. This study examined several cognitive-behavioral and social factors, with a focus on negative outcome expectancies, that might be relevant for HRQOL in end-sta...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.11.019
更新日期:2020-11-25 00:00:00
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:Communication in healthcare has influenced and been influenced by the COVID-19 pandemic. In this position paper, we share observations based on the latest available evidence and experiential knowledge that have emerged during the pandemic, with a specific focus on policy and practice. METHODS:This is a posit...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.12.025
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:In Japan, the HPV vaccination rate has sharply fallen to nearly 0% due to a series of sensational media reports of adverse events. Online anti-HPV-vaccination activists often warn readers of the vaccine's dangers. We aimed to examine distribution and readability of pro-and anti-vaccination online messages wit...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.04.013
更新日期:2017-10-01 00:00:00