Abstract:
OBJECTIVE:To evaluate patterns of and factors associated with a lack of pharmacotherapy as well as low adherence to treatment of hypothyroidism in pregnancy. METHODS:This multinational, cross-sectional, internet-based study recruited pregnant woman in 18 countries. Data about women's socio-demographic and medical characteristics, medication adherence (8-item Morisky Medication Adherence Scale), beliefs about medication (Beliefs about Medicine Questionnaire), and personality traits (Big Five Personality Trait questionnaire) were collected via an online questionnaire. RESULTS:229 of 5095 women had hypothyroidism during pregnancy; of these, 93% reported hypothyroidism pharmacotherapy. Adherence was low among 17% (95% CI: 12.5-22.5%) of medicated women, whilst it was moderate and high among 44% and 39%, respectively. Not using folic acid and not living in a stable relationship were associated with an increased likelihood for untreated hypothyroidism. Younger maternal age and not using folic acid in pregnancy were factors significantly associated with low adherence. Conscientiousness and the perception that the benefit of pharmacotherapy outweighed the risks were associated with higher levels of adherence. CONCLUSION:There is room for improvement of adherence to hypothyroidism treatment in pregnancy. PRACTICE IMPLICATIONS:Counselling of women with hypothyroidism in pregnancy should include a proper risk communication and information framing, to ameliorate maternal and foetal health.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Juch H,Lupattelli A,Ystrom E,Verheyen S,Nordeng Hdoi
10.1016/j.pec.2016.04.006subject
Has Abstractpub_date
2016-10-01 00:00:00pages
1699-707issue
10eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30158-6journal_volume
99pub_type
杂志文章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:To explore leadership perspectives on how to maintain high quality efficient care that is also person-centered and humanistic. METHODS:The authors interviewed and collected narrative transcripts from a convenience sample of 32 institutional healthcare leaders at seven U.S. medical schools. The institutional ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.04.025
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:This study tested the effectiveness of a brief, learner-centered, breaking bad news (BBN) communication skills training module using objective evaluation measures. METHODS:This randomized control study (N=66) compared intervention and control groups of students (n=28) and residents' (n=38) objective structur...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2016.11.008
更新日期:2017-04-01 00:00:00
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
doi:10.1016/0738-3991(85)90003-5
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations. METHODS:Subjects (N=224) were randomised to 6 months of twice weekly (1) resistance training; (2) all-round...
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.2005.10.008
更新日期:2006-10-01 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:OBJECTIVE:In the Netherlands HIV nursing consultants have participated in HIV-care since 1985; their profession has changed with developments in HIV-treatment over time. The study goal was to gather information about their role in HIV-care and to provide an useful example to other (HIV-)care settings over the world. M...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.11.016
更新日期:2010-08-01 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: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::Widespread access to the Internet has the potential to improve the health care and quality of life of people with chronic illnesses, including people living with HIV-AIDS. However, the Internet is not equally accessible to all persons. We surveyed 96 men and 51 women living with HIV-AIDS regarding their experiences us...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00134-3
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:Little is known about how older African American women define family violence (FV) and what FV survivors might expect from their healthcare providers. The purpose of this study was to understand how these women define FV, where they seek help for FV, and what barriers they face in these efforts. METHODS:We c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.05.019
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:Because quality health care delivery requires effective clinician-patient communication, successful training of health professionals requires communication skill curricula of the highest quality. Two approaches for developing medical communication curricula are a consensus approach and a theory driven approac...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.06.012
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of patients' perceptions of providers' communication on medication adherence in hypertensive African Americans. METHODS:Cross-sectional study of 439 patients with poorly controlled hypertension followed in community-based healthcare practices in the New York metropolitan area. Patients...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.09.018
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To examine the changes in performance on heart failure knowledge assessments administered before and after discharge education. METHODS:We conducted a randomized controlled trial comparing the effects of a 1-h, one-on-one teaching session with a nurse educator to the standard discharge process in patients wi...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2011.05.019
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:We assessed the information needs of persons with any of three immune-mediated inflammatory diseases (multiple sclerosis [MS], inflammatory bowel disease [IBD] and rheumatoid arthritis [RA]) regarding depression, as a first step toward developing patient-relevant information resources, ultimately to facilitat...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.04.007
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:The average age at diagnosis for type 2 diabetes is decreasing. However, because age is most often controlled for in clinical research, little is known regarding how adult age is associated with diabetes disease-related variables. METHODS:In a community based study with type 2 diabetes patients (N=506), afte...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.10.030
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:To describe (1) patients' disease-related knowledge at cardiac rehabilitation (CR) entry; (2) correlates of this knowledge; (3) whether CR completion is related to knowledge; and (4) behavioral correlates of knowledge. METHODS:For this prospective, observational study, a convenience sample of new CR patient...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.12.001
更新日期:2015-04-01 00:00:00
abstract::Using ethnoscience methods, interviews with 50 South Asian women living in Western Canada were conducted and analyzed to explore explanations and images of breast cancer. Embedded in the women's stories of breast cancer were distinctive, often vivid and fear-provoking images of abnormal growth. Explanations about the ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(98)00118-9
更新日期:1999-07-01 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::The present prospective study aimed at (1) investigating the frequency of high levels of psychological distress in women with early-stage breast cancer almost two years after diagnosis and (2) identifying characteristics associated with long-term distress. One hundred and seventy women participated on two occasions. T...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(99)00085-3
更新日期:2000-06-01 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 compare communication between navigators and women according to follow-up status in a postpartum patient navigation program ("Navigating New Motherhood" [NNM]). METHODS:This is a mixed methods secondary analysis of text message and email transcripts from NNM. Transcripts were analyzed by number of message...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.10.028
更新日期:2019-04-01 00:00:00
abstract::From the viewpoint of quality of care, doctor-patient communication has become more and more important. Gender is an important factor in communication. Besides, cultural norms and values are likely to influence doctor-patient communication as well. This study examined (1). whether or not communication patterns of gend...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(02)00178-7
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to describe older hospital patients' discharge experiences on participation in the discharge planning. METHODS:A sample of 254 patients aged 80+ was interviewed using a questionnaire developed by the research team. Data were collected by face-to-face interviewing during the firs...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2010.08.025
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:To investigate the association between the quality of the family physician-patient relationship and frequent attendance of primary and specialist health care. METHODS:Cross-sectional survey of a representative German population sample (N=2.266). Family physician-patient relationship was assessed with the Pat...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.02.009
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To explore whether negative emotions expressed by adolescent cancer survivors during follow-up consultations were associated with potential late effects (persisting disease or treatment-related health problems). METHODS:We video-recorded 66 follow-up consultations between 10 pediatricians and 66 adolescent s...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.06.008
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:Considered as a reflection of human rights in our modern day, patient rights have been gaining increasing importance. This particular subject has been discussed from various perspectives in different countries and legal sanctions imposed. "Patient Rights Directives" in Turkey came into effect in 1988. The pre...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.02.013
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:Partners have a significant role in a person's ability to adjust to a chronic physical illness, which warrants their inclusion in couples interventions. However to deliver more specific, tailored support it is necessary to explore which types of couples interventions are most effective across certain chronic ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2017.02.015
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:Attachment style and emotional intelligence (EI) have been highlighted as potential factors influencing the variation in medical students' and doctors' patient-provider communication (PPC), particularly in relation to emotive issues. The objective of this review is to systematically review and synthesise the ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.05.010
更新日期:2013-11-01 00:00:00
abstract::Determinants of compliance with a 6-month diet and exercise program were studied among 118 healthy middle-aged men with risk factors for coronary heart disease (CHD). Data were gathered via medical examinations, interviews and questionnaires. Smoking, high levels of hostility, perception of barriers to diet change and...
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(96)00917-2
更新日期:1996-12-01 00:00:00