Effect of format on comprehension of adherence data in chronic disease: A cross-sectional study in HIV.

Abstract:

OBJECTIVE:To determine which formats communicate medication adherence effectively to patients. METHODS:HIV-infected adults on antiretrovirals viewed examples of refill data in 5 formats: (1) percentage of doses, (2) number of days late to refill ("days late"), (3) calendar of days with/without medications, (4) pie chart of days with/without medications, and (5) letter grade. Five scenarios (>95%, 90-95%, <90%, <80% and <70% adherence) were presented in each format. Participants rated scenarios on adherence improvement needed. "Good understanding" was ≥ 4 of 5 scenarios correct. We calculated odds ratios for "good understanding" using logistic regression with percentage as the referent format. RESULTS:124 participants were median age 48.5 years, 65% Black, 71% male. Understanding of all formats differed by education (all interaction p values<0.02). For ≤ 12 years education, odds ratios (OR) of understanding (95% CI) compared to percentage were: days late 3.3 (2.3-4.7), calendar 3.1 (2.2-4.3) pie chart 2.0 (1.4-2.7), and letter grade 1.8 (1.3-2.5). For >12 years education, ORs were: days late 1.3 (0.9-2.0), calendar 2.4 (1.5-3.8), pie chart 2.9 (1.8-4.6), and letter grade 1.7 (1.1-2.6). Calendar plot was most preferred. CONCLUSIONS:Adherence percentage was the least understood format regardless of education. PRACTICE IMPLICATIONS:Calendars should be used to convey adherence information.

journal_name

Patient Educ Couns

authors

Lyons A,Bilker WB,Hines J,Gross R

doi

10.1016/j.pec.2015.08.002

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

154-9

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(15)30040-9

journal_volume

99

pub_type

杂志文章
  • Fertility patients demonstrate an unmet need for the provision of psychological information: A cross sectional study.

    abstract:OBJECTIVES:To examine the provision of information by health care providers (HCPs) to fertility patients about accessing psychological resources. METHODS:This study utilized data from a cross-sectional survey of 659 male and female patients seeking fertility treatment at clinics in Toronto and Montreal. Regression ana...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2018.06.013

    authors: Dawadi S,Takefman J,Zelkowitz P

    更新日期:2018-10-01 00:00:00

  • Perceptions of cardiovascular risk among patients with hypertension or diabetes.

    abstract::We aimed to examine risk perceptions among patients at moderate to high cardiovascular risk. A questionnaire about perceived absolute risk of myocardial infarction and stroke was sent to 2424 patients with hypertension or diabetes. Response rate was 86.3% and 1557 patients without atherosclerotic disease were included...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(02)00248-3

    authors: Frijling BD,Lobo CM,Keus IM,Jenks KM,Akkermans RP,Hulscher ME,Prins A,van der Wouden JC,Grol RP

    更新日期:2004-01-01 00:00:00

  • What is symptom meaning? A framework analysis of communication in palliative care consultations.

    abstract:OBJECTIVE:There is a limited understanding of symptom meaning and its significance to clinical practice within symptom experience literature. This study aims to qualitatively explore the ways in which symptom meanings are discussed by patients and responded to by palliative care physicians during consultations. METHOD...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.05.006

    authors: Estacio CF,Butow PN,Lovell MR,Dong ST,Clayton JM

    更新日期:2017-11-01 00:00:00

  • Adapting the coping in deliberation (CODE) framework: a multi-method approach in the context of familial ovarian cancer risk management.

    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

    authors: Witt J,Elwyn G,Wood F,Rogers MT,Menon U,Brain K

    更新日期:2014-11-01 00:00:00

  • The importance of physician listening from the patients' perspective: enhancing diagnosis, healing, and the doctor-patient relationship.

    abstract:OBJECTIVE:The research findings reported here describe the importance and various functions of physician listening according to patients. METHODS:Fifty-eight patients of the McGill University Health Centre were interviewed using a qualitative, interpretive design approach. RESULTS:Patients explained why listening was...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2011.01.028

    authors: Jagosh J,Donald Boudreau J,Steinert Y,Macdonald ME,Ingram L

    更新日期:2011-12-01 00:00:00

  • The attitude of young adults with chronic disease or handicaps towards enforced treatment and euthanasia.

    abstract::One hundred fifty-nine young adults in the 17-18 year old age group suffering from chronic disease or handicap participated in this study which examined their attitudes towards enforced treatment and euthanasia in terminal patients. The comparison group included 120 healthy high school pupils of the same age group. A ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(98)00125-6

    authors: Brook U

    更新日期:1999-09-01 00:00:00

  • Patient education in Europe: united differences.

    abstract::This issue of Patient Education and Counseling presents the state of the art of patient education in several European countries. It is based on papers presented at a meeting in Paris on the evolution and development of patient education in western, central and eastern Europe (May 1999). Also patient education in the U...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(01)00111-2

    authors: Visser A,Deccache A,Bensing J

    更新日期:2001-07-01 00:00:00

  • Pictures and text in instructions for medical devices: effects on recall and actual performance.

    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

    authors: Kools M,van de Wiel MW,Ruiter RA,Kok G

    更新日期:2006-12-01 00:00:00

  • Empathy in high-tech and high-touch medicine.

    abstract:OBJECTIVE:Surgeons and psychiatrists have been described as two contrary groups, the one healing by hands and the other by words. Empathy is needed in every physician-patient relationship. We tested whether (1) surgeons and psychiatrists show different levels of cognitive and emotional empathy; (2) measurements of cogn...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2014.01.013

    authors: Dehning S,Reiß E,Krause D,Gasperi S,Meyer S,Dargel S,Müller N,Siebeck M

    更新日期:2014-05-01 00:00:00

  • Applying the Verona coding definitions of emotional sequences (VR-CoDES) to code medical students' written responses to written case scenarios: Some methodological and practical considerations.

    abstract:OBJECTIVE:To investigate whether the Verona Coding Definitions of Emotional Sequences to code health providers' responses (VR-CoDES-P) can be used for assessment of medical students' responses to patients' cues and concerns provided in written case vignettes. METHODS:Student responses in direct speech to patient cues ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2016.08.026

    authors: Ortwein H,Benz A,Carl P,Huwendiek S,Pander T,Kiessling C

    更新日期:2017-02-01 00:00:00

  • Predictors and moderators of outcome in different brief interventions for smoking cessation in general medical practice.

    abstract:OBJECTIVE:To explore demographic-, health-, and smoking-related predictors and moderators of outcome in smokers who participated in two different brief smoking cessation interventions. METHODS:Data were acquired using a quasi-randomized controlled trial that tested the efficacy of computer-generated tailored letters a...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pec.2009.07.005

    authors: Haug S,Meyer C,Ulbricht S,Schorr G,Rüge J,Rumpf HJ,John U

    更新日期:2010-01-01 00:00:00

  • The prenatal triad: The importance of provider-patient communication with expectant fathers throughout the prenatal care process.

    abstract::Previous research has primarily focused on the relationship between providers and expectant mothers as a key element of quality prenatal care. Significantly less attention has been directed toward expectant fathers and the importance of their communication with prenatal care providers and involvement in the prenatal c...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2020.11.005

    authors: Varga S,Mackert M,Mandell DJ

    更新日期:2020-11-06 00:00:00

  • Public education about normal forgetfulness and dementia: importance and effects.

    abstract::In the Netherlands considerable attention has been given to dementia, but hardly any is paid to normal forgetfulness. Two information meetings about the differences between normal forgetfulness and dementia were organized in order to meet current information needs. Evaluation of those meetings gave more insight into t...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(94)90004-3

    authors: Commissaris CJ,Verhey FR Jr,Ponds RW,Jolles J,Kok GJ

    更新日期:1994-10-01 00:00:00

  • Long-waiting outpatients: target audience for health education.

    abstract::The study examines the meaning of waiting time in an outpatient department. Attention is payed to the activities of the patients and companions during the waiting time, the potential for health education programmes during the waiting time and the form such a health education programme should take. The setting was the ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(05)80021-7

    authors: Bamgboye EA,Jarallah JS

    更新日期:1994-04-01 00:00:00

  • A qualitative exploration of favorite patients in primary care.

    abstract:OBJECTIVE:To ascertain whether physicians have favorite patients, their experiences with such patients, and how such relationships may influence patients and physicians. METHODS:Semi-structured key informant interviews with 25 primary care internists practicing in several clinic settings at a large academic medical ce...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2016.06.023

    authors: Lee JL,Beach MC,Berger ZD,Pfoh ER,Gallo J,Dy SM,Wu AW

    更新日期:2016-11-01 00:00:00

  • A tale of two studies: the importance of setting, subjects and context in two randomized, controlled trials of a web-based decision support for perimenopausal and postmenopausal health decisions.

    abstract:OBJECTIVE:Knowledge relevant to women's peri- and postmenopausal health decisions has been evolving rapidly. Web-based decision supports can be rapidly updated and have the potential to improve the quality of patients' decisions. We developed and tested a web-based decision support for peri- and postmenopausal health d...

    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.2006.12.004

    authors: Saver BG,Gustafson D,Taylor TR,Hawkins RP,Woods NF,Dinauer S,Casey S,MacLaren-Loranger A

    更新日期:2007-05-01 00:00:00

  • A systematic review of the current interventions available to support children living with parental cancer.

    abstract:OBJECTIVE:Children living with parental cancer are vulnerable to distress and developmental disruption. This review aims to identify current interventions to support cancer patients' children and summarise how effective these are based on children's reports. METHODS:Between 25 May 2015 and 6 August 2018, a broad searc...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2019.05.001

    authors: Alexander E,O'Connor M,Rees C,Halkett G

    更新日期:2019-10-01 00:00:00

  • Does physician communication style impact patient report of decision quality for breast cancer treatment?

    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-base...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2016.06.025

    authors: Martinez KA,Resnicow K,Williams GC,Silva M,Abrahamse P,Shumway DA,Wallner LP,Katz SJ,Hawley ST

    更新日期:2016-12-01 00:00:00

  • A qualitative study of physicians' perceptions of three decision aids.

    abstract::The study objective was to investigate physicians' perceptions of three patient decision aids (DA). Semi-structured telephone interviews were conducted with 20 family physicians and 12 gynecologists about a DA for women considering long-term hormone replacement therapy; with 16 respirologists about a DA for the use of...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/s0738-3991(03)00050-8

    authors: Graham ID,Logan J,O'Connor A,Weeks KE,Aaron S,Cranney A,Dales R,Elmslie T,Hebert P,Jolly E,Laupacis A,Mitchell S,Tugwell P

    更新日期:2003-07-01 00:00:00

  • Impact of patient level factors on the improvement of the ABCs of diabetes.

    abstract:OBJECTIVE:To determine which patient factors contribute to improvements in the ABCs of diabetes following a multi-faceted diabetes care intervention. METHODS:A multi-level, cluster design, randomized controlled trial examined the effectiveness of a Chronic Care Model (CCM) intervention in an underserved community (n=1...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pec.2010.04.005

    authors: Piatt GA,Songer TJ,Brooks MM,Anderson RM,Simmons D,Orchard TJ,Siminerio LM,Korytkowski MT,Zgibor JC

    更新日期:2011-02-01 00:00:00

  • Patient education for children with interstitial lung diseases and their caregivers: A pilot study.

    abstract:OBJECTIVE:Patient education in children with rare chronic diseases like children's interstitial lung disease (chILD) remains a challenge. AIMS:To develop and evaluate a component-based educational program for individual counselling and to improve patients' and caregivers' self-efficacy and treatment satisfaction. Furt...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.pec.2019.01.016

    authors: Niemitz M,Schrader M,Carlens J,Hengst M,Eismann C,Goldbeck L,Griese M,Schwerk N

    更新日期:2019-06-01 00:00:00

  • The influence of limited English proficiency on outcome in patients treated with radiotherapy for head and neck cancer.

    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

    authors: Qureshi MM,Romesser PB,Jalisi S,Zaner KS,Cooley TP,Grillone G,Kachnic LA,Truong MT

    更新日期:2014-11-01 00:00:00

  • Evaluation of a diabetes specialty centre: structure, process and outcome.

    abstract::The purpose of this study was to evaluate the effectiveness of a diabetes specialty centre in assisting clients with noninsulin-dependent diabetes mellitus to improve their metabolic control and quality of life. A single-subject repeated measures design was used where data was collected on entry to the program, immedi...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/0738-3991(94)00677-e

    authors: Basa RP,McLeod B

    更新日期:1995-02-01 00:00:00

  • Factors associated with professional healthcare advice seeking in women at risk for developing breast cancer-related lymphedema.

    abstract:OBJECTIVES:Approximately 6-20% of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.10.010

    authors: Sherman KA,Kilby CJ,Elder E,Ridner SH

    更新日期:2018-03-01 00:00:00

  • Evaluation of an evidence-based education package for men with prostate cancer on hormonal manipulation therapy.

    abstract::Prostate cancer has become a public health problem worldwide with considerable social and economic consequences. Many men have extraprostatic spread at diagnosis, and treatment usually involves hormonal manipulation therapy, which can challenge the stereotypical male image. It is often assumed that merely the provisio...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.pec.2003.07.005

    authors: Templeton H,Coates V

    更新日期:2004-10-01 00:00:00

  • Evaluation of risk communication in a mammography patient decision aid.

    abstract:OBJECTIVES:We characterized patients' comprehension, memory, and impressions of risk communication messages in a patient decision aid (PtDA), Mammopad, and clarified perceived importance of numeric risk information in medical decision making. METHODS:Participants were 75 women in their forties with average risk factor...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2016.02.013

    authors: Klein KA,Watson L,Ash JS,Eden KB

    更新日期:2016-07-01 00:00:00

  • An evaluation of the Decisional Conflict Scale for measuring the quality of end-of-life decision making.

    abstract:OBJECTIVE:Researchers and clinicians acknowledge the complexity of planning for future medical treatment desired in the event of incapacitation. Unfortunately, many attempts to evaluate the quality of such difficult planning have been stymied by the lack of measures that can be shown to have validity. This study examin...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2005.05.003

    authors: Song MK,Sereika SM

    更新日期:2006-06-01 00:00:00

  • Exploring approaches to identify, incorporate and report patient preferences in clinical guidelines: Qualitative interviews with guideline developers.

    abstract:BACKGROUND:Clinical guidelines informed by patient preferences are more likely to be used and widely advocated, yet research shows that few guidelines reflect patient preferences. OBJECTIVE:Explore how developers generate guidelines informed by patient preferences. PATIENT INVOLVEMENT:Seventeen patients were involved...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2020.10.001

    authors: Kim C,Berta WB,Gagliardi AR

    更新日期:2020-10-07 00:00:00

  • Information needs about palliative care and euthanasia: A survey of patients in different phases of their cancer trajectory.

    abstract:OBJECTIVE:We assessed information provision and information needs about illness course, treatments, palliative care and euthanasia in cancer patients. METHODS:Cancer patients consulting a university hospital (N=620) filled out a questionnaire. Their cancer related data were collected through the treating oncologist. T...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2017.06.034

    authors: Beernaert K,Haverbeke C,Van Belle S,Deliens L,Cohen J

    更新日期:2018-01-01 00:00:00

  • Take the HEAT: A pilot study on improving communication with angry families.

    abstract:OBJECTIVE:Our objective was to evaluate the utility of an educational program consisting of a workshop based on the Take the HEAT communication strategy, designed specifically for addressing patients who are angry, using a novel tool to evaluate residents' skills in employing this method. METHODS:33 first-year pediatr...

    journal_title:Patient education and counseling

    pub_type: 杂志文章

    doi:10.1016/j.pec.2016.12.012

    authors: Delacruz N,Reed S,Splinter A,Brown A,Flowers S,Verbeck N,Turpening D,Mahan JD

    更新日期:2017-06-01 00:00:00