Abstract：
OBJECTIVE:Probabilities of benefits and harms of treatment may help patients when making a treatment decision. This study aimed to examine (1) whether and how radiation oncologists convey probabilities to rectal cancer patients, and (2) patients' estimates of probabilities of major outcomes of rectal cancer treatment. METHODS:First consultations of oncologists and patients eligible for preoperative radiotherapy (PRT) (N=90) were audio taped. Tapes were transcribed verbatim and coded to identify probabilistic information presented. Patients (N=56) filled in a post-consultation questionnaire on their estimates of probabilities. RESULTS:Probabilities were mentioned in 99% (local recurrence), 75% (incontinence), 72% and 40% (sexual dysfunction in males and females, respectively) of cases. Most patients (89%) correctly estimated that PRT decreases the probability of local recurrence, and 10% and 38%/54% that it increases the probability of incontinence and sexual dysfunction in males/females, respectively. Patients tended to underestimate the probabilities of harms of treatment. CONCLUSION:Our results show that oncologists almost always mention probabilities of benefit of PRT. In contrast, probabilities of harms often go unmentioned. The effect of PRT on adverse events is often underestimated. PRACTICE IMPLICATIONS:Oncologists should stay alert to patients' possible misunderstanding of probabilistic information and should check patients' perceptions of probabilities.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Kunneman M,Stiggelbout AM,Marijnen CA,Pieterse AHdoi
10.1016/j.pec.2015.05.009subject
Has Abstractpub_date
2015-09-01 00:00:00pages
1092-8issue
9eissn
0738-3991issn
1873-5134pii
S0738-3991(15)00230-Xjournal_volume
98pub_type
杂志文章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:To develop an observational coding instrument for evaluating the fidelity and quality of brief behavioral change interventions based on the behavioral theories of the 5 A's, Stages of Change and Motivational Interviewing. METHODS:Content and face validity were assessed prior to an intervention where psychome...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.04.012
更新日期：2011-04-01 00:00:00
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 ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.05.014
更新日期：2016-11-01 00:00:00
abstract：:We conducted a 4-year randomized study in a community health center that serves primarily low income Blacks in Durham, North Carolina. Patients (1318 at baseline) were assigned randomly to one of three study groups: provider prompting intervention alone, provider prompting and tailored print materials or the previous ...
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(98)00122-0
更新日期：1999-06-01 00:00:00
abstract：OBJECTIVE:Results of third year medical students' attitudes and stress levels towards the acquisition of communication skills before and after a Communication and Clinical Skills Course (CCSC) at the Faculty of Medicine of the University of Porto (FMUP), Portugal, are presented. METHODS:115 students attending third-ye...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.07.005
更新日期：2011-12-01 00:00:00
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
更新日期：2020-10-07 00:00:00
abstract：OBJECTIVE:To assess the feasibility and outcome of measuring the theory of planned behaviour (TPB) in patients receiving routine counselling versus counselling with a decision aid (DA) during primary care consultation on cardiovascular risk prevention. METHODS:A DA was developed, based on models of shared decision-mak...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2009.06.010
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:The patient empowerment paradigm has been promoted as a critical component of diabetes care. The present study explores how patients in an urban, public-sector clinic perceive patient empowerment as it applies to their treatment, interactions with clinicians, and self-care behaviors. METHODS:Semi-structured ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.09.010
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:This study examines (a) providers' and interpreters' perception of their competition in controlling the content and process of provider-patient interactions, and (b) the challenges to providers' and interpreters' collaboration in bilingual health care. METHODS:I recruited 26 professional medical interpreters...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.02.017
更新日期：2010-02-01 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:First degree relatives (FDRs) of someone with colorectal cancer (CRC) are at increased risk of the disease. In this study we examine the factors associated with discussing family history of CRC with a health professional. METHODS:People with CRC, recruited through the population-based Victorian Cancer Regist...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.11.014
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVE:Patient-centered care emphasizes the need to form a therapeutic and trusting relationship between patients and providers in which patients feel comfortable disclosing health-relevant and personal information. It is still unknown how many patients disclose their sexual orientation to providers, under what circ...
journal_title：Patient education and counseling
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.pec.2018.05.001
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVE:To review the theory and research evidence suggesting that tailored interactive multimedia computer programs (IMCPs) aimed at optimizing patient health behaviors could lessen socio-demographic health disparities. METHODS:Selective critical review of research regarding IMCPs tailored to psychological mediator...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.11.012
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:This study examines the preferences of patients with metastatic cancer regarding notification of imaging results, as well as distress surrounding the process. METHODS:On imaging day, preferences for notification, expectations of results, health literacy, and social support were measured. After receiving resu...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.08.032
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:This study aimed to describe disparities and temporal trends in the level of perceived patient-provider communication quality (PPPCQ) in the United States, and to identify sociodemographic and health-related factors associated with elements of PPPCQ. METHODS:A cross-sectional analysis was conducted using nat...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.12.007
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVES:(i) To develop a prototype measure of co-production of health (CPH) in consultations for people with long-term conditions (LTCs); and (ii) to undertake initial validation of it, using a measure of patient-centred care, as defined by the Roter interaction analysis system (RIAS). METHODS:Mixed methods were ap...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.07.005
更新日期：2015-07-08 00:00:00
abstract：:The Self-Care Behavior (SCB) Inventory was developed as part of a long-term study of self-care practices of persons who have multiple sclerosis (MS) in Denmark. The universe of behaviors regarding the physical, social, emotional, environmental, and spiritual aspects of coping with the illness was ascertained by inform...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(85)90036-9
更新日期：1985-09-01 00:00:00
abstract：OBJECTIVE:Huntington's disease (HD) is an inherited disorder, characterized by a progressive degeneration of the brain. Due to the nature of the symptoms, the genetic element of the disease, and the fact that there is no cure, HD patients and those in their support network often experience considerable stress and anxie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.06.002
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To explore outcomes and measures of success that matter most to 'positive outlier' children who improved their body mass index (BMI) despite living in obesogenic neighborhoods. METHODS:We collected residential address and longitudinal height/weight data from electronic health records of 22,657 children ages ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.06.007
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:Healthcare providers satisfy an important role in providing appropriate care in the prevention and management of acute and chronic pain, highlighting the importance of providers' abilities to accurately assess patients' pain. We systematically reviewed the literature on healthcare providers' pain assessment a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.07.009
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVE:The use of the diabetes online community (DOC) is growing across all age groups. The aim of this exploratory study was to describe why older adults participated in the DOC, and how DOC users interacted with their healthcare providers. METHODS:Telephone interviews (N=20) were conducted with older adult DOC us...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.08.023
更新日期：2018-03-01 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：OBJECTIVES:To investigate nursing staff attitudes towards involvement and role in end-of-life decisions (ELDs) and the relationships with sociodemographic and work-related characteristics. METHODS:Survey study among nationally representative Dutch research sample consisting of care professionals. Nursing staff working...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2013.09.018
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To assess the impact of a 3-month follow-up of a 6-month quasi-experimental study conducted to evaluate a web-based, tailored-feedback intervention promoting four key components of the Mediterranean diet. METHODS:Fifty-three (intervention) and nineteen (control) healthy females, 25-55 years, employed at two ...
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.2008.05.030
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVE:To evaluate a web-based self-management training for health professionals. Patients spend 99% of their time outside the healthcare system. Thus self-management support from health professionals is central to optimal care. Our objective was to teach health professionals the skills to provide this support. MET...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.09.003
更新日期：2013-01-01 00:00:00
abstract：AIM:The value of patient-centredness, of which effective physician-patient communication is one key element, has been established within medicine. However, research shows social differences in medical communication according to the patient's social background. This study examines the role of the patient's ethnicity, ed...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.11.006
更新日期：2019-04-01 00:00:00
abstract：:Shared decision-making is considered an important ideal for physician-patient interaction. The ideal states that health-related values should be discussed together. It raises two questions: (a) for which decisions is the ideal of shared decision-making relevant? (b) Which aspects of treatment should be discussed? The ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00093-2
更新日期：2000-01-01 00:00:00
abstract：:Research in interaction and interviewing behaviors usually has focused on the verbal behaviors exhibited by the interactants. These behaviors have been looked upon and analyzed in isolation, that is, as a single event. There is little or no information on physician-patient interactions that analyzes verbal behaviors a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(84)90052-1
更新日期：1984-01-01 00:00:00
abstract：OBJECTIVE:This systematic review aims to examine the roles of family members (FMs) in treatment decision-making for adult patients without cognitive or psychiatric disorders affecting their ability to participate in decision-making. METHODOLOGY:A comprehensive, systematic search of the Cochrane Library, PsycINFO, PubM...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.08.003
更新日期：2017-12-01 00:00:00
abstract：:General practitioners' (GPs') anti-smoking advice promotes patients' smoking cessation but little is known about how GPs use their short consultations to give advice. We used semi-structured interviews with 27 UK GPs to investigate how GPs believe they should advise smokers to stop and the reasons underpinning these b...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(03)00020-x
更新日期：2004-02-01 00:00:00
