Abstract:
OBJECTIVE:Examine the psychometric properties of the Appraisal of Caregiving Scale (ACS). METHODS:Data were collected as part of the FOCUS Program trial in Michigan (N = 484 caregivers). RESULTS:Exploratory factor analysis found the ACS measured Threat, General Stress, and Benefit appraisals. Cronbach's alphas for all subscales exceeded 0.70. Construct validity analyses indicated the Threat subscale correlated significantly with concepts of avoidant coping, burden, and dyadic support (r > 0.30). General Stress correlated significantly with burden (r = 0.348) and dyadic support (r = -0.373), and the Benefit subscale correlated significantly with active coping (r = 0.444). Known group analyses indicated that depressed caregivers had higher Threat and General Stress scores than non-depressed caregivers. Also, younger caregivers reported significantly higher scores on the General Stress subscale than older caregivers. Predictive validity analyses found appraisal scores at baseline accounted for 33.3% of the variance in hopelessness and 27.8% of the variance in depression at Time 2. CONCLUSION AND PRACTICE IMPLICATIONS:The ACS is a reliable measure of Threat, General Stress, and Benefit appraisals, with some support for its validity. Health professionals may find the ACS useful for guiding intervention development. Future research should continue to examine the ACS' validity.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Lambert SD,Yoon H,Ellis KR,Northouse Ldoi
10.1016/j.pec.2015.01.009subject
Has Abstractpub_date
2015-05-01 00:00:00pages
633-9issue
5eissn
0738-3991issn
1873-5134pii
S0738-3991(15)00015-4journal_volume
98pub_type
杂志文章abstract:OBJECTIVE:To examine patients' use of medication management strategies (e.g., reminders, pill boxes), and to determine how their use influences the relationship between patient characteristics and medication adherence. METHODS:Retrospective and cross-sectional study of 434 patients with coronary heart disease, examini...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.04.030
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:Poor adherence with prescription medications is a serious problem in health care, especially true for patients with chronic diseases. Previous strategies to promote adherence have generally not resulted in long-term improvements. This research program is designed to improve on past intervention strategies by ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.04.029
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To break new ground by directly examining how patients seek life-expectancy estimates, and how doctors support them in doing so. METHODS:Conversation analytic examination of 10 recorded UK hospice consultations involving 3 palliative specialists. RESULTS:Life-expectancy estimate episodes frequently begin af...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.03.026
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). METHODS:In three Veterans Affairs t...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.07.012
更新日期:2018-01-01 00:00:00
abstract::One way to reduce the need and demand for hospital services is via health promotion initiatives. A prenatal instructors' education module preventing the learning of violence as acceptable behaviour by children in their first year of life was developed by a health promoting hospital in partnership with its community. C...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00190-2
更新日期:2001-12-15 00:00:00
abstract:OBJECTIVE:To assess if exposure to varying "facts and myths" message formats affected participant knowledge and recall accuracy of information related to influenza vaccination. METHODS:Consenting patients (N=125) were randomized to receive one of four influenza related messages (Facts Only; Facts and Myths; Facts, Myt...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2013.06.017
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:A clinician's ability to infer patients' thoughts and feelings is a critical component of high quality care. The goal of this article is to present a new test to measure this ability in clinicians, called the Test of Accurate Perception of Patients' Affect (TAPPA). METHODS:Audiovisual clips were taken from p...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.004
更新日期:2014-02-01 00:00:00
abstract::Providing accurate information, in both verbal and written formats, is seen as an important component of patient care. For individuals diagnosed with cancer, acquiring information may be a particularly pertinent issue in terms of coping with the disease. Numerous information booklets are available for people with canc...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(96)00988-3
更新日期:1997-06-01 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:To investigate the perspectives of general practitioners (GPs) on the practice of soliciting additional concerns (ACs) and the acceptability and utility of two brief interventions (prompts) designed to aid the solicitation. METHODS:Eighteen GPs participating in a feasibility randomised controlled trial were ...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2015.12.005
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Our aim was to develop a measurement which enables research into the interdependent nature of clinical encounters. The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.07.009
更新日期:2010-02-01 00:00:00
abstract::In this article, we report the long-term outcomes of an intervention for informal caregivers who are the main provider of stroke survivors' emotional and physical support. Based on the stress-coping theory of Lazarus and Folkman two intervention designs were developed: a group support program and individual home visit...
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(01)00230-0
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVE:To document cases of adverse or near adverse events in communication skills training (CST) and to identify risk factors and strategies to reduce the likelihood of their occurrence. METHODS:Six physician CST cases meeting criteria for an adverse or near adverse collected from experienced facilitators are anal...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.12.009
更新日期:2010-10-01 00:00:00
abstract::Between 1987 and 1989, 177 cancer patients who were to receive intensive chemotherapy with curative intention, participated in a comprehensive care project with the aim of improving their total situation, and that of their relatives (n = 120). A number of steps were taken to improve, among other things, the informatio...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章
doi:10.1016/0738-3991(94)00655-6
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:To critically appraise and discuss evidence from interventions designed to increase men's knowledge about cancer risk reduction. METHODS:A systematic review was conducted. Six electronic databases were searched for interventions published between January 1st 2006 and May 30th 2016 in English. Studies were in...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.03.002
更新日期:2018-08-01 00:00:00
abstract::In 2015, at the International Conference on Communication in Healthcare in New Orleans, USA, we formed a symposium panel to discuss and debate how interdisciplinary research can inform interpreter-mediated medical consultation training. In all our work, a recurring theme is not just the strengths but also the shortcom...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.04.021
更新日期:2017-09-01 00:00:00
abstract::Within the field of oncology, the communication of an unfavourable diagnosis is regarded as a stressful event that affects all members of the oncology team, as well as the patient. In this exploratory study we found that the communication problems between doctors, patients and nursing staff were related to insufficien...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(96)00908-1
更新日期:1996-11-01 00:00:00
abstract::In this article, we examine the topic of patient participation in health care and report on how we have drawn on the concept of patient expertise to produce a new kind of information booklet for chronic arthritis patients. The booklet is patient-generated and contains the illness narratives of patients with three kind...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.05.004
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:Burnout among nurses is an issue of concern, and preventive interventions are important to implement and evaluate. This study investigated levels and predictors of change in burnout dimensions after an intervention for help-seeking nurses. METHODS:Nurses participating in a self-referral, counseling intervent...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.07.008
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVES:Internet-based information has potential to impact physician-patient relationships. This study examined medical students' interpretation and response to such information presented during an objective clinical examination. METHOD:Ninety-three medical students who had received training for a patient centered ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.12.014
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:Poor prognosis is difficult to impart, particularly across a cultural divide. This study compared prognostic communication with immigrants (with and without interpreters) versus native-born patients in audio-taped oncology consultations. METHODS:Ten oncologists, 78 patients (31 Australian-born, 47 immigrants...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.03.006
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:This study examined the impact of motivational interviewing (MI) counseling time on self-efficacy to practice safer sex for people living with HIV/AIDS (PLWHA). METHODS:In 4 month intervals we followed a cohort of 490 PLWHA for 12 months. We conducted hierarchical linear regression models to examine changes ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.07.021
更新日期:2012-04-01 00:00:00
abstract::This prospective study evaluated the effect of an individualized, comprehensive, home-based cardiac rehabilitation program combining exercise training with risk factor modification and psychosocial counseling on risk factors, psychological well-being, functional capacity, and work resumption in 99 post-percutaneous co...
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(00)00164-6
更新日期:2001-06-01 00:00:00
abstract::Asthma information pamphlets, brochures and other media materials are produced by a range of organisations for a diverse range of educational purposes. It is important to understand the principles of preparing appropriate and intelligible written material, to increase the probability that they will be more likely to i...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(97)00096-7
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:Within the framework of a randomized, active treatment controlled trial, we used a mediation analysis to understand the mechanisms by which an intervention that uses confrontation with spirometry for smoking cessation achieves its effects. METHODS:Participants were 228 smokers from the general population wit...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2008.11.017
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:To assess whether the practice and rehearsal of communication skills is likely to lead to better outcomes following training, and whether the use of simulated patients in training is likely to be superior to role-play in terms of communication skill acquisition. METHODS:The databases Medline, Amed, Cinahl, B...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2007.02.011
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVES:To examine how medical students notice issues in a vignette and construct their meaning, and how this construction influences their plan to communicate with the patient. METHODS:Following a breaking bad news course for 112 senior medical students, we qualitatively analyzed the participants' written descript...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.04.004
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:1) to assess patients' descriptions of concerns, and 2) to inform a conceptual framework in which the impact of the nature of concerns on doctor-patient communication is specified. METHODS:Six focus groups were conducted with 39 cancer patients and survivors. In these focus groups participants were asked to ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.02.002
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:To enhance partner notification (PN) practices in Dutch STI clinics, a PN training using motivational interviewing as core strategy was offered to STI professionals and evaluated. METHODS:The effectiveness of PN training on professionals' attitude, self-efficacy, skills and behavior toward PN, was examined u...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.08.025
更新日期:2013-12-01 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