Abstract:
OBJECTIVE:Selective estrogen receptor modulators (SERMs) reduce breast cancer risk by 38%. However, uptake is low and the reasons are not well understood. This study applied protection motivation theory (PMT) to determine factors associated with intention to take SERMs. METHODS:Women at increased risk of breast cancer (N=107), recruited from two familial cancer clinics in Australia, completed a questionnaire containing measures of PMT constructs. Hierarchical multiple linear regression analysis was used to analyze the data. RESULTS:Forty-five percent of women said they would be likely or very likely to take SERMs in the future. PMT components accounted for 40% of variance in intention to take SERMs. Perceived vulnerability, severity and response efficacy appeared the most influential in women's decisions to take or not take SERMs. CONCLUSION:Many women are interested in SERMs as a risk management option. Accurate risk estimation and an understanding of the benefits of SERMs are critical to women's decision making. PRACTICE IMPLICATIONS:Health professionals need to explore women's perceptions of their risk and its consequences, as well as providing clear evidence-based information about the efficacy of SERMs. Exploring the source and strength of beliefs about SERMs may allow more effective, tailored counseling.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Ralph AF,Ager B,Bell ML,Collins IM,Andrews L,Tucker K,Phillips KA,Butow Pdoi
10.1016/j.pec.2014.04.011subject
Has Abstractpub_date
2014-07-01 00:00:00pages
106-12issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(14)00149-9journal_volume
96pub_type
杂志文章abstract::We must humbly acknowledge that the healthcare system is less and less about empathy despite interacting with patients is a prerequisite for care: shared decision making is the cornerstone for compliance to treatment and therefore its -effectiveness. Empathy is not about tricks, it is about "client-centred therapy" a ...
journal_title:Patient education and counseling
pub_type: 评论,信件
doi:10.1016/j.pec.2020.03.024
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:To investigate the applied and conceptual relationship between two measures of shared decision making using the OPTION instrument developed in Wales and the Informed Decision Making instrument developed in Seattle, USA using audio-taped consultation data from a UK general practice population. METHODS:Twelve ...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2007.09.001
更新日期:2008-01-01 00:00:00
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
更新日期:2018-10-01 00:00:00
abstract::Seeking to end violence and distress in their relationship is the goal of women abused by intimate partners. The theoretical framework guiding development of the domestic violence survivor assessment (DVSA) was Landenburger's theory of entrapment and recovery. Social context and need to balance care for others and her...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00216-6
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:Social support networks have been identified as one factor that can help people resolve their problem drinking. A relatively new phenomenon is online support groups, such as the one provided on the Alcohol Help Center (AHC; http://www.alcoholhelpcenter.net). Preliminary use of the AHC support group will be su...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.10.003
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:Self-disclosure is recognized as an important aspect of peer support, but little is known about its use by peers. This study aimed to qualitatively understand peer self-disclosure in the context of depression care delivery to older adults. METHODS:69 audio-recordings of peer-client meetings were coded for se...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.02.006
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and information satisfaction in a one-year follow-up. METHODS:Within a cluster RCT, 18 Dutch hospitals were randomized to DA counseling or care-as-usual, patients (n = 382) init...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2018.10.006
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To determine self-referrals' motives to visit the accident & emergency departments (AED) and to compare their characteristics to patients contacting the GP cooperative. METHODS:Postal questionnaires were send to AED self-referrals and logistic regression analysis was used to contrast self-referrals to patien...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.10.012
更新日期:2008-02-01 00:00:00
abstract::The study objective was to evaluate the effect of a patient information video during the informed consent process of a perinatal trial. Ninety women, between 19 and 33 weeks gestation, were randomised to receive written information about this perinatal trial and watch an information video or to receive written informa...
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/s0738-3991(96)00968-8
更新日期:1997-03-01 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:To determine the association between the format of physicians' opening questions that solicit patients' presenting concerns and patients' post-visit evaluations of (i.e., satisfaction with) the affective-relational dimension of physicians' communication. METHODS:Videotape and questionnaire data were collecte...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.11.009
更新日期:2006-03-01 00:00:00
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
更新日期:2004-10-01 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: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
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:We assess the efficacy and utility of automatically generated textual summaries of patients' medical histories at the point of care. METHOD:Twenty-one clinicians were presented with information about two cancer patients and asked to answer key questions. For each clinician, the information on one of the pati...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.04.019
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:To develop, pilot test and psychometrically validate a shorter version of the coronary artery disease education questionnaire (CADE-Q), called CADE-Q SV. METHODS:Based on previous versions of the CADE-Q, cardiac rehabilitation (CR) experts developed 20 items divided into 5 knowledge domains to comprise the f...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.11.002
更新日期:2016-03-01 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:The purpose of this study was to gain a greater understanding of the potential mechanisms of life coaching in relation to young people with Type 1 diabetes (T1DM); including how it influences their motivation and their ability to see opportunities and overcome barriers. METHODS:Within the theoretical framewo...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.10.010
更新日期:2020-03-01 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:The objective of this study was to investigate factors related to family functioning and adaptation in caregivers of individuals with Rett syndrome (RS). METHODS:A cross-sectional quantitative survey explored the relationships between demographics, parental self-efficacy, coping methods, family functioning a...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.06.018
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:Next generation sequencing (NGS) may aid in tumor classification and treatment. Barriers to shared decision-making may influence use of NGS. We examined, from oncologists' perspectives, whether barriers to involving patients/families in decision-making were associated with NGS use. METHODS:Using data from th...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.03.001
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:To explore the association between different types of knowledge related to donation and transplantation and the expression of donation intentions via one's driver's license, a donor card, or sharing one's wishes with family. METHODS:Cross-sectional data were gathered via self-administered questionnaire from ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.09.017
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:This study explored patient recall of clinician presentation of information about prescription medication, looking specifically for communication patterns and differences by patient individual characteristics and by medication availability type. METHODS:A cross sectional survey collected information about 21...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.002
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To examine when and why women disbelieve tailored information about their risk of developing breast cancer. METHODS:690 women participated in an online program to learn about medications that can reduce the risk of breast cancer. The program presented tailored information about each woman's personal breast c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.03.016
更新日期:2013-08-01 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:to systematically review all available studies that investigated the longitudinal relationships between the psychological characteristics of children and adolescents suffering from asthma and those of their caregivers, and the onset and course of the asthma. METHODS:relevant studies were identified using Med...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2010.03.011
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Patient activation can be measured using the Patient Activation Measure (PAM) developed by Hibbard et al., however, little is known about the uses of the PAM in research and in practice. This study aims to explore its differing utility in four UK exemplar sites. METHODS:Data from four exemplars in a range of...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.05.006
更新日期:2016-10-01 00:00:00
abstract::This study aimed to identify factors which predict participation of drug users in HIV-1 antibody testing. The study was part of a randomized controlled trial of three small group AIDS educational programs, in a 21-day in-patient drug detoxification and rehabilitation program. Subjects (n = 497) were clients admitted t...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0738-3991(94)90070-1
更新日期:1994-12-01 00:00:00
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
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:This study aimed to investigate how healthcare personnel self-evaluate their ability to relate to patients in day-to-day practice from a patient-centered perspective, and to test the psychometric properties of a questionnaire developed to assess it. METHODS:A sample of 600 healthcare personnel, recruited amo...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.01.015
更新日期:2016-06-01 00:00:00