Abstract：
OBJECTIVES:Massachusetts (MA) public schools conduct mandated body-mass index (BMI) screening and until recently, communicated results in a letter to parents/caregivers, to encourage primary care visits and provide aggregate data to the state Department of Public Health. This study assessed the letter's readability and qualitatively explored parents' responses to it. METHODS:Readability of the BMI letter was calculated. Audio-taped 1-h focus groups were conducted with parents/caregivers of 8- to 14-year-old obese (≥95th BMI-for-age percentile) children. A semi-structured interview guide was used to elicit responses. Qualitative content analysis was conducted on transcripts to identify emergent themes. RESULTS:Readability analysis showed higher grade levels than recommended. Eight focus groups consisting of two to six parents each were conducted (n=29); 83% were female, mean age 41±9years, and 65% self-identified as Hispanic/Latino. Key themes identified included usefulness of the BMI letter, concerns about utility of BMI for screening, concerns about impacting self-esteem, and failure to understand the letter. CONCLUSIONS:The MA BMI letter may not have been achieving its desired goal with some parents. PRACTICE IMPLICATIONS:Emergent themes from this study could be used to test effectiveness of similar BMI letters nationwide and develop strategies to improve communication to parents.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Moyer LJ,Carbone ET,Anliker JA,Goff SLdoi
10.1016/j.pec.2013.10.016subject
Has Abstractpub_date
2014-02-01 00:00:00pages
210-7issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(13)00457-6journal_volume
94pub_type
杂志文章abstract：OBJECTIVES:As communication is a central part of every interpersonal meeting within healthcare and research reveals several benefits of effective communication, we need to teach students and practitioners how to communicate with patients and with colleagues. This paper reflects on what and how to teach. METHODS:In the...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.08.011
更新日期：2015-10-01 00:00:00
abstract：:Primary care consultations about the menopause and hormone replacement therapy (HRT) involve decision making in the face of clinical uncertainty. This qualitative study used focus groups and semi-structured interviews with primary care patients to explore patients' perspectives of optimal risk communication and decisi...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2003.11.001
更新日期：2004-05-01 00:00:00
abstract：OBJECTIVE:Explore the impact of existential vulnerability for nursing home doctors' experiences with dying patients and their families. METHODS:We conducted a qualitative study based on three focus group interviews with purposive samples of 17 nursing home doctors. The interviews were audio-recorded, transcribed, and ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.07.016
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:Although peer coaching can help patients manage chronic conditions, few studies have evaluated the effects of peer coaching on coaches, and no studies have systematically examined these effects in the context of chronic pain coaching. METHODS:Peer coach outcomes were assessed as part of a randomized trial of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.02.007
更新日期：2020-07-01 00:00:00
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
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the feasibility of a web-based coaching programme for vascular risk factor treatment, to describe the patterns of use and to measure changes in risk factors. METHODS:Patients with a clinical manifestation of arterial disease and Internet access were asked to participate in the nurse-led Internet-...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章
doi：10.1016/j.pec.2008.06.004
更新日期：2008-10-01 00:00:00
abstract：:Despite intensive efforts, most smoking prevention interventions have had disappointing results. In the present paper, the assumption underlying these efforts that smoking initiation is the result of a rational decision or plan, is questioned. The process of adolescent smoking initiation is described, based on a recen...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2003.04.004
更新日期：2004-12-01 00:00:00
abstract：:Many factors contribute to patients' self-management success. In the main these are attitudes, beliefs or perceptions of the patients rather than demographic characteristics. Patients do need not only to acquire knowledge and self-management abilities, but also the desire to apply them on a life-long basis. They requi...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00748-o
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS:Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and caesarean...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.04.008
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:We don´t know how positive emotions are being expressed by patients and health care providers in consultations. The aim of this study is to identify positive emotions expressed by older people and nurse assistants to discuss the function of these in the visits. METHOD:This paper presents secondary analysis o...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.05.020
更新日期：2017-11-01 00:00:00
abstract：:While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Program, throughout a lar...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.10.002
更新日期：2005-10-01 00:00:00
abstract：:The patient role as discussed in popular and professional literature is in a transitional period, but actual patient behaviors remain predominantly traditional. This article summarizes advice to the public concerning patient-physician communication from the past 25 years of popular periodicals and recent self-help lit...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(88)90042-0
更新日期：1988-04-01 00:00:00
abstract：OBJECTIVE:Assess psychometric characteristics of an instrument to measure patient ratings of treating physicians' compassionate care in a recent hospitalization. METHODS:We used Cronbach's alpha to examine scale reliability, exploratory and confirmatory factor analysis to examine scale structure of two sets of items o...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.03.019
更新日期：2015-08-01 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 purpose of this study was to evaluate a Communication Skills Training (CST) module for health care providers (HCPs) applying a shared decision-making approach to a meeting with an older adult with cancer and his/her family. METHODS:Ninety-nine HCPs from community-based centers, cancer centers, and hospit...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.04.032
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:Using Skype and remote standardized patients (RSPs), investigators sought to evaluate user acceptance of a web-based objective structured clinical examination (OSCE) among resident physicians. METHODS:After participating in four web-based clinical encounters addressing pain with RSPs, 59 residents from diffe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.04.016
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:The purpose of this project was to gather preliminary data on preferred content for text reminders sent to low-income parents. METHODS:A brief, IRB-approved survey was administered to 200 consecutive English-speaking parents of children under 6 years old at a Pediatric Residency clinic. Because text messages...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.08.007
更新日期：2011-10-01 00:00:00
abstract：:The perception of the diagnosis of infertility and the openness of patients about infertility was investigated among 108 infertile couples. Husbands and wives answered a structured questionnaire. The perception of diagnosis was in 38% of the cases different from the medical diagnosis. Patients perceived the diagnosis ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(95)00852-7
更新日期：1996-08-01 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：BACKGROUND:In facilitating informed decision making about PSA screening, men are often asked to consider the potential consequences of the test, including a diagnosis of prostate cancer and how they would want to be treated. However, there is no empirical evidence thus far demonstrating that men are able to consider th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.02.002
更新日期：2006-04-01 00:00:00
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...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.04.011
更新日期：2014-07-01 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：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：:Information needs, satisfaction with information and information sources of women referred for surgical biopsy in mammography screening were explored. Forty-five Finnish women (23 benign and 22 malignant finding) replied to a mailed questionnaire containing fixed-choice and open-ended questions 10 weeks after biopsy. ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00118-4
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVE:This study investigates HIV positive adolescents' health literacy and whether factors associated with health literacy in HIV-positive adults are associated with health literacy among HIV-positive adolescents. METHODS:Adolescents in this study were behaviorally and perinatally HIV-infected youth (n=186) from ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.014
更新日期：2010-04-01 00:00:00
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 al...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.01.009
更新日期：2015-05-01 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 evaluate the effects of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) program on patient activation in adults living with type 2 diabetes (T2D). METHODS:233 individuals attended a DESMOND program in 26 locations across regional Western Australia. Individuals complete...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.013
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:To explore contexts of experiences of physical activity perceived as beneficial or harmful for CFS patients. METHODS:A qualitative study with empirical data from two focus groups with purposive sampling. Mean age was 50, two of ten participants were male, and social demographics varied. Participants were inv...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.05.027
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:To examine how physicians use information about a patient's background knowledge when both anticipating what a patient knows and producing actual answers in an email counseling setting. METHODS:A fictitious patient used a (high vs. low) level of technical jargon in an email inquiry about diabetes and provide...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.01.011
更新日期：2012-08-01 00:00:00
