Abstract：
OBJECTIVE:This study reports effects of a 'bottom-up' pedagogy using doctor-patient conversation transcripts to improve medical students' use of open questions in soliciting patient problems. METHODS:We implemented an innovative approach involving students reviewing transcripts of medical interviews, skills practice using role-play and standardized patients (SPs), and reflection on these practices. We analyzed three open question categories (general, biomedical, and psychosocial) used by 27 Taiwanese medical students from two SP interviews, conducted before and after training. RESULTS:Across the full encounter, use of general and psychosocial open questions increased significantly after training (from 27 to 92 general questions and 15 to 33 psychosocial questions). The high rates of narrowly focused opening questions (52% of initial position questions, 74% of second position questions, and 85% of third position questions) prior to training were reduced to 11%, 15%, and 15% respectively after training. Students also shifted from a micro (narrow) to a macro (broad) pattern of questioning. CONCLUSION:The 'bottom-up' approach facilitated by using conversation transcripts is effective in improving communication skills. PRACTICE IMPLICATIONS:By carefully reviewing transcripts of their own performance as part of an overall communication training package, beginning medical students can become more patient-centered in soliciting patient problems.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Tsai MH,Lu FH,Frankel RMdoi
10.1016/j.pec.2013.03.022subject
Has Abstractpub_date
2013-10-01 00:00:00pages
48-55issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(13)00131-6journal_volume
93pub_type
杂志文章abstract：OBJECTIVE:This study explored the impact of breast cancer patients' experiences of physician-patient communication and participation in decision making on patient depression and quality of life three and six months after primary treatment. METHODS:Participants were 135 German breast cancer patients, recruited within a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.09.005
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:To determine the association between self-efficacy and health-related quality of life (HRQoL) in people with Chronic Obstructive Pulmonary Disease (COPD) and the moderating effect of self-efficacy type (exercise task, exercise barrier, COPD symptom, general) and HRQoL type (generic, COPD specific). METHODS:D...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2019.12.003
更新日期：2020-04-01 00:00:00
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
更新日期：1995-02-01 00:00:00
abstract：:This reflective piece tells the story of an impactful patient interaction that shaped the practice of a medical student. The essay focuses on the power of shared time and the development of meaningful relationships as a form of adjunctive therapy for patients, regardless of diagnosis or prognosis. Fostering an appreci...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.08.035
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To review the literature on the communicative behaviours primary care patients want from a "good" physician. METHODS:An electronic search used the key words doctor-patient relation AND patient desires OR patient expectations OR patient preferences (from now on referred to as expectations). The qualitative an...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2012.05.005
更新日期：2013-03-01 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:Experimental studies have found that clinician-expressed empathy improves patients' information recall in (advanced) cancer consultations. It remains unclear, however, whether these results are generalizable to clinical care and, if so, what the underlying mechanism is. We aimed to i) determine the relationsh...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.10.025
更新日期：2020-10-22 00:00:00
abstract：:Deregulation of emergency contraceptive pills (ECP) has led to pharmacy staff becoming a new provider group of ECP, together with nurse-midwives, who are already experienced in prescribing contraceptives. This postal questionnaire survey aimed to assess practices and attitudes towards ECP and the over-the-counter (OTC...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2003.08.008
更新日期：2004-10-01 00:00:00
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：OBJECTIVE:To evaluate whether a consultation skills training (CST) program with oncologists and trainees would improve skills in detecting and responding to patient distress, thereby improving their patients' emotional functioning and reducing psychological distress. METHODS:Randomized-controlled trial with 29 medical...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2009.09.018
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVES:This trial tested the effectiveness of a self-administered web-based decision aid, targeted at citizens with lower educational attainment, on informed choice about colorectal cancer screening participation as assessed by group levels of knowledge, attitudes and uptake. METHODS:The randomised controlled tria...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2019.08.029
更新日期：2020-02-01 00:00:00
abstract：UNLABELLED:Lifestyle modification programs tailored to experience, culture, psychosocial characteristics, and world-view can improve knowledge, self-care behaviors, and glucose control among Latinos with diabetes. Few data exist, however, on improving diabetes self-management among Latinos. In addition, views and pract...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2006.12.003
更新日期：2007-05-01 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:Contraceptive decision support tools (DSTs) have been suggested as a way to provide patient-centered contraceptive care, but little is known about the role they play in women's decision-making. The aim of this study is to understand patients' perceptions of the value of a contraceptive DST. METHODS:We conduc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.022
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:Adherence to self-care behaviors improves heart failure (HF) morbidity and life quality. We examined short-term impact of video education (VE) in addition to standard education (SE) on HF healthcare utilization and self-care behavior adherence. METHODS:One hundred and twelve hospitalized patients were random...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2007.08.007
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVES:This study aimed to investigate patients' willingness to initiate a preventive treatment and compared two established effect measures to the newly developed Delay of Events (DoE) measure that expresses treatment effect as a gain in event-free time. METHODS:In this cross-sectional, randomized survey experime...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2016.07.028
更新日期：2016-12-01 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:Pilot-testing of the adapted Study on Lifestyle intervention and Impaired glucose tolerance Maastricht (SLIM) and to determine its feasibility and likelihood of achieving desired impact. METHODS:Pilot intervention study (a 10-month combined lifestyle intervention) using a one group pre-test post-test design ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.05.024
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVE:Little is known about how older African American women define family violence (FV) and what FV survivors might expect from their healthcare providers. The purpose of this study was to understand how these women define FV, where they seek help for FV, and what barriers they face in these efforts. METHODS:We c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.05.019
更新日期：2007-10-01 00:00:00
abstract：:Self-report depression scales include items concerning somatic symptoms, such as fatigue, pain, and inability to work, which may be symptoms of depression in individuals who do not have a chronic disease. However, in patients with somatic diseases such as rheumatoid arthritis, these symptoms may reflect disease rather...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(93)90127-i
更新日期：1993-05-01 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 Russian Federation's recently adopted family medicine as a specialty, but with little or no training in psychosocial and behavioral issues, unlike many training programs in other countries. The purpose of this qualitative study was to explore the perceptions and experiences of Russian primary care physicians regar...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.11.006
更新日期：2005-11-01 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：: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
更新日期：2001-07-01 00:00:00
abstract：OBJECTIVE:The current study tested in two online experiments whether manipulating normative beliefs about cancer screening uptake increases intention to attend colorectal screening among previously disinclined individuals. METHODS:2461 men and women from an Internet panel (Experiment 1 N = 1032; Experiment 2, N = 1423...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.04.001
更新日期：2019-09-01 00:00:00
abstract：:This study compared an activation intervention to passive education in a randomized attention-control trial of 232 patients with type 2 diabetes. The activation intervention was based on Expanding Patient Involvement in Care (EPIC) trials, and was compared to time-matched passive education viewing of ADA video-tapes. ...
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/j.pec.2003.11.008
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVE:To develop a feasibility study of a theory-driven telephone counseling program to enhance psychosocial and physical well-being for cancer survivors after treatment. METHODS:Participants (n=66) were recruited from two Colorado hospitals with self-administered questionnaires at baseline and two weeks post-inte...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.04.002
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVES:It is important for health professionals to have behavior change skills to empower people to manage long-term-conditions. Theoretically derived, competency-based training can be particularly effective where it considers reflective and automatic routes to behavior change. The aim of this study was to develop,...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.04.013
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:To describe ethnic disparities in parental confidence managing child weight-related behaviors. METHODS:This was a cross-sectional survey of 59 parents of children with obesity between 4 and 7 years of age presenting to a tertiary care pediatric weight management clinic. Parents completed a validated measure ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.10.016
更新日期：2015-01-01 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
