Abstract：
OBJECTIVE:To review the strengths and weaknesses of deliberative and intuitive processes in the context of patient decision support and to discuss implications for decision aid (DA) design. METHODS:Conceptual review of the strengths and weaknesses of intuitive and analytical decision making and applying these findings to the practice of DA design. RESULTS:DAs combine several important goals: providing information, helping to clarify treatment related values, supporting preference construction processes, and facilitating more active engagement in decision making. Many DAs encourage patients to approach a decision analytically, without solid theoretical or empirical grounding for this approach. Existing research in other domains suggests that both intuition and deliberation may support decision making. We discuss implications for patient decision support and challenge researchers to determine when combining these processes leads to better outcomes. CONCLUSIONS:Intuitive and analytical decision processes may have complementary effects in achieving the desired outcomes of patient decision support. PRACTICE IMPLICATIONS:DA developers should be aware that tools solely targeted at supporting deliberation may limit DA effectiveness and harm preference construction processes. Patients may be better served by combined strategies that draw on the strengths and minimize the weaknesses of both deliberative and intuitive processes.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
de Vries M,Fagerlin A,Witteman HO,Scherer LDdoi
10.1016/j.pec.2012.11.016subject
Has Abstractpub_date
2013-05-01 00:00:00pages
154-60issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(12)00464-8journal_volume
91pub_type
杂志文章abstract：:In the Netherlands considerable attention has been given to dementia, but hardly any is paid to normal forgetfulness. Two information meetings about the differences between normal forgetfulness and dementia were organized in order to meet current information needs. Evaluation of those meetings gave more insight into t...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(94)90004-3
更新日期：1994-10-01 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:A 2006 national survey of pediatric clerkship directors revealed that only 25% taught cultural competence, but 81% expressed interest in a validated cultural competence curriculum. The authors designed and evaluated a multi-modality cultural competence curriculum for pediatric clerkships including a validated...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.029
更新日期：2010-04-01 00:00:00
abstract：:The study objective was to investigate physicians' perceptions of three patient decision aids (DA). Semi-structured telephone interviews were conducted with 20 family physicians and 12 gynecologists about a DA for women considering long-term hormone replacement therapy; with 16 respirologists about a DA for the use of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(03)00050-8
更新日期：2003-07-01 00:00:00
abstract：OBJECTIVE:Preferences of women who had completed adjuvant chemotherapy for early breast cancer were compared with those of their partners by determining the smallest benefits they judged sufficient to make adjuvant chemotherapy worthwhile. METHODS:Forty-six women and their partners were interviewed separately, 3-34 mo...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.02.021
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:Evaluate the suitability, readability, quality, and usefulness of publicly available online resources for cancer caregivers. METHODS:Resources identified through a Google search and environmental scan were evaluated using the Suitability Assessment of Materials (SAM), an online readability text analysis tool...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.05.010
更新日期：2019-10-01 00:00:00
abstract：:The substantial health-enhancing potential of physical activity can be realised on population level best if people can incorporate physical activity into their daily life routines. Physically active commuting to and from work provides a promising mode for such activity. In a series of three studies we explored more sp...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00013-5
更新日期：1998-04-01 00:00:00
abstract：OBJECTIVE:A person's health literacy, i.e., their ability to seek, understand and use health information, is a critical determinant of whether they are able to actively participate in their healthcare. The objective of this study was to conceptualise health literacy from the patient perspective. METHODS:Using comprehe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.10.001
更新日期：2010-04-01 00:00:00
abstract：OBJECTIVE:Poor communication is cited as a main cause of poor patient outcomes and errors in healthcare, and clear communication can be especially critical during transitions such as discharge. In this project, communication was standardized for clarity, and techniques were implemented to continue care from inpatient, ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.03.009
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVES:The ecological validity of video-vignettes design investigating patient-provider communication hinges on the engagement of analogue patients (APs) with the vignette. The present study aimed to compare engagement in two commonly utilized groups of APs, patients and disease-naïve individuals. Engagement was as...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.04.012
更新日期：2016-10-01 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：OBJECTIVE:This study describes the process elements of decision-making for dementia, in order to enrich a model to facilitate shared decision-making for professionals working with people with dementia and their informal caregivers. METHODS:We performed a qualitative study based on secondary analysis of 117 interviews ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.01.024
更新日期：2017-07-01 00:00:00
abstract：:Tsunami is a fictionalized, based on the true story of a mother and baby patients who attended my rural clinic for 12 months and disappeared. (All personal identifiers have been removed.) It is a story of a family physician trying to establish trust relationship with a young mother, that her past history and living co...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.06.008
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:This paper considers clinician/parent communication difficulties noted by parents involved in end-of-life decision-making in the light of linguistic theory. METHODS:Grice's Cooperative Principle and associated maxims, which enable effective communication, are examined in relation to communication deficiencie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.10.025
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:This study aimed to assess the impact of telephone counseling on quality of life in patients with coronary artery bypass graft. METHODS:A quasi-experimental study was conducted with 71 discharged patients after coronary artery bypass graft surgery at Ekbatan Edcuational hospital in Hamadan, Iran, in 2014. T...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2017.06.010
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:The objective was to explore patients' and spouses' perception and attitudes towards participating in a patient and family advisory council. METHODS:A qualitative study with interviews conducted within a phenomenological-hermeneutical frame, inspired by Ricoeur were conducted with current and former particip...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.11.025
更新日期：2020-11-24 00:00:00
abstract：OBJECTIVE:To develop, implement and evaluate a workshop to help adolescents develop independent and active relationships with their physicians. METHODS:A needs-assessment survey informed the development of a workshop delivered by medical student volunteers and incorporated into the career and personal planning curricu...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.07.007
更新日期：2006-08-01 00:00:00
abstract：OBJECTIVES:Approximately 6-20% of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.10.010
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:Communication between professionals is essential because it contributes to an optimal continuum of care. Whether patients experience adequate continuum of care is uncertain. To address this, a questionnaire was developed to elucidate this care process from a patients' perspective. In this study, the instrumen...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.04.035
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:The average age at diagnosis for type 2 diabetes is decreasing. However, because age is most often controlled for in clinical research, little is known regarding how adult age is associated with diabetes disease-related variables. METHODS:In a community based study with type 2 diabetes patients (N=506), afte...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.10.030
更新日期：2011-11-01 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：: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：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 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：OBJECTIVE:To study the influence of the presentation of results of a preventive medical examination on risk perception and willingness to seek help for work-related fatigue or being overweight. METHODS:A factorial design experiment was conducted, presenting workers (n = 82) with vignettes including eight scenarios of ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.02.011
更新日期：2018-07-01 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：OBJECTIVE:To explore leadership perspectives on how to maintain high quality efficient care that is also person-centered and humanistic. METHODS:The authors interviewed and collected narrative transcripts from a convenience sample of 32 institutional healthcare leaders at seven U.S. medical schools. The institutional ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.04.025
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To critically examine properties of clinician-patient communication measures and offer suggestions for selecting measures appropriate to the purposes of research or clinical practice assessment. METHODS:We analyzed different types of communication measures by focusing on their ontological properties. We desc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.03.021
更新日期：2017-08-01 00:00:00
abstract：:An interactive model, which takes into account both situation and individual, is likely to be most useful in understanding the occurrence of stress in professional life. Reversal theory, when applied in the way detailed in the present paper, yields just such a model. It also, in the way discussed, provides a number of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(93)90004-g
更新日期：1993-12-01 00:00:00
abstract：:Socioeconomically disadvantaged elderly are less likely to participate in fecal occult blood testing (FOBT). A quasi-experimental design was used in this operational replication study to determine predictors at baseline of subsequent participation in FOBT. Sixty-five percent of the 211 participants in the replication ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(97)00088-8
更新日期：1998-06-01 00:00:00
