Abstract：
OBJECTIVE:Primary care providers (PCPs) are encouraged to counsel their obese patients about weight loss. We used focus groups to explore how PCPs communicate with patients about weight management. METHODS:During the summer of 2010, we conducted five focus groups of community-based PCPs who had patients enrolled in a practice-based, randomized controlled weight loss trial in Maryland. Focus groups were audio-recorded and transcribed verbatim. Two investigators independently coded transcripts for thematic content using editing style analysis. RESULTS:Twenty-six PCPs from six different practices participated. Mean years in practice were 16.4 (SD 11.7) and 77% practiced internal medicine. We identified three communication-based themes about weight loss counseling: (1) motivating patients to lose weight, (2) partnering with the patient to achieve weight loss, and (3) handling challenges that arise during weight counseling. CONCLUSION:PCPs use a variety of strategies to communicate with their patients about weight loss. Some PCPs already use patient-centered approaches to communicate with their patients about weight loss, suggesting that future weight counseling interventions should be tailored to build upon this strength. PRACTICE IMPLICATIONS:PCPs' weight loss counseling may be improved by using techniques with demonstrated behavior change effectiveness such as the 5A's or motivational interviewing.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Gudzune KA,Clark JM,Appel LJ,Bennett WLdoi
10.1016/j.pec.2012.06.033subject
Has Abstractpub_date
2012-10-01 00:00:00pages
152-7issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(12)00263-7journal_volume
89pub_type
杂志文章abstract：:The Self-Care Behavior (SCB) Inventory was developed as part of a long-term study of self-care practices of persons who have multiple sclerosis (MS) in Denmark. The universe of behaviors regarding the physical, social, emotional, environmental, and spiritual aspects of coping with the illness was ascertained by inform...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(85)90036-9
更新日期：1985-09-01 00:00:00
abstract：:This study adopted a qualitative approach to explore patients' views on the usefulness of a decision analytic decision aid (DA). Semi-structured interviews were conducted with 15 newly diagnosed hypertensive patients who had been recruited for a factorial randomised controlled trial of two decision aids. Issues invest...
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(03)00148-4
更新日期：2004-05-01 00:00:00
abstract：:Presymptomatic DNA-testing for adult-onset diseases has serious psychological consequences. Here the psychological consequences of presymptomatic DNA-testing for Huntington's disease are reviewed. Both carriers and non-carriers experience emotional reactions after disclosure of their test result. However, up to today ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(97)00066-9
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVE:Emotions, are in part conveyed by varying levels of fundamental frequency of voice pitch (f0). This study tests the hypothesis that patients display heightened levels of emotional arousal (f0) during Verona Coding Definitions of Emotional Sequences (VR-CoDES) cues and concerns versus during neutral statements...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.003
更新日期：2016-12-01 00:00:00
abstract：:The main goals of this study were to examine aspects of the delivery and reception of advice and questions in interaction between nurses and patients and to describe linguistic features that constructed nurse-centered and empowermental health counseling. The research data, 38 health counseling sessions, were videotape...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(01)00140-9
更新日期：2001-10-01 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:Our aim was to synthesise qualitative literature about the perceived impact and experience of participating in peer support interventions for individuals with chronic disease. METHODS:We carried out a meta-ethnography to synthesize 25 papers meeting specific inclusion criteria. RESULTS:Thirteen concepts wer...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2013.02.002
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:Patient-provider communication is critical in primary care. Canada's unique health system, population distribution, and cultural context suggest there is value in addressing the topic in the Canadian context. We conducted a scoping review to synthesize recent Canadian literature to inform practice in primary ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.11.008
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVE:Persuasion plays a critical role in doctor-patient communication. The relevant literature tends to equate persuasion to manipulation as a suboptimal form of interaction. The objective of this paper is to distinguish among different types of persuasion processes and to highlight when their use can be beneficia...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.06.005
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE:The current objective is to validate the Medical Consultation Experience Questionnaire (MCEQ) and to examine distinctions between constructs of patient perceived alliance and experienced confusion in relation to key health outcomes. METHODS:A total of 857 participants were recruited online across two samples...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.09.028
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:This article delineates theory-based determinants of the low use of behavioral stop-smoking support with a view to inform interventions to address the low use. METHODS:Study 1 comprised interviews with 27 smokers recruited from a primary care centre in England. Study 2 used a nationwide sample of 212 smokers...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.10.007
更新日期：2010-05-01 00:00:00
abstract：OBJECTIVE:Most women diagnosed with unilateral breast cancer without BRCA1 or BRCA2 mutations are at low risk of contralateral breast cancer. Contralateral Prophylactic Mastectomy (CPM) decreases the relative risk of contralateral breast cancer, but may not increase life expectancy; yet international uptake is increasi...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.11.012
更新日期：2016-05-01 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：:This paper describes a paper and pencil questionnaire that measures heart disease risk knowledge in people with diabetes. The Heart Disease Fact Questionnaire (HDFQ) is a 25-item questionnaire that was developed to tap into respondents' knowledge of major risk factors for the development of CHD. Approximately half of ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.07.004
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVE:Breast cancer survivors experience a range of sexual health (SH) issues. Communication problems between patient and provider can prevent survivors from pursuing SH goals and can negatively influence biopsychosocial outcomes. The primary aims of this study were to identify provider communication behaviors that...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.06.019
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:The role of the consultation in mediating improved clinical outcomes has been demonstrated in both conventional and complementary medicine but to date no depth study has explored how complementary medical consultations achieve such benefits. This study explored rheumatoid arthritis (RA) patients' perceptions ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.11.008
更新日期：2012-12-01 00:00:00
abstract：OBJECTIVE:Patient engagement has been credited with contributing to improved outcomes and experiences of care. Patient engagement has become a widely used term, but remains a poorly understood concept in healthcare. Citations for the term have increased throughout the healthcare-related disciplines without a common def...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2016.09.002
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVES:(a) To determine levels of and factors explaining partners' burden, anxiety and depressive symptoms at two months post-stroke, (b) to predict partners' burden, anxiety and depressive symptoms at one year post-stroke based on patient and partner characteristics available at two months post-stroke. METHODS:Pr...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2016.04.007
更新日期：2016-10-01 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:This study introduces the concept of epistemic brokering in interpreter-mediated medical visits and illustrates how it can be used to effectively convey information between providers and patients/parents. METHODS:Conversation analysis is used to analyze 24 pediatric genetics consultations (=17.75 h) involvin...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.05.020
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVE:To assess (i) whether the reporting of counseling previously received is associated with high-risk individuals' agreement to participate in lifestyle intervention, (ii) whether the reporting of previous counseling differed within such a high-risk group, and (iii) the associations between lifestyles and previo...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.08.013
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVE:With increased recognition of the importance of sound communication skills and communication skills education, reliable assessment tools are essential. This study reports on the psychometric properties of an assessment tool based on the Kalamazoo Consensus Statement Essential Elements Communication Checklist....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.013
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:Test whether a single e-learning session can improve empathy and communication across pre-registration and postgraduate physiotherapy students. METHODS:Design: Two-phase sequential mixed methods study. Phase 1: Pilot randomised control trial. Phase 2: Qualitative study using interpretive phenomenological ana...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2021.01.022
更新日期：2021-01-20 00:00:00
abstract：OBJECTIVE:This study aims to evaluate cardiovascular drug labels from the perspective of how readable the text materials are. METHODS:Comparison of drug labels written in accordance with the 1997 Brazilian legislation with those written in accordance with the 2003 Brazilian legislation, with journalistic text and scie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.05.004
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVE:To validate the Norwegian version of MAPPIN'SDM observer scales with regard to reliability, accuracy and the extent to which the scales include the essentials of the shared decision-making concept. METHODS:Three MAPPIN'SDM scales, focusing on the skills of doctor, patient and dyad, were applied to audiovisua...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.10.023
更新日期：2017-03-01 00:00:00
abstract：:Knowledge of health care professionals' different understandings of diabetes care is important when preparing such professionals in patient education. For patients to manage illness effectively, the actions of health care professionals are crucial. Patients' understanding of their condition should be taken as the poin...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/s0738-3991(02)00212-4
更新日期：2003-09-01 00:00:00
abstract：OBJECTIVE:To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients' perspectives regarding their experiences with smoking cessation and relapse. METHODS:In-depth interviews were conducted with 20 lung and head and neck cancer patients and 11 health care providers....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.09.024
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:To determine which formats communicate medication adherence effectively to patients. METHODS:HIV-infected adults on antiretrovirals viewed examples of refill data in 5 formats: (1) percentage of doses, (2) number of days late to refill ("days late"), (3) calendar of days with/without medications, (4) pie cha...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.08.002
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:Communication in healthcare has influenced and been influenced by the COVID-19 pandemic. In this position paper, we share observations based on the latest available evidence and experiential knowledge that have emerged during the pandemic, with a specific focus on policy and practice. METHODS:This is a posit...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.12.025
更新日期：2021-02-01 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
