Abstract：
OBJECTIVES:To evaluate interactional effects of patient-centered interviewing (PCI) compared to isolated clinician-centered interviewing (CCI). METHODS:We conducted a pilot study comparing PCI (N=4) to CCI (N=4) for simulated new-patient visits. We rated interviews independently and measured patient satisfaction with the interaction via a validated questionnaire. We conducted interactional sociolinguistic analysis on the interviews and compared across three levels of analysis: turn, topic, and interaction. RESULTS:We found significant differences between PCI and CCI in physician responses to patients' psychosocial cues and concerns. The number and type of physician questions also differed significantly across PCI and CCI sets. Qualitatively, we noted several indicators of physician-patient attunement in the PCI interviews that were not present in the CCI interviews. They spanned diverse aspects of physician and patient speech, suggesting interactional accommodation on the part of both participants. CONCLUSIONS:This small pilot study highlights a variety of interactional variables that may underlie the effects associated with patient-centered interviewing (e.g., positive relationships, health outcomes). Question form, phonological accommodation processes, and use of stylistic markers are relatively unexplored in controlled studies of physician-patient interaction. PRACTICE IMPLICATIONS:This study characterizes several interactional variables for larger scale studies and contributes to models of patient-centeredness in practice.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Hesson AM,Sarinopoulos I,Frankel RM,Smith RCdoi
10.1016/j.pec.2012.06.005subject
Has Abstractpub_date
2012-09-01 00:00:00pages
373-80issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(12)00235-2journal_volume
88pub_type
杂志文章abstract：OBJECTIVE:We developed a curriculum to increase internal medicine interns' proficiency in sexual history taking and sexually transmitted illness (STI) counseling. METHODS:The 4-h curriculum included didactics and interactive components, and was evaluated with matched pre- and post-surveys. RESULTS:Twenty-one interns ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.02.016
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:To identify, appraise and synthesise the results of systematic reviews of the literature (SRLs) that examines the effectiveness of interventions to increase advance directive (AD) completion rate. METHODS:Narrative review of the literature-an overview of SRLs focused on interventions to improve patients' AD ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2009.09.027
更新日期：2010-07-01 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：OBJECTIVE:This study tested the effectiveness of a brief, learner-centered, breaking bad news (BBN) communication skills training module using objective evaluation measures. METHODS:This randomized control study (N=66) compared intervention and control groups of students (n=28) and residents' (n=38) objective structur...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2016.11.008
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:A challenging but main task for clinicians is to identify patients' concerns related to their medical conditions. The study aim was to validate a new coding scheme for identifying patients' cues and concerns. METHODS:12 videotaped consultations between nurses and pain patients were coded according to the Ver...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.04.036
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVE:We describe and compare the perceptions of professional and family member interpreters concerning their roles and tasks as interpreters in primary care clinical encounters. METHODS:Encounters between physicians (19) and patients (24) accompanied by a professional (6) or a family (9) interpreter were videotap...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.09.015
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:To investigate the effectiveness of a TTM-based motivational counselling approach by trained practice nurses to promote physical activity of low back pain patients in a German primary care setting. METHODS:Data were collected in a cluster-randomized controlled trial with three study arms via questionnaires a...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.pec.2007.09.018
更新日期：2008-01-01 00:00:00
abstract：:Responding to emotion is a central function of communication in medicine. However, many clinicians miss opportunities to engage their patients' emotions, and these lapses can negatively affect the patient's relationship with the clinician. As such, responding to emotion serves as a useful example of communication chal...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.07.023
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:This study investigated whether doctors' attire influences the perception of empathy in the patient-doctor relationship during a therapeutic encounter. METHODS:A total number of 143 patients were divided into four groups when they were consulting a Traditional Korean Medicine doctor. Depending on the group, ...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2012.02.017
更新日期：2012-12-01 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：:The goal of this paper is to examine emerging issues in consumer-provider communication and patient adherence to cancer prevention, screening, diagnosis, treatment, and coping with survivorship. Many factors that have been shown to affect adherence can be supported or hindered by provider-patient communication, includ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(03)00075-2
更新日期：2003-05-01 00:00:00
abstract：:Upper gastrointestinal symptoms are a common complaint among the general population but only a small proportion of sufferers seek medical advice. The aim of this study was to examine what kind of perceptions persons using self medication have about the causes of their gastrointestinal symptoms, whether they have made ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00103-7
更新日期：1999-05-01 00:00:00
abstract：:From the viewpoint of quality of care, doctor-patient communication has become more and more important. Gender is an important factor in communication. Besides, cultural norms and values are likely to influence doctor-patient communication as well. This study examined (1). whether or not communication patterns of gend...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00178-7
更新日期：2002-12-01 00:00:00
abstract：:Amongst all the long-term complications of diabetes it is believed that foot ulceration and amputation are the most preventable: small studies have suggested that more than 50% of amputations should be avoidable by screening and appropriate education. There is ample evidence that simple non-invasive screening tests ar...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00746-m
更新日期：1995-09-01 00:00:00
abstract：:The study was designed to investigate self esteem, modes of coping and interfamilial relationships of asthmatic children and adolescents. Fifty-one asthmatic children (mean age: 12.26 +/- 2.56 years; 57% boys and 43% girls) were questioned about psychological factors of self image, coping with stressful situations and...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(96)00945-7
更新日期：1997-02-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.06.010
更新日期：2011-08-01 00:00:00
abstract：OBJECTIVE:To investigate the perspectives of general practitioners (GPs) on the practice of soliciting additional concerns (ACs) and the acceptability and utility of two brief interventions (prompts) designed to aid the solicitation. METHODS:Eighteen GPs participating in a feasibility randomised controlled trial were ...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2015.12.005
更新日期：2016-05-01 00:00:00
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 u...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.03.022
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:This systematic review aims to examine the roles of family members (FMs) in treatment decision-making for adult patients without cognitive or psychiatric disorders affecting their ability to participate in decision-making. METHODOLOGY:A comprehensive, systematic search of the Cochrane Library, PsycINFO, PubM...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.08.003
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:To evaluate nutrition brochures for pregnant women in Germany based on evidence-based patient information (EBPI) criteria. METHODS:Nutrition brochures for pregnant women in Germany were collected. Brochures addressing the risk of salmonellosis, toxoplasmosis or listeriosis were analyzed by two researchers in...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.10.015
更新日期：2015-02-01 00:00:00
abstract：:A randomised controlled trial, involving 112 adolescents with asthma, and a 2-year follow-up was conducted to assess the impact of an intervention programme aimed at enhancing adherence to asthma medication. This programme had a duration of 1 year and consisted of an experimental group which received usual care from a...
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
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更新日期：2001-09-01 00:00:00
abstract：UNLABELLED:Social characteristics (e.g. race, gender, age, education) are associated with health care disparities. We introduce social concordance, a composite measure of shared social characteristics between patients and physicians. OBJECTIVE:To determine whether social concordance predicts differences in medical vis...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.07.015
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To explore the association between frailty and medication adherence by modeling medication beliefs (i.e., necessity and concerns) as mediators among community-dwelling older patients. METHODS:This cross-sectional study was conducted among 780 Chinese older patients. Frailty, medication adherence and medicati...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.05.013
更新日期：2020-05-15 00:00:00
abstract：OBJECTIVE:To determine the level of agreement between patients and observers regarding the frequency with which health-related quality of life topics are discussed during outpatient clinical oncology visits. METHODS:The sample (n=50) consisted of a consecutive series of cancer patients undergoing chemotherapy. Both th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2006.06.002
更新日期：2007-01-01 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：:The effect of a pre-coronary angioplasty education and counselling program on knowledge and psychological status of patients and on knowledge and quality of life/coping status of their spouses was evaluated. Forty patients and their spouses participated in a pre-coronary angioplasty education and counselling program a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(97)00040-2
更新日期：1997-11-01 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
abstract：:Despite believing end-of-life (EOL) discussions with patients are important, doctors often do not have them. Multiple factors contribute to this shortfall, which interventions including reimbursement changes and communication skills training have not significantly improved to date. One commonly cited but under-researc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.12.008
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVE:To use focus groups to inform a web-based educational intervention for increased fruit and vegetable (FV) consumption. METHODS:Twelve groups (participants=137, aged 21-65) were recruited from four geographically diverse health systems. Four groups were stratified by gender and eight by race (white and Africa...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.03.032
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:to get insight into healthcare professionals' current experience with, and views on consultation audio-recordings made on patients' initiative. METHOD:215 Dutch healthcare professionals (123 physicians and 92 nurses) working in oncology care completed a survey inquiring their experiences and views. RESULTS:...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.03.001
更新日期：2017-08-01 00:00:00
