Abstract：
OBJECTIVE:We examined the reach and impact of five decision aids (DAs) routinely distributed to breast cancer patients as part of a shared decision making demonstration project. METHODS:From 2005 to 2008, we surveyed patients' change in knowledge and decisional conflict (DC) before and after their review of DAs. Using bivariate tests, we identified significant predictors of change in knowledge or decisional conflict and entered significant predictors into a multivariate regression model. RESULTS:We distributed 1553 DAs to 1098 patients and received 549 completed surveys. The DAs were associated with increased knowledge and decreased DC. For knowledge, significant predictors of above-average change included: lower baseline knowledge and viewing the surgery decision aid. For decisional conflict, significant predictors of above-average change included: higher decisional conflict; viewing any of the early-stage cancer DAs; and Hispanic ethnicity. CONCLUSIONS:DAs used in routine care were associated with significant knowledge gains and reductions in decisional conflict. Some subsets of patients (those reporting low baseline knowledge, high DC, or Hispanic ethnicity) may benefit more than others. PRACTICE IMPLICATIONS:Breast cancer patients benefit overall from routine distribution of DAs. Our exploratory findings may be useful in generating hypotheses to identify target populations who would most benefit from reviewing DAs.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Belkora JK,Volz S,Teng AE,Moore DH,Loth MK,Sepucha KRdoi
10.1016/j.pec.2011.05.011subject
Has Abstractpub_date
2012-02-01 00:00:00pages
195-204issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(11)00237-0journal_volume
86pub_type
杂志文章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：:A video was produced to inform men diagnosed with localised prostate cancer of the different management options for their disease. It was tested for increased knowledge and understanding on a healthy population of similar age (n=10), who were assessed before and after watching the video (20 interviews). The video was ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00187-8
更新日期：2003-03-01 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：OBJECTIVE:To evaluate shared decision-making (SDM) and delineate SDM processes in audio-recorded conversations between language congruent Spanish-/English-speaking clinicians and parents of pediatric mental health patients. METHODS:Transcripts from audio-recorded consultations were rated using the 5-Item Observing Pat...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.08.013
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to improve patient education in clinic by evaluating patient perceptions of education provided, as well as patient self-confidence related to topics within cystic fibrosis (CF). The study assessed whether self-confidence matched knowledge and defined patient-specific goals for ed...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.06.004
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:To examine the informed consent process implementation and quality in Croatia using a specially developed instrument. METHODS:A cross-sectional questionnaire study was conducted in 300 patients (response rate 73%) from six hospitals in Croatia, along with psychometric evaluation of the questionnaire. RESULT...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.08.033
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:This study aims to develop a conceptual model of patient-defined SDM, and understand what leads patients to label a specific, decision-making process as shared. METHODS:Qualitative interviews were conducted with 23 primary care patients following a recent appointment. Patients were asked about the meaning of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.017
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:The objective of this study is to shed light on common characteristics revealed in concept analyses of empowerment to contribute to further understanding. A further objective is to discuss how the perspective of healthcare service users appeared in the concept analyses. METHODS:The review was performed by sy...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2020.02.017
更新日期：2020-07-01 00:00:00
abstract：OBJECTIVE:To identify the communication skills medical trainees perceive themselves to avoid or use during initial clinical encounters and the areas of communication learning need they identify. METHODS:446 2nd year undergraduate medical students were invited to take part in the study. Details of four encounters with ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.01.026
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To investigate whether the Verona Coding Definitions of Emotional Sequences to code health providers' responses (VR-CoDES-P) can be used for assessment of medical students' responses to patients' cues and concerns provided in written case vignettes. METHODS:Student responses in direct speech to patient cues ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.026
更新日期：2017-02-01 00:00:00
abstract：:Although recent work has encouraged doctors to express their uncertainty to patients as a means to improve communication the potential impact of this on patients remains unclear. The present study first explored the impact of the way in which uncertainty was expressed (behaviourally versus verbally) on doctor's and pa...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00020-4
更新日期：2002-01-01 00:00:00
abstract：:The present prospective study aimed at (1) investigating the frequency of high levels of psychological distress in women with early-stage breast cancer almost two years after diagnosis and (2) identifying characteristics associated with long-term distress. One hundred and seventy women participated on two occasions. T...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00085-3
更新日期：2000-06-01 00:00:00
abstract：OBJECTIVE:The smoking status of physicians can impact interactions with patients about smoking. The 'Smoking: The Opinions of Physicians' (STOP) survey examined whether an association existed between physician smoking status and beliefs about smoking and cessation and a physician's clinical interactions with patients r...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.07.042
更新日期：2009-01-01 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：: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：OBJECTIVE:This study explores whether an Experiential Training Programme (ETP) in communication skills (CS) improves students' ability to identify patients clues compared to those who follow a non-experiential training throughout their medical studies. METHOD:Intervention Group (IG): 85 4th-year medical students who r...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.05.018
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:To assess the psychometric properties of the Threatening Medical Situations Inventory (TMSI) in a community sample (Study 1), and to examine its usefulness in individuals with a strong family history of cancer (Study 2). METHODS:Study 1 participants (N=276) completed 2 online surveys, 14 days apart. Study 2 ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.07.001
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:Knowledge relevant to women's peri- and postmenopausal health decisions has been evolving rapidly. Web-based decision supports can be rapidly updated and have the potential to improve the quality of patients' decisions. We developed and tested a web-based decision support for peri- and postmenopausal health d...
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.2006.12.004
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:Our objective was to evaluate the utility of an educational program consisting of a workshop based on the Take the HEAT communication strategy, designed specifically for addressing patients who are angry, using a novel tool to evaluate residents' skills in employing this method. METHODS:33 first-year pediatr...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.12.012
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:To assess whether the practice and rehearsal of communication skills is likely to lead to better outcomes following training, and whether the use of simulated patients in training is likely to be superior to role-play in terms of communication skill acquisition. METHODS:The databases Medline, Amed, Cinahl, B...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2007.02.011
更新日期：2007-07-01 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：OBJECTIVES:To examine how medical students notice issues in a vignette and construct their meaning, and how this construction influences their plan to communicate with the patient. METHODS:Following a breaking bad news course for 112 senior medical students, we qualitatively analyzed the participants' written descript...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.04.004
更新日期：2018-09-01 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 explored the patient's experience of the doctor-patient relationship and information giving in health care. The views of patients with a range of literacy levels were examined. METHOD:321 patients at an in-patient cardiology unit provided the sample. The Health Literacy (HL) of participants was as...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.09.026
更新日期：2009-04-01 00:00:00
abstract：:An analysis of 11 physicians' speech content regarding medications was conducted on 267 encounters with hypertensive patients. Scored were categories for questions, instructions, directions to take and justifications for taking medications. The median inter-auditor agreement was 83%. The results indicate that the phys...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(85)90003-5
更新日期：1985-06-01 00:00:00
abstract：OBJECTIVE:The European Association of Communication in Healthcare (EACH) Early Career Researchers Network (ECRN) aims are to (1) promote international collaboration among young investigators and (2) provide a support network for future innovative communication research projects. In October 2009, Miami, USA at a worksho...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.06.020
更新日期：2010-09-01 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：OBJECTIVE:Next generation sequencing (NGS) may aid in tumor classification and treatment. Barriers to shared decision-making may influence use of NGS. We examined, from oncologists' perspectives, whether barriers to involving patients/families in decision-making were associated with NGS use. METHODS:Using data from th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.03.001
更新日期：2021-01-01 00:00:00
abstract：:Determinants of compliance with a 6-month diet and exercise program were studied among 118 healthy middle-aged men with risk factors for coronary heart disease (CHD). Data were gathered via medical examinations, interviews and questionnaires. Smoking, high levels of hostility, perception of barriers to diet change and...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1996-12-01 00:00:00
abstract：:This study aims to find out how hospital patients in Finland perceive and evaluate the education they receive. It represents the first part of a patient education project at one university hospital in which the ultimate goal is to support patients' decision-making and self-care and in this way to facilitate the indepe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00223-9
更新日期：2003-11-01 00:00:00
