Abstract：
OBJECTIVE:Develop a system of practice tools and procedures to prompt shared decision making in primary care. SDM-GRIP (Shared Decision Making Guidance Reminders in Practice) was developed for suspected stable coronary artery disease (CAD), prior to the percutaneous coronary intervention (PCI) decision. METHODS:Program evaluation of SDM-GRIP components: Grand Rounds, provider training (communication skills and clinical evidence), decision aid (DA), patient group visit, encounter decision guide (EDG), SDM provider visit. RESULTS:Participation-Physician training=73% (21/29); patient group visits=25% of patients with diagnosis of CAD contacted (43/168). SDM visits=16% (27/168). Among SDM visit pairs, 82% of responding providers reported using the EDG in SDM encounters. Patients valued the SDM-GRIP program, and wanted to discuss comparative effectiveness information with a cardiologist. SDM visits were routinely reimbursed. CONCLUSION:Program elements were well received and logistically feasible. However, recruitment to an extra educational group visit was low. Future implementation will move SDM-GRIP to the point of routine ordering of non-emergent stress tests to retain pre-decision timing of PCI and to improve coordination of care, with SDM tools available across primary care and cardiology. PRACTICE IMPLICATIONS:Guidance prompts and provider training appear feasible. Implementation at stress testing requires further investigation.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Holmes-Rovner M,Kelly-Blake K,Dwamena F,Dontje K,Henry RC,Olomu A,Rovner DR,Rothert MLdoi
10.1016/j.pec.2010.12.028subject
Has Abstractpub_date
2011-11-01 00:00:00pages
219-24issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(11)00009-7journal_volume
85pub_type
杂志文章abstract：OBJECTIVE:We don´t know how positive emotions are being expressed by patients and health care providers in consultations. The aim of this study is to identify positive emotions expressed by older people and nurse assistants to discuss the function of these in the visits. METHOD:This paper presents secondary analysis o...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.05.020
更新日期：2017-11-01 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:New pharmacological measures assessing medication adherence, including longitudinal drug levels in hair, are emerging. Little is known, however, about how best to present results from such measures to patients and clinicians in comprehensive, easy-to-understand, acceptable formats. We, therefore, developed th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.12.029
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:A systematic review and qualitative synthesis was undertaken to deduce the knowledge, attitudes, skills and training of mental health professionals regarding complicated grief (CG). METHODS:PsychInfo, Embase, Medline, CINAHL, PBSC, Web of Science and ERIC databases were used to identify relevant literature. ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.03.010
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To evaluate residents' ability to engage standardized patients in informed decision making during a pregnancy loss scenario. METHODS:Forty patient encounters between interns and standardized patients were coded to assess informed decision-making practices, exploration of unexpressed concerns, and support pro...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.06.016
更新日期：2017-12-01 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:Basic research and careful observation of clinical practice have yielded a vast amount of empirical data on communication in health care. This research has been guided by the assumption that good communication will be better understood and easier to teach when its single constituents are identified. This pape...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2007.04.009
更新日期：2007-08-01 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 gain an understanding of how patient satisfaction (PS) with the doctor (PSD) is conceptualized through an empirical review of how it is currently being measured. The content of PS questionnaire items was examined to (a) determine the primary domains underlying PSD, and (b) summarize the specific doctor-rel...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2015.05.020
更新日期：2015-06-10 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 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：OBJECTIVES:The presentation of risks and benefits in clinical practice is common particularly in situations in which treatment recommendations involve trade-offs. The treatment of breast cancer risk with selective estrogen receptor modulators (SERMs) is such a decision. We investigated the influence of health care prov...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.06.033
更新日期：2017-12-01 00:00:00
abstract：:We aimed to examine risk perceptions among patients at moderate to high cardiovascular risk. A questionnaire about perceived absolute risk of myocardial infarction and stroke was sent to 2424 patients with hypertension or diabetes. Response rate was 86.3% and 1557 patients without atherosclerotic disease were included...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00248-3
更新日期：2004-01-01 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 describe the type of care provided by a nationally-representative sample of informal caregivers, the frequency of unmet supportive care needs, and examine characteristics associated with unmet needs. METHODS:Using data from the Health Information National Trends Survey, we identified caregivers of an adul...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.015
更新日期：2020-03-01 00:00:00
abstract：:The effect of message source on message recall and perceived credibility was examined in a randomized study comparing two different computer-tailored bulletins promoting fruit and vegetable consumption among rural African American church members. An expert oriented (EXP) bulletin was compared with a spiritual and past...
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(98)00132-3
更新日期：1999-02-01 00:00:00
abstract：OBJECTIVE:to systematically review all available studies that investigated the longitudinal relationships between the psychological characteristics of children and adolescents suffering from asthma and those of their caregivers, and the onset and course of the asthma. METHODS:relevant studies were identified using Med...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.03.011
更新日期：2011-01-01 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：:We evaluated the family-oriented care and counseling provided by the BC Children's Hospital Transport Team paramedies. One hundred families were asked to rate: (1) how they would like paramedies to communicate with them under ideal conditions; and (2) what they actually experienced during their child's transport. Ther...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00090-1
更新日期：1999-03-01 00:00:00
abstract：:Although significant others (spouses, relatives and friends) of cancer patients play an important role in providing support and assistance to the patient, their need for information regarding the disease is frequently overlooked by the health care system. This analysis examines information needs of (1) diagnosed cance...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90060-x
更新日期：1990-04-01 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：OBJECTIVE:This paper describes a translational project that explored the feasibility and effect of introducing a coordinated approach to emotional care. METHODS:The project was undertaken using Action Research on one ward at St John of God Hospital Subiaco, Western Australia. A senior Registered Nurse was appointed to...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.04.011
更新日期：2008-10-01 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：OBJECTIVE:To review the literature to identify external influences on information exchange and shared decision-making in healthcare consultations and conceptualise how information is used both outside and within a consultation. METHODS:A 'meta-study' approach (meta-data-analysis, meta-theory, meta-method, and meta-syn...
journal_title：Patient education and counseling
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.pec.2008.09.025
更新日期：2009-04-01 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 examine when and why women disbelieve tailored information about their risk of developing breast cancer. METHODS:690 women participated in an online program to learn about medications that can reduce the risk of breast cancer. The program presented tailored information about each woman's personal breast c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.03.016
更新日期：2013-08-01 00:00:00
abstract：:Previous research has primarily focused on the relationship between providers and expectant mothers as a key element of quality prenatal care. Significantly less attention has been directed toward expectant fathers and the importance of their communication with prenatal care providers and involvement in the prenatal c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.11.005
更新日期：2020-11-06 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 explore how individuals with cancer and bereaved relatives evaluate information provision by specialist palliative care services (PCSs). METHODS:A cross-sectional survey was conducted within four multidisciplinary palliative homecare teams (HCTs), 17 hospital-based palliative care units (PCUs) and 13 hosp...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.11.012
更新日期：2019-04-01 00:00:00
abstract：:We must humbly acknowledge that the healthcare system is less and less about empathy despite interacting with patients is a prerequisite for care: shared decision making is the cornerstone for compliance to treatment and therefore its -effectiveness. Empathy is not about tricks, it is about "client-centred therapy" a ...
journal_title：Patient education and counseling
pub_type： 评论,信件
doi：10.1016/j.pec.2020.03.024
更新日期：2020-09-01 00:00:00
