Abstract:
OBJECTIVE:The study aim was the development of a method to further enhance the educational benefit of medical students' reflective writing. The setting is a Doctoring course at the Warren Alpert Medical School of Brown University, which includes reflective writing assignments, termed "field notes", combining students' reflective writing with ongoing individualized feedback from small group faculty. METHODS:Three-year (2005-2008) iterative process with three stages of immersion, analysis, and revision that resulted in the analysis framework. An interdisciplinary team composed of the four authors with backgrounds in narrative medicine, qualitative research, psychology, and medical education analyzed 12 first and second year students' selected field notes in iterative cycles. In each cycle, consultations with small group faculty and content experts were conducted to further validate the emergent framework. RESULTS:This process culminated in the creation of the Brown Educational Guide to Analysis of Narrative (BEGAN) framework, a guide for crafting feedback to students' reflective writing, and the integration of the BEGAN framework into the faculty and student manuals for the Doctoring Course in 2008-2009. CONCLUSIONS:We propose the BEGAN framework as a useful innovative tool that can be incorporated in reflective writing curricula in the field of health professions education. It is tailored to support the educational impact of the course through additional scaffolding of student writing, and the robust process it delineates for crafting of faculty feedback. Providing systematic feedback to enhance reflective writing may represent the path forward in fostering professional development through reflection in health professions education. PRACTICE IMPLICATIONS:The BEGAN can be incorporated in reflective writing curricula in the field of health professions education. It is a springboard for the necessary next steps of development and research into the acquisition of reflective and narrative competence in the emerging professional.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Reis SP,Wald HS,Monroe AD,Borkan JMdoi
10.1016/j.pec.2009.11.014subject
Has Abstractpub_date
2010-08-01 00:00:00pages
253-9issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(09)00592-8journal_volume
80pub_type
杂志文章abstract:OBJECTIVE:To determine the effect of nutrition education program on hemodialysis patients' quality of life (QoL) and serum electrolytes levels. METHODS:This study was a randomized controlled trial in which 94 eligible hemodialysis patients were randomly assigned to intervention (n = 48) and control (n = 46) groups. In...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2020.03.021
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:Recent studies have recognised that the communication skills learned in the training environment are not always transferred back into the clinical setting. This paper reports a study which investigated the potential of clinical supervision in enhancing the transfer process. METHODS:A randomised controlled tr...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2005.08.008
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:Sharing qualitative research findings with participants, namely member-check, is perceived as a procedure designed to enhance study credibility and participant involvement. It is rarely used, however, and its methodological usefulness and ethical problems have been questioned. This article explores benefits a...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.12.016
更新日期:2011-03-01 00:00:00
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::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 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: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
abstract:OBJECTIVE:The patient empowerment paradigm has been promoted as a critical component of diabetes care. The present study explores how patients in an urban, public-sector clinic perceive patient empowerment as it applies to their treatment, interactions with clinicians, and self-care behaviors. METHODS:Semi-structured ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.09.010
更新日期:2012-06-01 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 adverse consequences of passive smoking have spurred efforts to reduce environmental tobacco smoke (ETS) exposure among children, particularly in the home. For children with asthma, teaching them to avoid tobacco smoke at home is an important element of patient self-management. This strategy assumes that children ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/S0738-3991(03)00123-X
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To determine the relative contributions of health literacy (HL) and illness and medication beliefs to medication adherence among older COPD patients and determine the pathways through which they operate. METHODS:The study was conducted using data from a prospective cohort of COPD patients in New York City an...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.11.024
更新日期:2020-11-25 00:00:00
abstract:OBJECTIVE:Our aim was to gather community stakeholder input to inform the development of a digital system linking depression screening to decision support. METHODS:Views and feature requirements were identified through (1) focus groups with patients and consumers with depression, and interviews with primary care clini...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.10.002
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:Patient education in children with rare chronic diseases like children's interstitial lung disease (chILD) remains a challenge. AIMS:To develop and evaluate a component-based educational program for individual counselling and to improve patients' and caregivers' self-efficacy and treatment satisfaction. Furt...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2019.01.016
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to examine the extent to which functional, interactive and critical health literacy are associated with patients' perceived control over care and frequency of GP visits. METHODS:Data from the Dutch 'National Panel of People with Chronic Illness or Disability' was used (N=2508). Healt...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.04.006
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:This study investigates HIV positive adolescents' health literacy and whether factors associated with health literacy in HIV-positive adults are associated with health literacy among HIV-positive adolescents. METHODS:Adolescents in this study were behaviorally and perinatally HIV-infected youth (n=186) from ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.07.014
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To identify and describe the extent to which theory or theoretical frameworks informed the development and evaluation of decision support technologies (DSTs). METHODS:The analysis was based on the decision technologies used in studies included in the Cochrane systematic review of patient decision aids for pe...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2007.12.004
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate a Communication Skills Training (CST) module for health care providers (HCPs) applying a shared decision-making approach to a meeting with an older adult with cancer and his/her family. METHODS:Ninety-nine HCPs from community-based centers, cancer centers, and hospit...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.04.032
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To examine the impact of Veterans' coping strategies on mental health treatment engagement following a positive screen for depression. METHODS:A mixed-methods observational study using a mailed survey and semi-structured interviews. Sample included 271 Veterans who screened positive for depression during a p...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.021
更新日期:2014-03-01 00:00:00
abstract::Twelve physicians, 33 nurses, and 30 patients completed questionnaires to elicit similarities and differences in perceptions of educational needs of post-myocardial infarction (MI) patients. Results, using chi-square analysis, indicated that the three groups generally agreed upon which areas should be included in educ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(84)90038-7
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVES:Translate, adapt and validate the Patient-Practitioner Orientation Scale (PPOS) for use in Brazil. METHODS:The PPOS was translated to Portuguese using a modified Delphi technique. The final version was applied to 360 participants. Reliability (test-retest and internal consistency) and construct validity (ex...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.11.014
更新日期:2013-04-01 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:To test repeatability and relative validity of a computerized and interviewer administered assessment. METHODS:Using a context-based case-control trial, 41 adults with type 2 diabetes mellitus were randomized into four groups to complete dietary assessments (computerized or interviewer administered) at 0, 2 ...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2008.01.019
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of a lifestyle-related risk factor modification intervention on coronary artery disease (CAD) patients' lifestyle changes. METHOD:A randomized controlled study was conducted in Nepal. A total of 224 CAD patients (112 in each study group) were included at baseline, and 196 patients (...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.11.030
更新日期:2020-12-01 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
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:Contextual factors are known to influence the acquisition and application of communication skills in clinical settings. Little is known about residents' perceptions of these factors. This article aims to explore residents' perceptions of contextual factors affecting the acquisition and application of communic...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.01.002
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:Culture and ethnicity have often been cited as barriers in establishing an effective and satisfying doctor-patient relationship. The aim of this paper is to gain more insight in intercultural medical communication difficulties by reviewing observational studies on intercultural doctor-patient communication. I...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2005.11.014
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To test whether the coping in deliberation (CODE) framework can be adapted to a specific preference-sensitive medical decision: risk-reducing bilateral salpingo-oophorectomy (RRSO) in women at increased risk of ovarian cancer. METHODS:We performed a systematic literature search to identify issues important t...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.07.004
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:This study presents ongoing research aimed at understanding the suitability and impact of various decision aids (DAs) on patients with different chronic conditions in the Spanish National Health System. METHODS:A three-phase process was employed to develop and evaluate DAs for patients with hip or knee osteo...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2010.06.001
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:Lower health literacy is associated with poorer health outcomes. Few interventions poised to mitigate the impact of health literacy in hypertensive patients have been published. We tested if a multi-level quality improvement intervention could differentially improve Systolic Blood Pressure (SBP) more so in pa...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.10.015
更新日期:2017-03-01 00:00:00