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 cultural knowledge test. METHODS:Curriculum content included two interactive workshops, multimedia web cases, and a Cultural and Linguistic Competence Pocket Guide. Evaluation included a student satisfaction survey, a Nominal Technique Focus Group, and a validated knowledge test. The knowledge test comprised 6 case studies with 49 multiple choice items covering the curricular content. RESULTS:Of 149/160 (93%) students who completed satisfaction surveys using a 5-point Likert scale, >82% strongly agreed or agreed that the curricular intervention was a meaningful experience (93%), increased their understanding of the culture of medicine (91%), increased their knowledge of racial and ethnic disparities (89%) and core cultural issues (91%), and improved their skills in working with interpreters (90%) and cross-cultural communication (82%). Top strengths identified by a focus group (34 students) included learning about interpreters, examples of cultural practices, and raised cultural awareness. Pre- and post-knowledge test scores improved by 17% (p<.0001). After six administrations, the test achieved the target reliability of .7. CONCLUSIONS:The authors successfully designed and validated a practical cultural competence curriculum for pediatric clerkships that meets the need demonstrated in the 2006 national survey. PRACTICE IMPLICATIONS:This curriculum will enable pediatric clerkship directors to equip more graduates to provide culturally sensitive pediatric care to an increasingly diverse US population.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Mihalic AP,Morrow JB,Long RB,Dobbie AEdoi
10.1016/j.pec.2009.07.029subject
Has Abstractpub_date
2010-04-01 00:00:00pages
77-82issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(09)00332-2journal_volume
79pub_type
杂志文章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: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:Advances in health care require that individuals participate knowledgeably and actively in their health care to realize its full benefit. Implications of these changes for the behavior of individuals and for the practice of patient education are described. METHODS:An "engagement behavior framework" (EBF) was...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.02.002
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVE:A person's health literacy, i.e., their ability to seek, understand and use health information, is a critical determinant of whether they are able to actively participate in their healthcare. The objective of this study was to conceptualise health literacy from the patient perspective. METHODS:Using comprehe...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.10.001
更新日期：2010-04-01 00:00:00
abstract：OBJECTIVE:Despite numerous benefits of consuming a healthy diet and receiving regular physical activity, engagement in these behaviors is suboptimal. Since primary care visits are influential in promoting healthy behaviors, we sought to describe whether and how diet and physical activity are discussed during older adul...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.03.020
更新日期：2014-06-01 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：:A three-day residential Body Awareness Program (BAP) was developed to teach people with Chronic A-specific Psychosomatic Symptoms (CAPS) to react adequately to disturbances of the balance between a daily workload and the capacity to deal with it. The short-term effects of the program for people with CAPS are presented...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.02.014
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVES:To evaluate the acceptability of the Integrated Parkinson's disease Care Network (IPCN) from the perspectives of persons with Parkinson's disease (PD), their care partners and healthcare providers, including identification of important components and areas for improvement. METHODS:We used a descriptive qual...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.07.002
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:The objectives of this study were to identify nutrition communication styles of Dutch GPs, their strategies regarding nutrition communication and nutrition information seeking behaviours. Another aim is to provide a hypothetical model for nutrition communication style, including psycho-social and socio-demogr...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.09.001
更新日期：2006-10-01 00:00:00
abstract：OBJECTIVE:To assess the effect of a patient decision aid on the quality of decision-making for patients with age-related cataracts. METHODS:773 patients with cataracts aged 50-80 years were randomly assigned to receive either the intervention decision aid (including standard information, quantitative information on th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.10.036
更新日期：2020-11-09 00:00:00
abstract：OBJECTIVE:To explore the effectiveness of a patient education programme for chronic disease self-management in terms of whether (a) patients are taught to perform the medical procedure and (b) nurses have evidence of patients' proficiency when they start self-management. METHODS:Patients were followed through an educa...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.10.001
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:To compare communication between navigators and women according to follow-up status in a postpartum patient navigation program ("Navigating New Motherhood" [NNM]). METHODS:This is a mixed methods secondary analysis of text message and email transcripts from NNM. Transcripts were analyzed by number of message...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.10.028
更新日期：2019-04-01 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：OBJECTIVE:Breast cancer is the most common cancer among women worldwide, increasing the relevance of an efficient and successful care process. As length of stay (LOS) in the hospital decreases, patients' satisfaction with the LOS varies. We hypothesize that successful discharge planning can improve this evaluation. ME...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.08.012
更新日期：2019-12-01 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：:This paper reports on an evaluation of the reactions of participants in a computer-controlled telephone conversation system (telephone-linked care, TLC) designed to offer nutrition and exercise counseling. After 6 months in the study, subjects were asked a series of questions about their opinions of the TLC system, in...
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(02)00076-9
更新日期：2003-02-01 00:00:00
abstract：OBJECTIVE:This study examined the impact of motivational interviewing (MI) counseling time on self-efficacy to practice safer sex for people living with HIV/AIDS (PLWHA). METHODS:In 4 month intervals we followed a cohort of 490 PLWHA for 12 months. We conducted hierarchical linear regression models to examine changes ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.07.021
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:To examine patients' use of medication management strategies (e.g., reminders, pill boxes), and to determine how their use influences the relationship between patient characteristics and medication adherence. METHODS:Retrospective and cross-sectional study of 434 patients with coronary heart disease, examini...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.04.030
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVES:Approximately 6-20% of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.10.010
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:To explore patient observations of teamwork-related behaviors such as inter-team communication through a newly designed survey. METHODS:In this cross-sectional study, 101 patients (N=86) and caregivers (N=15) recruited from the emergency department (ED) of an urban, academic medical center (>85,000 visits/ye...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.06.002
更新日期：2014-09-01 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：:General practitioners' (GPs') anti-smoking advice promotes patients' smoking cessation but little is known about how GPs use their short consultations to give advice. We used semi-structured interviews with 27 UK GPs to investigate how GPs believe they should advise smokers to stop and the reasons underpinning these b...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(03)00020-x
更新日期：2004-02-01 00:00:00
abstract：:Early hospital discharges, greater reliance on outpatient care, and the growing prevalence of chronic diseases has increased the demands on family members who care for patients at home. Family caregivers need information and training to insure that patients' needs are met and that home care is coordinated with that of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(95)00790-3
更新日期：1996-01-01 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：OBJECTIVES:To examine public perceptions of and preferences for colonoscopy vs. CT colonography (CTC) as technologies for colorectal cancer (CRC) screening. METHODS:Six discussion groups were carried out with 30 adults aged 49-60 years (60% female). Information about different aspects of the tests (e.g. sensitivity, p...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.05.007
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To experimentally test whether presenting logically equivalent, but differently valenced effectiveness information (i.e. attribute framing) affects perceived effectiveness of the human papillomavirus (HPV) vaccine, vaccine-related intentions and policy opinions. METHODS:A survey-based experiment (N=334) was ...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2010.08.014
更新日期：2010-12-01 00:00:00
abstract：:This paper provides an overview of prevalence, types, effects and treatment for affective disorders, with particular emphasis on educational and psychoeducational interventions. It reviews several models of psychoeducation including the approaches used in various programs at the Psychiatric hospital in which the autho...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(92)90195-o
更新日期：1992-04-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) program on patient activation in adults living with type 2 diabetes (T2D). METHODS:233 individuals attended a DESMOND program in 26 locations across regional Western Australia. Individuals complete...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.013
更新日期：2020-04-01 00:00:00
abstract：:Shared decision-making is considered an important ideal for physician-patient interaction. The ideal states that health-related values should be discussed together. It raises two questions: (a) for which decisions is the ideal of shared decision-making relevant? (b) Which aspects of treatment should be discussed? The ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00093-2
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVE:1) to assess patients' descriptions of concerns, and 2) to inform a conceptual framework in which the impact of the nature of concerns on doctor-patient communication is specified. METHODS:Six focus groups were conducted with 39 cancer patients and survivors. In these focus groups participants were asked to ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.02.002
更新日期：2017-05-01 00:00:00
