Abstract：
OBJECTIVE:The purpose of this article is to clarify the concept of empowerment and to correct common misconceptions about its use in diabetes care and education. METHODS:The patient empowerment approach is well suited to helping patients make self-selected changes related to weight, nutrition, and physical activity. Although the concept of patient empowerment has become an integral part of diabetes education, an accurate understanding and authentic application of empowerment has not occurred as readily. The empowerment approach is clarified and common misconceptions have been corrected. RESULTS:Embracing empowerment means making a paradigm shift that is often difficult because the traditional approach to care is embedded in the training and socialization of most health care professionals (HCPs). CONCLUSION:Unlike the traditional approach, empowerment is not something one does to patients. Rather, empowerment begins when HCPs acknowledge that patient are in control of their daily diabetes care. Empowerment occurs when the HCPs goal is to increase the capacity of patients to think critically and make autonomous, informed decisions. Empowerment also occurs when patients are actually making autonomous, informed decisions about their diabetes self-management. PRACTICE IMPLICATIONS:Clarity about all aspects of the empowerment approach is essential if it is to be used effectively.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Anderson RM,Funnell MMdoi
10.1016/j.pec.2009.07.025subject
Has Abstractpub_date
2010-06-01 00:00:00pages
277-82issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(09)00327-9journal_volume
79pub_type
杂志文章,评审abstract：:Patient autonomy is a guiding principle in medical decision-making in America. This is challenging when patients become mentally incapacitated and cannot express their preferences. Advance care planning (ACP) addresses this challenge. ACP is a deliberative and communicative process that helps people formulate and comm...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00739-m
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to offer a comparative analysis of informal interpreters during medical consultations with both good and poor mutual understanding between general practitioners (GPs) and patients. METHODS:Sixteen video-registered medical interviews of Turkish immigrant patients were analysed. Stret...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.10.005
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVE:To describe a systematic assessment of patient educational materials for the Growing Right Onto Wellness (GROW) trial, a childhood obesity prevention study targeting a low health literate population. METHODS:Process included: (1) expert review of educational content, (2) assessment of the quality of material...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.08.010
更新日期：2013-12-01 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:With increased recognition of the importance of sound communication skills and communication skills education, reliable assessment tools are essential. This study reports on the psychometric properties of an assessment tool based on the Kalamazoo Consensus Statement Essential Elements Communication Checklist....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.013
更新日期：2014-09-01 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:To examine knowledge displays (KDs), a practice by which Therapeutic Community (TC) professionals exhibit previous knowledge about their clients' circumstances and experiences. METHODS:Conversation analysis is used to examine 12 staff-led meetings recorded in Italy (8 in a drug addiction TC; 4 in a mental he...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.10.006
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:Studies of physicians' professional development highlight the important effect that the learning environment has in shaping student attitudes, behaviors, and values. The objective of this study was to better understand the interplay among relationships and experiences in mediating the effects of the learning ...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2008.05.016
更新日期：2008-09-01 00:00:00
abstract：OBJECTIVE:To investigate the applied and conceptual relationship between two measures of shared decision making using the OPTION instrument developed in Wales and the Informed Decision Making instrument developed in Seattle, USA using audio-taped consultation data from a UK general practice population. METHODS:Twelve ...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pec.2007.09.001
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:To review the theory and research evidence suggesting that tailored interactive multimedia computer programs (IMCPs) aimed at optimizing patient health behaviors could lessen socio-demographic health disparities. METHODS:Selective critical review of research regarding IMCPs tailored to psychological mediator...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.11.012
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To compare and contrast the duration and content of physician-patient interaction for patients presenting to an emergency department with problems of low acuity in 1990 and 2005 treated by different grades of physician. METHODS:Observational study with data collection in May-July 1990 and May-July 2005. Pati...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.02.005
更新日期：2008-08-01 00:00:00
abstract：BACKGROUND:This study aimed to assess the impact of telephone counseling on quality of life in patients with coronary artery bypass graft. METHODS:A quasi-experimental study was conducted with 71 discharged patients after coronary artery bypass graft surgery at Ekbatan Edcuational hospital in Hamadan, Iran, in 2014. T...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2017.06.010
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:To explore if - and possibly how - a medical interview may affect adrenocortical activity in musculo-skeletal pain patients with and without alexithymia. METHODS:Female patients (N = 54) recruited from a patient organization for fibromyalgia completed the Toronto Alexithymia Scale (TAS-20) and subgroups with...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2005.03.005
更新日期：2006-02-01 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
abstract：OBJECTIVE:To explore primary care practitioners approach to and management of menstrual disorders using a sociological perspective. METHODS:Semi-structured interviews of primary care practitioners with an iterative approach to recruitment and analysis informed by grounded theory. RESULTS:Two broad approaches to patie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.12.002
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:Breast cancer survivors experience a range of sexual health (SH) issues. Communication problems between patient and provider can prevent survivors from pursuing SH goals and can negatively influence biopsychosocial outcomes. The primary aims of this study were to identify provider communication behaviors that...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.06.019
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To assess current, desired and best body image in the opposite sex and examine correlates of body image dissatisfaction. METHODS:We conducted a cross-sectional analysis at baseline of 185 (141 women, 44 men) African Americans with type 2 diabetes in Project Sugar 1, a randomized controlled trial of primary c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.01.004
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to investigate factors related to family functioning and adaptation in caregivers of individuals with Rett syndrome (RS). METHODS:A cross-sectional quantitative survey explored the relationships between demographics, parental self-efficacy, coping methods, family functioning a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.06.018
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:In the Netherlands HIV nursing consultants have participated in HIV-care since 1985; their profession has changed with developments in HIV-treatment over time. The study goal was to gather information about their role in HIV-care and to provide an useful example to other (HIV-)care settings over the world. M...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.11.016
更新日期：2010-08-01 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:Assess psychometric characteristics of an instrument to measure patient ratings of treating physicians' compassionate care in a recent hospitalization. METHODS:We used Cronbach's alpha to examine scale reliability, exploratory and confirmatory factor analysis to examine scale structure of two sets of items o...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.03.019
更新日期：2015-08-01 00:00:00
abstract：OBJECTIVE:Patient education on high-risk medications such as warfarin is important, and they require quick follow-up after initiation to maximize efficacy and safety. In our Anticoagulation Clinic, two 60-minute new patient appointments are available each day, contributing to prolonged lead-time. We instituted standard...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.12.023
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVE:To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS:Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and caesarean...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.04.008
更新日期：2008-08-01 00:00:00
abstract：:Studies among patients, nurses, and doctors in Dutch hospitals reveal the need for health education. Patients are dissatisfied with the information received and feel that nurses and doctors fail to meet their expectations regarding health education. More attention needs to be given to older, alienated, and low socioec...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(84)90054-5
更新日期：1984-01-01 00:00:00
abstract：OBJECTIVE:Determine treatment adherence in patients with multiple chronic conditions (MCC). METHODS:A random patient sample ≥ 15 years, discharged from hospital with ≥1 chronic conditions (CC) was interviewed after 6-12 months. Analysis included variables in 5 dimensions (WHO): socio-demographics, disease, treatment, ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.12.012
更新日期：2010-11-01 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:To evaluate a web-based self-management training for health professionals. Patients spend 99% of their time outside the healthcare system. Thus self-management support from health professionals is central to optimal care. Our objective was to teach health professionals the skills to provide this support. MET...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.09.003
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:Low patient recruitment into diabetes prevention programs is a challenge. The primary aim of this study was to demonstrate that an increased recruitment rate can be achieved by communicating personalized risk of progression to type 2 diabetes, estimating risk reduction with weight loss, and offering program c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.10.017
更新日期：2020-10-12 00:00:00
abstract：OBJECTIVE:To examine how physicians use information about a patient's background knowledge when both anticipating what a patient knows and producing actual answers in an email counseling setting. METHODS:A fictitious patient used a (high vs. low) level of technical jargon in an email inquiry about diabetes and provide...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.01.011
更新日期：2012-08-01 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
