Abstract:
OBJECTIVES:This paper describes the development and pilot testing of a communication skills curriculum based on medical student curriculum and modified for use with patients. METHODS:Six key concepts from our introductory medical education communication skills curriculum were identified. The core knowledge and skills related to these concepts were reorganized into six modules, including presentation materials, handouts and active learning components. The curriculum was pilot tested with three independent groups of non-medical participants, representing a broad cross-section of the community. RESULTS:Participants reported a high level of satisfaction; over 80% found the program helpful for learning new information and skills, and 92% for working with their physicians. Over 90% would recommend the program to others. Participant self-assessments revealed the greatest change in knowledge of medical interviewing. Skill changes were greatest in expressing emotion and efficiently telling the medical story. The pilot tests also highlighted the importance of other issues related to recruitment and health literacy. CONCLUSIONS:This project demonstrates that key concepts underlying doctor-patient communications can be simplified and repackaged for use from the patient's perspective. PRACTICE IMPLICATIONS:Similar curricula can empower patients from all walks of life to better communicate with their health care providers and enhance their healthcare experience.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Dwamena FC,Mavis B,Holmes-Rovner M,Walsh KB,Loyson ACdoi
10.1016/j.pec.2009.07.026subject
Has Abstractpub_date
2009-09-01 00:00:00pages
380-4issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(09)00328-0journal_volume
76pub_type
杂志文章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: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: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::Prostate cancer has become a public health problem worldwide with considerable social and economic consequences. Many men have extraprostatic spread at diagnosis, and treatment usually involves hormonal manipulation therapy, which can challenge the stereotypical male image. It is often assumed that merely the provisio...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2003.07.005
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:To analyze large-scale data obtained from telephone cancer consultations and clarify sex differences in the information sought by callers to guide future cancer survivor support. METHODS:We qualitatively analyzed 10,534 cases of telephone consultations with cancer patients. The relationships between callers'...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.05.012
更新日期:2020-05-16 00:00:00
abstract:OBJECTIVE:To break new ground by directly examining how patients seek life-expectancy estimates, and how doctors support them in doing so. METHODS:Conversation analytic examination of 10 recorded UK hospice consultations involving 3 palliative specialists. RESULTS:Life-expectancy estimate episodes frequently begin af...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.03.026
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:To document primary health care (PHC) providers' tobacco use, and how this influences their smoking cessation practices and attitudes towards tobacco-control policies. METHODS:Anonymous questionnaires were distributed to PHC providers in 7 randomly selected PHC centers in Aleppo, Syria. RESULTS:All PHC prov...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.11.011
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:Within the framework of a randomized, active treatment controlled trial, we used a mediation analysis to understand the mechanisms by which an intervention that uses confrontation with spirometry for smoking cessation achieves its effects. METHODS:Participants were 228 smokers from the general population wit...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2008.11.017
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:Examine influences of diabetes-specific social support (D-SS) and depressive symptoms on glycemic control over time, among adults randomized to a diabetes self-management education and support (DSME/S) intervention or usual care. METHODS:Data were from 108 African-American and Latino participants in a 6-mont...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2015.05.019
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:To investigate parents' experiences and views of clinician communication during primary care consultations for respiratory tract infections (RTIs) in children under 12. METHODS:Semi-structured interviews with 30 parents who had recently consulted for RTI in their child. Purposive sampling was used to intervi...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.01.010
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:First-degree relatives (FDRs) of people diagnosed with colorectal cancer (CRC) have a two- to threefold increased risk of developing the same disease. Tailored print interventions based on behavior change theories have demonstrated considerable promise in facilitating health-promoting behaviors. This study co...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2008.01.013
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Chronic disease patients are affected by low computer and health literacy, which negatively affects their ability to benefit from access to online health information. OBJECTIVE:To estimate reliability and confirm model specifications for eHealth Literacy Scale (eHEALS) scores among chronic disease patients ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.09.008
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients' perspectives regarding their experiences with smoking cessation and relapse. METHODS:In-depth interviews were conducted with 20 lung and head and neck cancer patients and 11 health care providers....
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.09.024
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Explore the impact of existential vulnerability for nursing home doctors' experiences with dying patients and their families. METHODS:We conducted a qualitative study based on three focus group interviews with purposive samples of 17 nursing home doctors. The interviews were audio-recorded, transcribed, and ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.07.016
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:This article explores the effect of conflicting information, defined as contradictory information about medication topics from different sources, on medication adherence in a sample of chronically ill patients. We specifically investigate whether conflicting information and physician support directly affect m...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.11.006
更新日期:2010-11-01 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: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:Experimental studies have found that clinician-expressed empathy improves patients' information recall in (advanced) cancer consultations. It remains unclear, however, whether these results are generalizable to clinical care and, if so, what the underlying mechanism is. We aimed to i) determine the relationsh...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.10.025
更新日期:2020-10-22 00:00:00
abstract::This study compared an activation intervention to passive education in a randomized attention-control trial of 232 patients with type 2 diabetes. The activation intervention was based on Expanding Patient Involvement in Care (EPIC) trials, and was compared to time-matched passive education viewing of ADA video-tapes. ...
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/j.pec.2003.11.008
更新日期:2005-01-01 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: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::The effects of a pharmacy-based intervention on the knowledge and attitudes of asthma patients was studied with a small convenience sample in four Finnish community pharmacies. The intervention consisted of patient education, counselling and outcomes monitoring according to Therapeutic Outcomes Monitoring (TOM) concep...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/s0738-3991(00)00158-0
更新日期:2001-05-01 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:OBJECTIVES:Massachusetts (MA) public schools conduct mandated body-mass index (BMI) screening and until recently, communicated results in a letter to parents/caregivers, to encourage primary care visits and provide aggregate data to the state Department of Public Health. This study assessed the letter's readability and...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.016
更新日期:2014-02-01 00:00:00
abstract::Attention to providers' communication skills is likely to increase, given the confluence of forces that have highlighted the importance of communication in healthcare. In the United States, interpersonal and communication skills have been explicitly identified as a priority throughout the continuum of medical educatio...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(03)00085-5
更新日期:2003-05-01 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:Patient-provider communication is critical in primary care. Canada's unique health system, population distribution, and cultural context suggest there is value in addressing the topic in the Canadian context. We conducted a scoping review to synthesize recent Canadian literature to inform practice in primary ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2017.11.008
更新日期:2018-05-01 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::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