当前位置： SCI文献检索 > PATIENT EDUCATION AND COUNSELING期刊下所有文献 > A method to quantify and compare clinicians' assessments of patient understanding during counseling of standardized patients.

A method to quantify and compare clinicians' assessments of patient understanding during counseling of standardized patients.

Abstract：

OBJECTIVE:To introduce a method for quantifying clinicians' use of assessment of understanding (AU) questions, and to examine medicine residents' AU usage during counseling of standardized patients about prostate or breast cancer screening. METHODS:Explicit-criteria abstraction was done on 86 transcripts, using a data dictionary for 4 AU types. We also developed a procedure for estimating the "load" of informational content for which the clinician has not yet assessed understanding. RESULTS:Duplicate abstraction revealed reliability kappa=0.96. Definite criteria for at least one AU were found in 68/86 transcripts (79%). Of these, 2 transcripts contained a request for a teach-back ("what is your understanding of this?"), 2 contained an open-ended AU, 46 (54%) contained only a close-ended AU, and 18 (21%) only contained an "OK?" question. The load calculation identified long stretches of conversation without an AU. CONCLUSION:Many residents' transcripts lacked AUs, and included AUs were often ineffectively phrased or inefficiently timed. Many patients may not understand clinicians, and many clinicians may be unaware of patients' confusion. PRACTICE IMPLICATIONS:Effective AU usage is important enough to be encouraged by training programs and targeted by population-scale quality improvement programs. This quantitative method should be useful in population-scale measurement of AU usage.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Farrell MH,Kuruvilla P,Eskra KL,Christopher SA,Brienza RS

doi

10.1016/j.pec.2009.03.013

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

128-35

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(09)00135-9

journal_volume

77

pub_type

杂志文章

相关文献

PATIENT EDUCATION AND COUNSELING文献大全
  • Promoting physical activity in Australian general practices: a randomised trial of health promotion advice versus hypertension management.

    abstract：:A randomised controlled trial was conducted to determine if physicians' advice to promote physical activity to patients was more effective if the advice was tailored to the management of hypertension, compared with more general health promotion advice. Participants included inactive 40- to 70-year-old patients visitin...

    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.2004.03.002

    authors： Marshall AL,Booth ML,Bauman AE

    更新日期：2005-03-01 00:00:00

  • Seeking the views of health professionals on translating chronic disease self-management models into practice.

    abstract：UNLABELLED:Few studies have investigated the views of health professionals with respect to their use of chronic disease self-management (CDSM) in the workplace. OBJECTIVE:This qualitative study, conducted in an Australian health care setting, examined health professional's formal self-management (SM) training and thei...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2009.07.036

    authors： Lake AJ,Staiger PK

    更新日期：2010-04-01 00:00:00

  • Gender differences in information needs and preferences regarding depression among individuals with multiple sclerosis, inflammatory bowel disease and rheumatoid arthritis.

    abstract：OBJECTIVE:We assessed the information needs of persons with any of three immune-mediated inflammatory diseases (multiple sclerosis [MS], inflammatory bowel disease [IBD] and rheumatoid arthritis [RA]) regarding depression, as a first step toward developing patient-relevant information resources, ultimately to facilitat...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2019.04.007

    authors： Marrie RA,Walker JR,Graff LA,Patten SB,Bolton JM,Marriott JJ,Fisk JD,Hitchon C,Peschken C,Bernstein CN,CIHR Team in Defining the Burden and Managing the Effects of Immune-mediated Inflammatory Disease.

    更新日期：2019-09-01 00:00:00

  • Web-based objective structured clinical examination with remote standardized patients and Skype: resident experience.

    abstract：OBJECTIVE:Using Skype and remote standardized patients (RSPs), investigators sought to evaluate user acceptance of a web-based objective structured clinical examination (OSCE) among resident physicians. METHODS:After participating in four web-based clinical encounters addressing pain with RSPs, 59 residents from diffe...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2014.04.016

    authors： Langenau E,Kachur E,Horber D

    更新日期：2014-07-01 00:00:00

  • "User-testing" as a method for testing the fitness-for-purpose of written medicine information.

    abstract：OBJECTIVE:Written medicine information is essential to support spoken information from pharmacists, but must be fit-for-purpose. This study applied "user testing" to the booklet supplied to UK patients taking anticoagulant medicines. METHODS:"User testing" uses mixed-methods, applied iteratively, to assess document pe...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2011.03.016

    authors： Raynor DK,Knapp P,Silcock J,Parkinson B,Feeney K

    更新日期：2011-06-01 00:00:00

  • Unraveling the meaning of patient engagement: A concept analysis.

    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

    authors： Higgins T,Larson E,Schnall R

    更新日期：2017-01-01 00:00:00

  • What you wear does not affect the credibility of your treatment: A blinded randomized controlled study.

    abstract：OBJECTIVE:Professional appearance is easily modifiable, and might alter the effects of a clinical encounter. We aimed to determine whether professional attire influences a patient's perception of treatment credibility. METHODS:We performed a single-blind randomized controlled study on 128 patients with acute non-speci...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.pec.2016.08.009

    authors： Traeger AC,Skinner IW,Hübscher M,Henschke N,Moseley GL,McAuley JH

    更新日期：2017-01-01 00:00:00

  • Information to and communication with cancer patients: improvements and psychosocial correlates in a comprehensive care program for patients and their relatives.

    abstract：:Between 1987 and 1989, 177 cancer patients who were to receive intensive chemotherapy with curative intention, participated in a comprehensive care project with the aim of improving their total situation, and that of their relatives (n = 120). A number of steps were taken to improve, among other things, the informatio...

    journal_title：Patient education and counseling

    pub_type： 临床试验,杂志文章

    doi：10.1016/0738-3991(94)00655-6

    authors： Glimelius B,Birgegård G,Hoffman K,Kvale G,Sjödén PO

    更新日期：1995-05-01 00:00:00

  • Assessing adolescent health needs: a factor analytic approach.

    abstract：:Advances in technology are rapidly expanding health educators' resources for presenting information tailored to meet individual health needs and interests. A self-administered questionnaire was given to 510 youths in grades 6 through 9 to ascertain adolescents' health concerns and thus develop more appropriate educati...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/0738-3991(83)90063-0

    authors： Levenson PM,Morrow JR Jr,Johnson SA,Pfefferbaum B

    更新日期：1983-07-01 00:00:00

  • Assessment of physician competency in patient education: reliability and validity of a model-based instrument.

    abstract：OBJECTIVE:Establish the inter-rater reliability and the concept, convergent and construct validity of an instrument for assessing the competency of physicians in patient education. METHODS:Three raters assessed the quality of patient education in 30 outpatient consultations with the CELI instrument. This instrument is...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2010.09.007

    authors： Wouda JC,Zandbelt LC,Smets EM,van de Wiel HB

    更新日期：2011-10-01 00:00:00

  • Sharing qualitative research findings with participants: study experiences of methodological and ethical dilemmas.

    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

    authors： Goldblatt H,Karnieli-Miller O,Neumann M

    更新日期：2011-03-01 00:00:00

  • Examination of standardized patient performance: accuracy and consistency of six standardized patients over time.

    abstract：OBJECTIVE:To explore the accuracy and consistency of standardized patient (SP) performance in the context of routine genetic counseling, focusing on elements beyond scripted case items including general communication style and affective demeanor. METHODS:One hundred seventy-seven genetic counselors were randomly assig...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2010.10.005

    authors： Erby LA,Roter DL,Biesecker BB

    更新日期：2011-11-01 00:00:00

  • The prepared family caregiver: a problem-solving approach to family caregiver education.

    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

    authors： Houts PS,Nezu AM,Nezu CM,Bucher JA

    更新日期：1996-01-01 00:00:00

  • Death talk: Basic linguistic rules and communication in perinatal and paediatric end-of-life discussions.

    abstract：OBJECTIVE:This paper considers clinician/parent communication difficulties noted by parents involved in end-of-life decision-making in the light of linguistic theory. METHODS:Grice's Cooperative Principle and associated maxims, which enable effective communication, are examined in relation to communication deficiencie...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2015.10.025

    authors： Xafis V,Watkins A,Wilkinson D

    更新日期：2016-04-01 00:00:00

  • What makes a patient ready for Shared Decision Making? A qualitative study.

    abstract：OBJECTIVES:Shared decision making (SDM) requires an active role from patients, which might be difficult for some. We aimed to identify what patients need to be ready (i.e., well-equipped and enabled) to participate in SDM about treatment, and what patient- and decision-related characteristics may influence readiness. ...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2020.08.031

    authors： Keij SM,van Duijn-Bakker N,Stiggelbout AM,Pieterse AH

    更新日期：2020-09-13 00:00:00

  • A pragmatic randomized controlled trial of the Flinders Program of chronic condition management in community health care services.

    abstract：OBJECTIVES:To evaluate the Flinders Program in improving self-management in common chronic conditions. To examine properties of the Partners in Health scale (PIH). METHODS:Participants were randomized to usual care or Flinders Program plus usual care. Self-management competency, quality of life, and other outcomes wer...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.pec.2015.06.003

    authors： Battersby M,Harris M,Smith D,Reed R,Woodman R

    更新日期：2015-11-01 00:00:00

  • Effective chronic disease management: patients' perspectives on medication-related problems.

    abstract：OBJECTIVE:To examine medication-related problems from the perspective of patients with a chronic condition and to identify how they may be supported in managing their medication. METHODS:Patients prescribed medication for cardiovascular disease were recruited through five general medical surgeries and four community p...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2006.09.012

    authors： Gordon K,Smith F,Dhillon S

    更新日期：2007-03-01 00:00:00

  • Take the HEAT: A pilot study on improving communication with angry families.

    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

    authors： Delacruz N,Reed S,Splinter A,Brown A,Flowers S,Verbeck N,Turpening D,Mahan JD

    更新日期：2017-06-01 00:00:00

  • Attitudes of nursing staff towards involvement in medical end-of-life decisions: a national survey study.

    abstract：OBJECTIVES:To investigate nursing staff attitudes towards involvement and role in end-of-life decisions (ELDs) and the relationships with sociodemographic and work-related characteristics. METHODS:Survey study among nationally representative Dutch research sample consisting of care professionals. Nursing staff working...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/j.pec.2013.09.018

    authors： Albers G,Francke AL,de Veer AJ,Bilsen J,Onwuteaka-Philipsen BD

    更新日期：2014-01-01 00:00:00

  • Intergenerational differences in the intention to use psychological cybercounseling: A Chinese case study.

    abstract：OBJECTIVE:This study applied an extended theory of planned behavior (E-TPB) model to investigate factors that contribute to the intention to use psychological cybercounseling in a Chinese sample. The moderating effects of intergenerational differences on relationships of E-TPB variables were also tested. METHODS:A tot...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2020.02.035

    authors： Teo T,Shi W,Huang F,Hoi CKW

    更新日期：2020-08-01 00:00:00

  • Comparing patients' and their partners' preferences for adjuvant chemotherapy in early breast cancer.

    abstract：OBJECTIVE:Preferences of women who had completed adjuvant chemotherapy for early breast cancer were compared with those of their partners by determining the smallest benefits they judged sufficient to make adjuvant chemotherapy worthwhile. METHODS:Forty-six women and their partners were interviewed separately, 3-34 mo...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2008.02.021

    authors： Duric VM,Butow PN,Sharpe L,Heritier S,Boyle F,Beith J,Wilcken NR,Coates AS,Simes RJ,Stockler MR

    更新日期：2008-08-01 00:00:00

  • Assessment of participation in physical activities and relationship to socioeconomic and health factors. The controversial value of self-perception.

    abstract：:Physician counseling on physical activities for sedentary people is usually based on anamneses. The aim of the present study was to investigate the accuracy of self-perception of participation in physical activities, and the correlation of physical activity with background factors. A random sample of 276 individuals a...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/S0738-3991(03)00119-8

    authors： Fogelman Y,Bloch B,Kahan E

    更新日期：2004-04-01 00:00:00

  • Does the achievement of medical identity limit the ability of primary care practitioners to be patient-centred? A qualitative study.

    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

    authors： O'Flynn N,Britten N

    更新日期：2006-01-01 00:00:00

  • Interpreter perspectives of in-person, telephonic, and videoconferencing medical interpretation in clinical encounters.

    abstract：OBJECTIVE:To examine professional medical interpreters' perspectives of in-person and remote interpreting modalities. METHODS:Survey of interpreters at three medical centers assessing satisfaction with aspects of communication using each modality, and adequacy of videoconferencing medical interpretation (VMI) and tele...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2011.08.006

    authors： Price EL,Pérez-Stable EJ,Nickleach D,López M,Karliner LS

    更新日期：2012-05-01 00:00:00

  • The same but different: clinician-patient communication with gay and lesbian patients.

    abstract：:Surveys estimate that 3-6% of the patients seen by physicians are gay or lesbian. There are unique health risks of gays and lesbians that are important to the clinician in determining an accurate diagnosis, providing patient education, and arriving at an appropriate treatment plan. One of the most significant medical ...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/s0738-3991(02)00189-1

    authors： Bonvicini KA,Perlin MJ

    更新日期：2003-10-01 00:00:00

  • What you "see" is how you communicate: Medical students' meaning making of a patient's vignette.

    abstract：OBJECTIVES:To examine how medical students notice issues in a vignette and construct their meaning, and how this construction influences their plan to communicate with the patient. METHODS:Following a breaking bad news course for 112 senior medical students, we qualitatively analyzed the participants' written descript...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2018.04.004

    authors： Karnieli-Miller O,Michael K,Eidelman S,Meitar D

    更新日期：2018-09-01 00:00:00

  • Development and national consensus finding on patient-centred high stakes communication skills assessments for the Swiss Federal Licensing Examination in Medicine.

    abstract：OBJECTIVE:To describe and evaluate a consensus finding and expert validation process for the development of patient-centred communication assessments for a national Licensing Exam in Medicine. METHODS:A multi-professional team of clinicians and experts in communication, assessment and role-play developed communication...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2020.12.003

    authors： Bachmann C,Kropf R,Biller S,Schnabel KP,Junod Perron N,Monti M,Berendonk C,Huwendiek S,Breckwoldt J

    更新日期：2020-12-09 00:00:00

  • Listening for feelings: identifying and coding empathic and potential empathic opportunities in medical dialogues.

    abstract：:The objective of the study was to validate the model of empathic opportunity (EO) and potential empathic opportunity (PEO) using the Roter Interaction Analysis System (RIAS) in a sample of cancer patients. Thirty-nine audio taped consultations at an outpatient oncology clinic performed by four oncologists were previou...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2003.09.006

    authors： Eide H,Frankel R,Haaversen AC,Vaupel KA,Graugaard PK,Finset A

    更新日期：2004-09-01 00:00:00

  • Testing of the Patients' Insights and Views of Teamwork (PIVOT) Survey: a validity study.

    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

    authors： Henry BW,Rooney DM,Eller S,Vozenilek JA,McCarthy DM

    更新日期：2014-09-01 00:00:00

  • Decision aids for patients facing health treatment decisions in Spain: preliminary results.

    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

    authors： Perestelo-Perez L,Perez-Ramos J,Gonzalez-Lorenzo M,Rivero-Santana A,Serrano-Aguilar P

    更新日期：2010-09-01 00:00:00