Abstract：
OBJECTIVE:This study explored the patient's experience of the doctor-patient relationship and information giving in health care. The views of patients with a range of literacy levels were examined. METHOD:321 patients at an in-patient cardiology unit provided the sample. The Health Literacy (HL) of participants was assessed using the Rapid Estimate of Adult Literacy in Medicine (REALM). All participants (low and adequate HL) were then asked open ended questions about their experiences of communication with healthcare professionals. The qualitative data underwent a thematic analysis. RESULTS:22% of the patients interviewed were found to have a low level of literacy as indicated by the REALM. Many patients felt that health information should be given in simpler language. Patients frequently stated that they either did not read information leaflets or were confused or worried by them. They described the importance of the doctor-patient relationship and the need to build up trust. These views were expressed by patients with adequate HL as well as patients with low HL. CONCLUSION:Many patients irrespective of their HL skills, feel unable to access, understand and utilize health information. PRACTICE IMPLICATIONS:If patients are to be actively engaged in achieving and maintaining good health, healthcare professionals must improve their communication skills and ensure that health information is clear and easy to access.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Shaw A,Ibrahim S,Reid F,Ussher M,Rowlands Gdoi
10.1016/j.pec.2008.09.026subject
Has Abstractpub_date
2009-04-01 00:00:00pages
114-20issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(08)00523-5journal_volume
75pub_type
杂志文章abstract：OBJECTIVE:To develop an observational coding instrument for evaluating the fidelity and quality of brief behavioral change interventions based on the behavioral theories of the 5 A's, Stages of Change and Motivational Interviewing. METHODS:Content and face validity were assessed prior to an intervention where psychome...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.04.012
更新日期：2011-04-01 00:00:00
abstract：:The perception of the diagnosis of infertility and the openness of patients about infertility was investigated among 108 infertile couples. Husbands and wives answered a structured questionnaire. The perception of diagnosis was in 38% of the cases different from the medical diagnosis. Patients perceived the diagnosis ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(95)00852-7
更新日期：1996-08-01 00:00:00
abstract：OBJECTIVE:We conducted a pragmatic randomized controlled trial to test the effectiveness of an asthma question prompt list with video intervention to increase youth question-asking and provider education during visits. METHODS:English or Spanish-speaking youth ages 11-17 with persistent asthma and their parents were e...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2018.01.013
更新日期：2018-06-01 00:00:00
abstract：:There are several instruments to assess how patients evaluate their medical treatment choice. These are used to evaluate decision aids. Our objective is to investigate which psychological factors play a role when patients evaluate their medical treatment choices. A pool of 36 items was constructed, covering concepts s...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.07.010
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVE:To determine the effect of nurse-led program based on Pender's Health Promotion Model on the exercise behaviors of coronary artery patients. METHODS:The two-arm parallel, single-blind, randomized controlled trial was conducted with a total of 62 patients, intervention (n = 32) and control group (n = 30). Int...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.10.003
更新日期：2020-10-10 00:00:00
abstract：OBJECTIVE:Healthcare providers satisfy an important role in providing appropriate care in the prevention and management of acute and chronic pain, highlighting the importance of providers' abilities to accurately assess patients' pain. We systematically reviewed the literature on healthcare providers' pain assessment a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.07.009
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVE:This study investigated whether doctors' attire influences the perception of empathy in the patient-doctor relationship during a therapeutic encounter. METHODS:A total number of 143 patients were divided into four groups when they were consulting a Traditional Korean Medicine doctor. Depending on the group, ...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2012.02.017
更新日期：2012-12-01 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：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:To explore the association between frailty and medication adherence by modeling medication beliefs (i.e., necessity and concerns) as mediators among community-dwelling older patients. METHODS:This cross-sectional study was conducted among 780 Chinese older patients. Frailty, medication adherence and medicati...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.05.013
更新日期：2020-05-15 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：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：: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：OBJECTIVES:To describe (1) patients' disease-related knowledge at cardiac rehabilitation (CR) entry; (2) correlates of this knowledge; (3) whether CR completion is related to knowledge; and (4) behavioral correlates of knowledge. METHODS:For this prospective, observational study, a convenience sample of new CR patient...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.12.001
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVE:The present study explores the emotional effect of the injury experienced by physician's, as a consequence of a patient's termination of their relationship. METHODS:A vignette study using different scenarios describing a patient who switched to another doctor was distributed to 119 family physicians. A three...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.03.010
更新日期：2007-07-01 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：:The revised Diabetes Attitudes Scale (DAS) was completed by nearly 1000 nurses and nursing students in South Australia. Confirmatory factor analysis was used to compare the factor structure with that previously obtained in the USA with patients with diabetes. The instrument was found to be robust. It was concluded tha...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(96)00932-9
更新日期：1996-10-01 00:00:00
abstract：OBJECTIVE:To examine whether patient characteristics are associated with communication patterns between oncologists and breast cancer patients. METHODS:The study was conducted at 14 practices with 58 oncologists with 405 newly diagnosed patients with no prior history of breast cancer. The initial consultation between ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2006.06.011
更新日期：2006-09-01 00:00:00
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
更新日期：2017-01-01 00:00:00
abstract：:Self-instruction is one means of providing patient education, allowing the health professional to teach a larger number of persons than with one-to-one or group instruction and at a lower cost. The purpose of this study was to examine the effects of self-instruction on learning, satisfaction with the teaching approach...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0738-3991(86)90003-0
更新日期：1986-09-01 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 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：:Amongst all the long-term complications of diabetes it is believed that foot ulceration and amputation are the most preventable: small studies have suggested that more than 50% of amputations should be avoidable by screening and appropriate education. There is ample evidence that simple non-invasive screening tests ar...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00746-m
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:To evaluate existing measures of health numeracy using item response theory (IRT). METHODS:A cross-sectional study was conducted. Participants completed assessments of health numeracy measures including the Lipkus expanded health numeracy scale (Lipkus), and the Medical Data Interpretation Test (MDIT). The L...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.03.035
更新日期：2009-06-01 00:00:00
abstract：:Using ethnoscience methods, interviews with 50 South Asian women living in Western Canada were conducted and analyzed to explore explanations and images of breast cancer. Embedded in the women's stories of breast cancer were distinctive, often vivid and fear-provoking images of abnormal growth. Explanations about the ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00118-9
更新日期：1999-07-01 00:00:00
abstract：OBJECTIVE:To enhance partner notification (PN) practices in Dutch STI clinics, a PN training using motivational interviewing as core strategy was offered to STI professionals and evaluated. METHODS:The effectiveness of PN training on professionals' attitude, self-efficacy, skills and behavior toward PN, was examined u...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.08.025
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:The implementation of patient-centered care (PCC) innovations continues to be poorly understood. We used the implementation effectiveness framework to pilot a method for measuring the impact of a PCC innovation in primary care practices. METHODS:We analyzed data from a prior study that assessed the implement...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.09.009
更新日期：2014-12-01 00:00:00
abstract：:Within the field of oncology, the communication of an unfavourable diagnosis is regarded as a stressful event that affects all members of the oncology team, as well as the patient. In this exploratory study we found that the communication problems between doctors, patients and nursing staff were related to insufficien...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(96)00908-1
更新日期：1996-11-01 00:00:00
abstract：OBJECTIVES:High adherence is needed to maintain antiretroviral therapy efficacy. Few attempts at therapeutic patient education (TPE) have been made in sub-Saharan Africa. We describe patients' achievements before intervention and identified needs, TPE programme implementation and evaluation, and patients' satisfaction....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.01.021
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:This study aims to develop a conceptual model of patient-defined SDM, and understand what leads patients to label a specific, decision-making process as shared. METHODS:Qualitative interviews were conducted with 23 primary care patients following a recent appointment. Patients were asked about the meaning of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.017
更新日期：2014-09-01 00:00:00
