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 pharmacies in south London. Data were collected in 98 face-to-face interviews in participants' own homes. Interviews were designed to enable a detailed and holistic exploration of medication-related problems from participants' perspectives. Data were audio-recorded and transcribed verbatim to allow qualitative analysis. RESULTS:Five broad categories of medication-related problem emerged which were examined in the context of patients' perspectives on, and experiences of, the use of medicines and health services. These were concerns about and management of side effects; differing views regarding the use of medicines; cognitive, practical and sensory problems; lack of information or understanding; and problems with access to, and organisation of, services. CONCLUSION:All categories of problem had potential implications for the success of therapy in that they created barriers to adherence, access to medication or informed decision-making. The study demonstrated how patients actively engage in decision-making about their medicines in the home, if not in the consultation. PRACTICE IMPLICATIONS:The five categories of problem provide a focus for interventions by health professionals to support patients in achieving optimal theory outcomes. They demonstrate the need for a comprehensive approach, spanning patient education to the systems of delivery of care. Within the NHS in Britain, policy and practice initiatives are being designed to achieve this end. Further research should focus on the evaluation of professional practices and service developments in supporting patients in the self-management of their medicines.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Gordon K,Smith F,Dhillon Sdoi
10.1016/j.pec.2006.09.012subject
Has Abstractpub_date
2007-03-01 00:00:00pages
407-15issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(06)00328-4journal_volume
65pub_type
杂志文章abstract:OBJECTIVE:We examined the reach and impact of five decision aids (DAs) routinely distributed to breast cancer patients as part of a shared decision making demonstration project. METHODS:From 2005 to 2008, we surveyed patients' change in knowledge and decisional conflict (DC) before and after their review of DAs. Using...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.05.011
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To conduct a scoping literature review to understand the conceptualization and nature of the research on patient-provider language concordance (LC) in health care. METHODS:We searched PubMed, EMBASE, CINAHL, PsycINFO, and Scopus to identify peer-reviewed articles between January 1961 and August 2018. We extr...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2020.05.025
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To direct attention to the concept of vulnerability, how it affects interactions in subtle ways and is difficult to detect in studies of clinical dialogues. METHODS:A reflection on three everyday examples of what seems like insignificant details in physician-patient interaction, enlightened by readings with ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.07.025
更新日期:2018-11-01 00:00:00
abstract::This study examined interactions between doctors and their chronic pain patients in the context of investigations for medically unexplained pain. Doctor-patient interactions were explored through the analysis of the accounts of the communication process in the chronic pain consultation of 20 chronic pain patients with...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/S0738-3991(03)00105-8
更新日期:2004-03-01 00:00:00
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
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:Few patients participate in cancer support groups despite their benefits. This study investigated the importance of Theory of Planned Behaviour variables in predicting group participation, relative to disease impact, existing support, coping and demographic variables. METHODS:Longitudinal study of patients w...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.05.003
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVES:Question Prompt Lists (QPL) increase patient active participation in oncology interactions, but questions remain regarding how QPLs influence patient-oncologist information exchange. We examined how a QPL influenced information exchange during oncology interactions with African-American patients. METHODS:Da...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.09.020
更新日期:2020-03-01 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: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:OBJECTIVE:The research findings reported here describe the importance and various functions of physician listening according to patients. METHODS:Fifty-eight patients of the McGill University Health Centre were interviewed using a qualitative, interpretive design approach. RESULTS:Patients explained why listening was...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.01.028
更新日期:2011-12-01 00:00:00
abstract::Responding to concerns articulated by Canadian women living with breast cancer and their families, the federal government has provided $2.7 million over five years to establish five regional information exchange pilot projects. Women experience considerable variation in access to information reflecting different resou...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(96)00898-1
更新日期:1996-07-01 00:00:00
abstract:OBJECTIVE:To explore how individuals with cancer and bereaved relatives evaluate information provision by specialist palliative care services (PCSs). METHODS:A cross-sectional survey was conducted within four multidisciplinary palliative homecare teams (HCTs), 17 hospital-based palliative care units (PCUs) and 13 hosp...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.11.012
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:The smoking status of physicians can impact interactions with patients about smoking. The 'Smoking: The Opinions of Physicians' (STOP) survey examined whether an association existed between physician smoking status and beliefs about smoking and cessation and a physician's clinical interactions with patients r...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.07.042
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness of a TTM-based motivational counselling approach by trained practice nurses to promote physical activity of low back pain patients in a German primary care setting. METHODS:Data were collected in a cluster-randomized controlled trial with three study arms via questionnaires a...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2007.09.018
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To profile and compare the content and presentation of written communications related to informed decision-making about mammography. METHODS:Materials from 16 screening programs organized at the national or regional level were analyzed according to five major information domains suggested by the internationa...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.09.012
更新日期:2006-10-01 00:00:00
abstract::The purpose of this study was to evaluate the effectiveness of a diabetes specialty centre in assisting clients with noninsulin-dependent diabetes mellitus to improve their metabolic control and quality of life. A single-subject repeated measures design was used where data was collected on entry to the program, immedi...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(94)00677-e
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVE:Our aim was to develop a measurement which enables research into the interdependent nature of clinical encounters. The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.07.009
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:To study how comprehension of cardiovascular disease (CVD) risk is influenced by: (1) infographics about qualitative risk information, with/without risk numbers; (2) which qualitative risk dimension is emphasized; (3) heart age vs. traditional risk format. METHODS:For aim 1, a 2 (infographics versus text) x ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.03.015
更新日期:2018-08-01 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 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:OBJECTIVE:Community pharmacists are highly accessible healthcare professionals, whose regular contact with patients provides ongoing opportunities to improve medication safety and promote medication adherence. This study investigates whether patients who experience low service quality in community pharmacies are less a...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.07.009
更新日期:2021-02-01 00:00:00
abstract::In the emergency department, continuity of care is constant. ED high utilizers have social needs unmet and limited places to turn for help. ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.11.027
更新日期:2020-06-01 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
abstract::Deregulation of emergency contraceptive pills (ECP) has led to pharmacy staff becoming a new provider group of ECP, together with nurse-midwives, who are already experienced in prescribing contraceptives. This postal questionnaire survey aimed to assess practices and attitudes towards ECP and the over-the-counter (OTC...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2003.08.008
更新日期:2004-10-01 00:00:00
abstract::The study of patients' attitudes is an important subject because the success of many medical programs is linked to it. We have used a cognitive attitude theory -- the Elaboration Likelihood Model (ELM), to study how patients form an evaluation of dietetic care. Respondents answered one questionnaire before (46% respon...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(95)00815-2
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVE:Physicians often overlook important contextual clues that patients give during an encounter. The objective of our study was to increase medical students' knowledge and skills in identifying contextual issues. METHODS:Six consecutive learning experiences, including a standardized patient (SP) encounter and ac...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.06.035
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:The use of the diabetes online community (DOC) is growing across all age groups. The aim of this exploratory study was to describe why older adults participated in the DOC, and how DOC users interacted with their healthcare providers. METHODS:Telephone interviews (N=20) were conducted with older adult DOC us...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.08.023
更新日期:2018-03-01 00:00:00
abstract::The study objective was to investigate physicians' perceptions of three patient decision aids (DA). Semi-structured telephone interviews were conducted with 20 family physicians and 12 gynecologists about a DA for women considering long-term hormone replacement therapy; with 16 respirologists about a DA for the use of...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(03)00050-8
更新日期:2003-07-01 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