当前位置： SCI文献检索 > PATIENT EDUCATION AND COUNSELING期刊下所有文献 > Women's views of optimal risk communication and decision making in general practice consultations about the menopause and hormone replacement therapy.

Women's views of optimal risk communication and decision making in general practice consultations about the menopause and hormone replacement therapy.

Abstract：

:Primary care consultations about the menopause and hormone replacement therapy (HRT) involve decision making in the face of clinical uncertainty. This qualitative study used focus groups and semi-structured interviews with primary care patients to explore patients' perspectives of optimal risk communication and decision making, and their views on how to improve its effectiveness. The study was set in two general practices in Cambridge, and the participants were 40 women aged between 50 and 55 years, known to be Current-Users (CU), Ex-Users (EU), or Never-Users (NU) of HRT. The majority of participants favoured communication of risks and benefits to facilitate an informed and personalised choice resulting in informed shared decision making, while some wanted a more directive approach. Women felt that risk communication would be optimised by the provision of unbiased, truthful and summarised information, and also by the personalisation of both this risk information and subsequent management of the menopause and treatment with HRT. Barriers to optimal risk communication and decision making included lack of time, GP attitudes and poor communication in the primary care consultation. In summary, consultations concerning the menopause and HRT involve complex decision making in the face of uncertainty, and most patients favour evidence-based, individualised risk information and shared decision making leading to informed choices. Some patients wish for a more directive approach, and practitioners need to develop skills to evaluate each patient's needs at each consultation.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Walter FM,Emery JD,Rogers M,Britten N

doi

10.1016/j.pec.2003.11.001

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

121-8

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738399103003033

journal_volume

53

pub_type

杂志文章

相关文献

PATIENT EDUCATION AND COUNSELING文献大全
  • Measuring oral contraceptive knowledge: a review of research findings and limitations.

    abstract：OBJECTIVE:Poor oral contraceptive (OC) knowledge may contribute to premature OC discontinuation and unintended pregnancy. Yet, to understand relationships between OC knowledge and contraceptive behavior, knowledge must be adequately measured. This review evaluates the findings and methodological limitations of research...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/j.pec.2010.10.016

    authors： Hall KS,Castaño PM,Stone PW,Westhoff C

    更新日期：2010-12-01 00:00:00

  • Minding the gap: Interprofessional communication during inpatient and post discharge chasm care.

    abstract：OBJECTIVE:Poor communication is cited as a main cause of poor patient outcomes and errors in healthcare, and clear communication can be especially critical during transitions such as discharge. In this project, communication was standardized for clarity, and techniques were implemented to continue care from inpatient, ...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2015.03.009

    authors： Scotten M,Manos EL,Malicoat A,Paolo AM

    更新日期：2015-07-01 00:00:00

  • The physician-patient working alliance: Theory, research, and future possibilities.

    abstract：OBJECTIVE:This article discusses the physician-patient working alliance and reviews the empirical research that has been generated on the working alliance to date. METHODS:The paper presents a brief history of the study of the physician-patient relationship, and discusses constructs that have examined aspects of the r...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.pec.2016.10.018

    authors： Fuertes JN,Toporovsky A,Reyes M,Osborne JB

    更新日期：2017-04-01 00:00:00

  • The association between frailty and medication adherence among community-dwelling older adults with chronic diseases: Medication beliefs acting as mediators.

    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

    authors： Qiao X,Tian X,Liu N,Dong L,Jin Y,Si H,Liu X,Wang C

    更新日期：2020-05-15 00:00:00

  • An evidence base for patient-centered cancer care: a meta-analysis of studies of observed communication between cancer specialists and their patients.

    abstract：OBJECTIVE:In the context of patients visiting cancer specialists, the objective is to test the association between both patient-centered communication (including Affective Behavior and Participation Behavior) and Instrumental Behavior and patients' post-visit satisfaction with a variety of visit phenomena. METHODS:Met...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.pec.2009.09.015

    authors： Venetis MK,Robinson JD,Turkiewicz KL,Allen M

    更新日期：2009-12-01 00:00:00

  • Functional health literacy in Switzerland--validation of a German, Italian, and French health literacy test.

    abstract：OBJECTIVE:This study aimed to translate and validate German, Italian, and French versions of the Short-Test of Functional Health Literacy (S-TOFHLA), to be used in Switzerland and its neighboring countries. METHODS:The original English version of the S-TOFHLA was translated by applying standardized translation methods...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2012.08.018

    authors： Connor M,Mantwill S,Schulz PJ

    更新日期：2013-01-01 00:00:00

  • Communication problems on an oncology ward.

    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

    authors： De Valck C,Van de Woestijne KP

    更新日期：1996-11-01 00:00:00

  • The history of diabetes lay associations.

    abstract：:With much of the developed world having the increasing sociologic and economic problems of an aging population, there is an increased awareness of educating patients to not only understand and follow the instructions of their medical teams but to have increased responsibility for their own care. Of all the chronic con...

    journal_title：Patient education and counseling

    pub_type： 历史文章,杂志文章

    doi：10.1016/0738-3991(95)00735-i

    authors： Krall LP

    更新日期：1995-09-01 00:00:00

  • A decision aid to facilitate informed choices among cataract patients: A randomized controlled trial.

    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

    authors： Ye G,Qu B,Tham YC,Zhong Y,Jin L,Lamoureux E,Congdon N,Zheng Y,Liu Y

    更新日期：2020-11-09 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

  • The LBP patient perception scale: a new predictor of LBP episode outcomes among primary care patients.

    abstract：OBJECTIVE:To describe a new tool designed to capture patients' perception of their low back pain (LBP) episodes-the patient perception scale (PPS) and test its ability to predict episode outcomes. METHODS:Thirty-two family physicians recruited 526 low back pain patients during an office visit. Physicians completed a s...

    journal_title：Patient education and counseling

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/j.pec.2007.03.015

    authors： Reis S,Borkan J,Vanraalte R,Tamir A,Dahan R,Hermoni D,RAMBAM-Israeli Family Practice Research Network.

    更新日期：2007-07-01 00:00:00

  • Behavior change in diabetes practitioners: An intervention using motivation, action planning and prompts.

    abstract：OBJECTIVES:It is important for health professionals to have behavior change skills to empower people to manage long-term-conditions. Theoretically derived, competency-based training can be particularly effective where it considers reflective and automatic routes to behavior change. The aim of this study was to develop,...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2020.04.013

    authors： Maltinsky W,Swanson V

    更新日期：2020-11-01 00:00:00

  • Readability comparison of pro- and anti-HPV-vaccination online messages in Japan.

    abstract：OBJECTIVE:In Japan, the HPV vaccination rate has sharply fallen to nearly 0% due to a series of sensational media reports of adverse events. Online anti-HPV-vaccination activists often warn readers of the vaccine's dangers. We aimed to examine distribution and readability of pro-and anti-vaccination online messages wit...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2017.04.013

    authors： Okuhara T,Ishikawa H,Okada M,Kato M,Kiuchi T

    更新日期：2017-10-01 00:00:00

  • Improving patient emotional functioning and psychological morbidity: evaluation of a consultation skills training program for oncologists.

    abstract：OBJECTIVE:To evaluate whether a consultation skills training (CST) program with oncologists and trainees would improve skills in detecting and responding to patient distress, thereby improving their patients' emotional functioning and reducing psychological distress. METHODS:Randomized-controlled trial with 29 medical...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.pec.2009.09.018

    authors： Girgis A,Cockburn J,Butow P,Bowman D,Schofield P,Stojanovski E,D'Este C,Tattersall MH,Doran C,Turner J

    更新日期：2009-12-01 00:00:00

  • Patient knowledge of hysterectomy and pap screening after minimally invasive hysterectomy.

    abstract：OBJECTIVE:To determine whether women know their own cervical cancer screening recommendations after hysterectomy, and to evaluate patients' understanding of hysterectomy terminology and cervical cancer screening. METHODS:A 19-item questionnaire was developed and administered to 413 women who had undergone minimally in...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2016.08.017

    authors： Mattingly M,Juran R,Su I,Ebinger J,Daggy J,Tucker Edmonds B

    更新日期：2017-01-01 00:00:00

  • Patients' experiences with continuum of care across hospitals. A multilevel analysis of Consumer Quality Index Continuum of Care.

    abstract：OBJECTIVE:Communication between professionals is essential because it contributes to an optimal continuum of care. Whether patients experience adequate continuum of care is uncertain. To address this, a questionnaire was developed to elucidate this care process from a patients' perspective. In this study, the instrumen...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2010.04.035

    authors： Kollen BJ,Groenier KH,Berendsen AJ

    更新日期：2011-05-01 00:00:00

  • Autism genetic testing information needs among parents of affected children: A qualitative study.

    abstract：OBJECTIVE:Leading health agencies recommend physicians to provide information regarding genetic testing for autism spectrum disorders (ASD) to parents of affected children. How to effectively provide this information, however, is unclear for physicians. This qualitative study examined the information needs regarding AS...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2015.12.023

    authors： Li M,Amuta A,Xu L,Dhar SU,Talwar D,Jung E,Chen LS

    更新日期：2016-06-01 00:00:00

  • Stroke patients' needs and experiences regarding autonomy at discharge from nursing home.

    abstract：:In this qualitative study stroke patients rehabilitating in nursing homes experienced an increase in their autonomy (particularly in self-determination, independence and self-care) in the last weeks before discharge. The change in autonomy was found to be related to regained abilities and self-confidence, and to patie...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/s0738-3991(99)00113-5

    authors： Proot IM,Crebolder HF,Abu-Saad HH,Macor TH,Ter Meulen RH

    更新日期：2000-10-01 00:00:00

  • Evaluating pharmacists' ability to counsel on tobacco cessation using two standardized patient scenarios.

    abstract：OBJECTIVES:To evaluate the impact that role-playing two pre/post standardized patient scenarios within a tobacco cessation training program had on pharmacists' counseling skills. Second, to analyze the validity of the observation coding tool used to evaluate pharmacist's role-play performance. METHODS:Pharmacists perf...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2010.12.010

    authors： Martin BA,Chewning BA

    更新日期：2011-06-01 00:00:00

  • Behavioral and psychosocial effects of intensive lifestyle management for women with coronary heart disease.

    abstract：:Females, especially older women, historically have been excluded from coronary heart disease (CHD) studies. The PrimeTime program was a randomized clinical trial designed to study the effects of a comprehensive lifestyle management program (very low-fat vegetarian diet, smoking cessation, stress-management training, m...

    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/s0738-3991(98)00074-3

    authors： Toobert DJ,Glasgow RE,Nettekoven LA,Brown JE

    更新日期：1998-11-01 00:00:00

  • "I am worried, Doctor!" Emotions in the doctor-patient relationship.

    abstract：OBJECTIVE:To review research on emotional communication in medical interviews regarding predictors, physiological correlates and effects of clinicians' responses to patients' cues and concerns and individual differences among patients. METHODS:A selective review of research literature on emotional communication in med...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/j.pec.2012.06.022

    authors： Finset A

    更新日期：2012-09-01 00:00:00

  • "They just say everything's a virus"--parent's judgment of the credibility of clinician communication in primary care consultations for respiratory tract infections in children: a qualitative study.

    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

    authors： Cabral C,Ingram J,Hay AD,Horwood J,TARGET team.

    更新日期：2014-05-01 00:00:00

  • A systematic review of the current interventions available to support children living with parental cancer.

    abstract：OBJECTIVE:Children living with parental cancer are vulnerable to distress and developmental disruption. This review aims to identify current interventions to support cancer patients' children and summarise how effective these are based on children's reports. METHODS:Between 25 May 2015 and 6 August 2018, a broad searc...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2019.05.001

    authors： Alexander E,O'Connor M,Rees C,Halkett G

    更新日期：2019-10-01 00:00:00

  • An evaluation of a health education intervention for mid-aged women: five year follow-up of effects upon knowledge, impact of menopause and health.

    abstract：:An evaluation of the long term impact of a health education intervention in primary care, for premenopausal women (45 years of age), is presented. The intervention included information and group discussion about menopause, stress management, health behaviours (smoking, exercise, diet) and treatment choices. Questionna...

    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/s0738-3991(98)00143-8

    authors： Hunter M,O'Dea I

    更新日期：1999-11-01 00:00:00

  • Emergency contraceptive pills over-the-counter: practices and attitudes of pharmacy and nurse-midwife providers.

    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

    authors： Aneblom G,Lundborg CS,Carlsten A,Eurenius K,Tydén T

    更新日期：2004-10-01 00:00:00

  • Conceptualising health literacy from the patient perspective.

    abstract：OBJECTIVE:A person's health literacy, i.e., their ability to seek, understand and use health information, is a critical determinant of whether they are able to actively participate in their healthcare. The objective of this study was to conceptualise health literacy from the patient perspective. METHODS:Using comprehe...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2009.10.001

    authors： Jordan JE,Buchbinder R,Osborne RH

    更新日期：2010-04-01 00:00:00

  • Provider communication effects medication adherence in hypertensive African Americans.

    abstract：OBJECTIVE:To evaluate the effect of patients' perceptions of providers' communication on medication adherence in hypertensive African Americans. METHODS:Cross-sectional study of 439 patients with poorly controlled hypertension followed in community-based healthcare practices in the New York metropolitan area. Patients...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2008.09.018

    authors： Schoenthaler A,Chaplin WF,Allegrante JP,Fernandez S,Diaz-Gloster M,Tobin JN,Ogedegbe G

    更新日期：2009-05-01 00:00:00

  • Improving empowerment, motivation, and medical adherence in patients with poorly controlled type 2 diabetes: A randomized controlled trial of a patient-centered intervention.

    abstract：OBJECTIVE:To test whether an intervention consisting of four patient-centered consultations improves glycemic control and self-management skills in patients with poorly regulated type 2 diabetes (T2DM), compared to a control group receiving usual care. METHODS:Unblinded parallel randomized controlled trial including 9...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.pec.2019.06.014

    authors： Varming AR,Rasmussen LB,Husted GR,Olesen K,Grønnegaard C,Willaing I

    更新日期：2019-12-01 00:00:00

  • Tailored interactive multimedia computer programs to reduce health disparities: opportunities and challenges.

    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

    authors： Jerant A,Sohler N,Fiscella K,Franks B,Franks P

    更新日期：2011-11-01 00:00:00

  • The reporting of previous lifestyle counseling by persons at high risk of Type 2 diabetes.

    abstract：OBJECTIVE:To assess (i) whether the reporting of counseling previously received is associated with high-risk individuals' agreement to participate in lifestyle intervention, (ii) whether the reporting of previous counseling differed within such a high-risk group, and (iii) the associations between lifestyles and previo...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2011.08.013

    authors： Salmela SM,Vähäsarja K,Villberg J,Vanhala M,Saaristo T,Lindström J,Oksa H,Korpi-Hyövälti E,Niskanen L,Keinänen-Kiukaanniemi S,Poskiparta M

    更新日期：2012-05-01 00:00:00