Abstract:
:Although recent work has encouraged doctors to express their uncertainty to patients as a means to improve communication the potential impact of this on patients remains unclear. The present study first explored the impact of the way in which uncertainty was expressed (behaviourally versus verbally) on doctor's and patient's beliefs about patient confidence. Second the study examined the role of the patient's personal characteristics and knowledge of their doctor as a means to address the broader context. Matched questionnaires were completed by GPs (n=66, response rate=92%) and patients (n=550, response rate=88%) from practices in the south-east of England. The results showed that the majority of GPs and patients viewed verbal expressions of uncertainty such as 'Let's see what happens' as the most potentially damaging to patient confidence and both GPs and patients believed that asking a nurse for advice would have a detrimental effect. In contrast, behaviours such as using a book or computer were seen as benign or even beneficial activities. When compared directly, GPs and patients agreed about behavioural expressions of uncertainty, but the patients rated the verbal expressions as more detrimental to their confidence than anticipated by the doctors. In terms of the context, patients who indicated that both verbal and behavioural expressions of uncertainty would have the most detrimental impact upon their confidence were younger, lower class and had known their GP for less time. To conclude, patients' reactions to uncertainty occur within the context of the patient's own background and experience, however, some consistent responses can be found. In particular, whilst behavioural expressions of uncertainty may have a positive impact upon patient confidence, verbal expressions have a consistently detrimental effect which is underestimated by GPs.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Ogden J,Fuks K,Gardner M,Johnson S,McLean M,Martin P,Shah Rdoi
10.1016/s0738-3991(02)00020-4subject
Has Abstractpub_date
2002-01-01 00:00:00pages
171-6issue
2eissn
0738-3991issn
1873-5134pii
S0738399102000204journal_volume
48pub_type
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journal_title:Patient education and counseling
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abstract:OBJECTIVE:This paper explores factors that influence the formulation of risk perception among men with a family history of prostate cancer who are currently attending a prostate cancer screening clinic. METHODS:Semi-structured interviews were conducted with fifteen participants. Interview transcripts were analyzed usi...
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journal_title:Patient education and counseling
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abstract:OBJECTIVE:Smokers who are not ready to quit are a very difficult group to treat. Physicians, nurses, and nurse practitioners are in a unique position to encourage patients to quit smoking. However, the best approach to do so is not clear. METHODS:A two-group randomized controlled trial with 218 pack-a-day precontempla...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
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journal_title:Patient education and counseling
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doi:10.1016/0738-3991(90)90045-m
更新日期:1990-08-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.02.010
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更新日期:1993-05-01 00:00:00
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journal_title:Patient education and counseling
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doi:10.1016/j.pec.2008.09.018
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journal_title:Patient education and counseling
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doi:10.1016/j.pec.2005.02.013
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journal_title:Patient education and counseling
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abstract:OBJECTIVE:Pilot-testing of the adapted Study on Lifestyle intervention and Impaired glucose tolerance Maastricht (SLIM) and to determine its feasibility and likelihood of achieving desired impact. METHODS:Pilot intervention study (a 10-month combined lifestyle intervention) using a one group pre-test post-test design ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.05.024
更新日期:2014-10-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2017-08-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2017-06-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2017-01-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.12.019
更新日期:2016-06-01 00:00:00
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journal_title:Patient education and counseling
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doi:10.1016/j.pec.2016.07.028
更新日期:2016-12-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2013-10-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/0738-3991(95)00739-m
更新日期:1995-09-01 00:00:00
abstract::Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evid...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2005-05-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.05.014
更新日期:2016-11-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2017.02.015
更新日期:2017-07-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.06.002
更新日期:2014-09-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
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更新日期:2005-09-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2006.02.008
更新日期:2006-12-01 00:00:00