Abstract：
:In this article, we report the long-term outcomes of an intervention for informal caregivers who are the main provider of stroke survivors' emotional and physical support. Based on the stress-coping theory of Lazarus and Folkman two intervention designs were developed: a group support program and individual home visits. Both designs aimed at an increase in caregivers' active coping and knowledge, reducing caregivers' strain and improving well-being and social support. Caregivers were interviewed before entering the program, and 1 and 6 months after completion of the program. After 6 months, 100 participants remained in the group program, 49 in the home visit program, and 38 in the control group. Multiple stepwise regression analysis was used to determine the effects of the interventions. In the long-term, the interventions (group program and home visits together) contributed to a small to medium increase in confidence in knowledge and the use of an active coping strategy. The amount of social support remained stable in the intervention groups, whereas it decreased in the control group. The same results were found when only the group program was compared with the control group. However, no significant differences between the home visit group and the participants in the group support program were found. Younger female caregivers benefit the most from the interventions. They show greater gains in confidence in knowledge about patient-care and the amount of social support received compared with other caregivers.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
van den Heuvel ET,Witte LP,Stewart RE,Schure LM,Sanderman R,Meyboom-de Jong Bdoi
10.1016/s0738-3991(01)00230-0subject
Has Abstractpub_date
2002-08-01 00:00:00pages
291-9issue
4eissn
0738-3991issn
1873-5134pii
S0738399101002300journal_volume
47pub_type
临床试验,杂志文章,随机对照试验abstract：OBJECTIVE:To develop an attractive and effective patient feedback training programme for general practice trainees (GPTs). METHODS:First, an exploratory study was conducted in which patients and GPTs were interviewed after they had worked with patient feedback. This contributed to the development of the patient feedba...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.01.016
更新日期：2008-07-01 00:00:00
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
更新日期：2009-05-01 00:00:00
abstract：:Despite my efforts and those of quite a few experienced colleagues we failed to diagnose our friend's wife illness and prevent her demise. But a sad and frustrating experience also stimulates reflection and dwelling on potential errors we made and hope to identify the next time. ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.07.017
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVES:Internet-based information has potential to impact physician-patient relationships. This study examined medical students' interpretation and response to such information presented during an objective clinical examination. METHOD:Ninety-three medical students who had received training for a patient centered ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.12.014
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVE:The average age at diagnosis for type 2 diabetes is decreasing. However, because age is most often controlled for in clinical research, little is known regarding how adult age is associated with diabetes disease-related variables. METHODS:In a community based study with type 2 diabetes patients (N=506), afte...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.10.030
更新日期：2011-11-01 00:00:00
abstract：:Upper gastrointestinal symptoms are a common complaint among the general population but only a small proportion of sufferers seek medical advice. The aim of this study was to examine what kind of perceptions persons using self medication have about the causes of their gastrointestinal symptoms, whether they have made ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00103-7
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:Little is known about how older African American women define family violence (FV) and what FV survivors might expect from their healthcare providers. The purpose of this study was to understand how these women define FV, where they seek help for FV, and what barriers they face in these efforts. METHODS:We c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.05.019
更新日期：2007-10-01 00:00:00
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
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:Huntington's disease (HD) is an inherited disorder, characterized by a progressive degeneration of the brain. Due to the nature of the symptoms, the genetic element of the disease, and the fact that there is no cure, HD patients and those in their support network often experience considerable stress and anxie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.06.002
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To compare and contrast the duration and content of physician-patient interaction for patients presenting to an emergency department with problems of low acuity in 1990 and 2005 treated by different grades of physician. METHODS:Observational study with data collection in May-July 1990 and May-July 2005. Pati...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.02.005
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:This study examined the impact of motivational interviewing (MI) counseling time on self-efficacy to practice safer sex for people living with HIV/AIDS (PLWHA). METHODS:In 4 month intervals we followed a cohort of 490 PLWHA for 12 months. We conducted hierarchical linear regression models to examine changes ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.07.021
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:To understand if narratives can be effective tools for diabetes empowerment, from the perspective of African-American participants in a program that improved diabetes self-efficacy and self-management. METHODS:In-depth interviews and focus groups were conducted with program graduates. Participants were asked...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.03.022
更新日期：2015-08-01 00:00:00
abstract：OBJECTIVE:Relatively few studies have tracked retention effects of stroke education in low- and high-risk groups. Such information is important to improve the design of stroke prevention programs. METHODS:The frequency of risk factors within the sample was defined as "high" if 30% or more of participants in that group...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.08.024
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to investigate factors related to family functioning and adaptation in caregivers of individuals with Rett syndrome (RS). METHODS:A cross-sectional quantitative survey explored the relationships between demographics, parental self-efficacy, coping methods, family functioning a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.06.018
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To critically appraise and discuss evidence from interventions designed to increase men's knowledge about cancer risk reduction. METHODS:A systematic review was conducted. Six electronic databases were searched for interventions published between January 1st 2006 and May 30th 2016 in English. Studies were in...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.03.002
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:To ascertain whether physicians have favorite patients, their experiences with such patients, and how such relationships may influence patients and physicians. METHODS:Semi-structured key informant interviews with 25 primary care internists practicing in several clinic settings at a large academic medical ce...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.06.023
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of including an online decision aid (DA) during prostate cancer treatment counseling on decisional regret and information satisfaction in a one-year follow-up. METHODS:Within a cluster RCT, 18 Dutch hospitals were randomized to DA counseling or care-as-usual, patients (n = 382) init...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2018.10.006
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to examine the extent to which functional, interactive and critical health literacy are associated with patients' perceived control over care and frequency of GP visits. METHODS:Data from the Dutch 'National Panel of People with Chronic Illness or Disability' was used (N=2508). Healt...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.04.006
更新日期：2015-08-01 00:00:00
abstract：OBJECTIVES:Approximately 6-20% of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.10.010
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:The objectives of this study were to identify nutrition communication styles of Dutch GPs, their strategies regarding nutrition communication and nutrition information seeking behaviours. Another aim is to provide a hypothetical model for nutrition communication style, including psycho-social and socio-demogr...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.09.001
更新日期：2006-10-01 00:00:00
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
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:To explore the association between different types of knowledge related to donation and transplantation and the expression of donation intentions via one's driver's license, a donor card, or sharing one's wishes with family. METHODS:Cross-sectional data were gathered via self-administered questionnaire from ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.09.017
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:Contraceptive decision support tools (DSTs) have been suggested as a way to provide patient-centered contraceptive care, but little is known about the role they play in women's decision-making. The aim of this study is to understand patients' perceptions of the value of a contraceptive DST. METHODS:We conduc...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.022
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:Poor adherence with prescription medications is a serious problem in health care, especially true for patients with chronic diseases. Previous strategies to promote adherence have generally not resulted in long-term improvements. This research program is designed to improve on past intervention strategies by ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.04.029
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:The objective was to explore patients' and spouses' perception and attitudes towards participating in a patient and family advisory council. METHODS:A qualitative study with interviews conducted within a phenomenological-hermeneutical frame, inspired by Ricoeur were conducted with current and former particip...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.11.025
更新日期：2020-11-24 00:00:00
abstract：OBJECTIVE:Communication inequality has been offered as one potential mechanism through which social determinants influence multiple health behaviors. The purpose of this study was to examine the underlying mechanisms between communication inequality and health behaviors. METHODS:Data from a nationally representative c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.05.018
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:Perceptions of illness affect cardiovascular disease (CVD) self-management. This study explores knowledge, attitudes, and beliefs regarding hypertension and hyperlipidemia management among 34 African-American men with hypertension and/or hyperlipidemia, age 40-65, living in the Southeastern United States. ME...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.12.011
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:Basic research and careful observation of clinical practice have yielded a vast amount of empirical data on communication in health care. This research has been guided by the assumption that good communication will be better understood and easier to teach when its single constituents are identified. This pape...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2007.04.009
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVE:Partners have a significant role in a person's ability to adjust to a chronic physical illness, which warrants their inclusion in couples interventions. However to deliver more specific, tailored support it is necessary to explore which types of couples interventions are most effective across certain chronic ...
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
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
更新日期：2003-10-01 00:00:00
