MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Patient Education and Counseling' source. Thu, 09 Feb 2012 07:36:03 +0100 http://www.medworm.com/index.php?rid=5642071&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399112000250%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642071 Mon, 30 Jan 2012 15:35:12 +0100 5642071 http://www.medworm.com/index.php?rid=5642051&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399112000122%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642051 Mon, 30 Jan 2012 15:35:12 +0100 5642051 http://www.medworm.com/index.php?rid=5642050&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399112000031%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642050 Mon, 30 Jan 2012 15:35:12 +0100 5642050 http://www.medworm.com/index.php?rid=5510211&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111005842%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510211 Sat, 17 Dec 2011 00:38:01 +0100 5510211 http://www.medworm.com/index.php?rid=5510210&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111005751%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510210 Sat, 17 Dec 2011 00:38:01 +0100 5510210 http://www.medworm.com/index.php?rid=5414885&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111005374%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414885 Thu, 17 Nov 2011 15:14:43 +0100 5414885 http://www.medworm.com/index.php?rid=5414884&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111005271%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414884 Thu, 17 Nov 2011 15:14:43 +0100 5414884 http://www.medworm.com/index.php?rid=5510229&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100190X%2Fabstract%3Frss%3Dyes Conclusion: This study adds to shared decision-making literature in that it shows in a representative sample of people with chronic illnesses how their perceptions of their experiences of the doctor–patient relationship are distributed across the population.Practice implications: Consideration needs to be given as to whether it is better to help doctors to alter their styles of interactions to suit the preferences of different patients or if it is feasible to match patients with doctors by style of decision-making and patient preference. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510229 Mon, 05 Sep 2011 04:00:00 +0100 5510229 http://www.medworm.com/index.php?rid=5319746&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111004228%2Fabstract%3Frss%3Dyes Pompili et al. have written a comprehensive comment to my article about GPs’ reaction to a patient's suicide. The authors support my proposals for increased training of GPs in identifying suicide ideation and they draw attention to the need for increased focus on this area. In addition, they argue that the knowledge gained from suicidology should be integrated into general practice and that patients’ hopelessness and despair would be identified if GPs were more sympathetic and receptive. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319746 Mon, 05 Sep 2011 04:00:00 +0100 5319746 http://www.medworm.com/index.php?rid=5319710&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111004563%2Fabstract%3Frss%3Dyes The global diabetes epidemic is large and rapidly expanding. Optimizing diabetes self-management will be a priority and necessity if diabetes is not to overwhelm healthcare budgets. This will require accessible and effective interventions at multiple levels (community, clinical, family, and individual levels), including communication and counseling. As organizational accountability expands, how well-prepared people with diabetes are to care for their condition, problem-solve and avert complications will be a performance metric for health systems. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319710 Mon, 05 Sep 2011 04:00:00 +0100 5319710 http://www.medworm.com/index.php?rid=5189370&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111004241%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5189370 Sat, 03 Sep 2011 22:32:54 +0100 5189370 http://www.medworm.com/index.php?rid=5152857&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111004162%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152857 Wed, 24 Aug 2011 23:29:57 +0100 5152857 http://www.medworm.com/index.php?rid=5152856&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111004150%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152856 Wed, 24 Aug 2011 23:29:57 +0100 5152856 http://www.medworm.com/index.php?rid=5152855&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111004149%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152855 Wed, 24 Aug 2011 23:29:57 +0100 5152855 http://www.medworm.com/index.php?rid=5152835&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003934%2Fabstract%3Frss%3Dyes This issue of Patient Education and Counseling is publishing a selected series of papers presented during the 2010 conference of the European Association of Communication in Health Care (EACH) in Verona (Italy). Participants of the conference and session chair persons were invited to point out particularly interesting presentations. Those authors were invited to submit their work as for publication in this special issue. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152835 Wed, 24 Aug 2011 23:29:52 +0100 5152835 http://www.medworm.com/index.php?rid=5152834&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100406X%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152834 Wed, 24 Aug 2011 23:29:52 +0100 5152834 http://www.medworm.com/index.php?rid=5414920&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100382X%2Fabstract%3Frss%3Dyes Conclusion: Patient–physician concordance across multiple social characteristics may have cumulative effects on patient–physician communication and perceptions of care.Practice implications: Research should move beyond one-dimensional measures of patient–physician concordance to understand how multiple social characteristics influence health care quality. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414920 Tue, 16 Aug 2011 04:00:00 +0100 5414920 http://www.medworm.com/index.php?rid=5414919&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003818%2Fabstract%3Frss%3Dyes Conclusion: This study provides objective evidence that doctors face interactional challenges when they try to explain that symptoms are medically unexplained and suggest psychological treatment.Practice implications: Doctors may try to avoid provoking patients’ overt resistance because they perceive it as unpleasant. However, the display of overt resistance enables them to deal explicitly with the grounds on which patients reject their explanations and recommendations, and to address patients’ particular concerns. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414919 Thu, 11 Aug 2011 04:00:00 +0100 5414919 http://www.medworm.com/index.php?rid=5152848&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003892%2Fabstract%3Frss%3Dyes Abstract: Objective: To test the effect of three questions (what are my options? what are the benefits and harms? and how likely are these?), on information provided by physicians about treatment options.Methods: We used a cross-over trial using two unannounced standardized patients (SPs) simulating a presentation of mild-moderate depression. One SP was assigned the intervention role (asking the questions), the other the control role. An intervention and control SP visited each physician, order allocated randomly. The study was conducted in family practices in Sydney, Australia, during 2008–09. Data were obtained from consultation audio-recordings. Information about treatment options and patient involvement were analyzed using the Assessing Communication about Evidence and Patient Prefer... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152848 Tue, 09 Aug 2011 23:00:00 +0100 5152848 http://www.medworm.com/index.php?rid=5414930&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003727%2Fabstract%3Frss%3Dyes Conclusion: At the end of this CCSC at FMUP, students recognized its major importance and how they need to invest and improve communication skills. However, it seems important to monitor the attitudes and anxiety levels of students towards patient care and communication during the medical course and to identify ways of overcoming barriers towards learning communication skills.Practice implications: It is recommended that there should be a complete (transversal and vertical) integration of communication skills, including effective teaching methods, assessments, and examinations in order to be valued by the students. This would necessitate curricular changes. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414930 Wed, 03 Aug 2011 04:00:00 +0100 5414930 http://www.medworm.com/index.php?rid=5189371&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003685%2Fabstract%3Frss%3Dyes EACH, launched in 2001, has reached its 10th birthday. The organisation's original aims were set out in its articles of association (http://www.each.eu/) and the background to them was explained in the inaugural editorial . Our overall aim was to improve the quality of communication in healthcare. The main elements of our strategy were (i) to develop an active network of researchers and teachers and (ii) to promote dialogue and collaboration within and outside this network. We previously reviewed the first five year's work . Here we review what each element of our strategy has achieved and what still needs to be done, and we return to our original aims to embolden them for the next decade. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5189371 Mon, 01 Aug 2011 23:00:00 +0100 5189371 http://www.medworm.com/index.php?rid=5152836&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003569%2Fabstract%3Frss%3Dyes Conclusion: Lay people seem to be competent in participating in quality-of-care debates. They are well aware of patients’ own responsibilities. Besides, they have clear opinions about novel technology and healthcare arrangements (triage).Practice implications: Listening to patients, showing empathy and personal attention seem to have a universal value. Doctors should be trained to practice these behaviors, healthcare managers in involving patients in practice reorganisations. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152836 Tue, 26 Jul 2011 23:00:00 +0100 5152836 http://www.medworm.com/index.php?rid=5642067&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002084%2Fabstract%3Frss%3Dyes Conclusions: Cancer patients and cancer specialists showed support for routine dissemination of the QPL.Practice implications: For successful implementation of evidence-based tools we recommend promotion by local clinical champions, negotiation with clinic staff about dissemination methods, raised patient awareness through on-site project facilitators, media, consumer and support groups, and availability of resources in hard copy and via online sources. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642067 Fri, 08 Jul 2011 04:00:00 +0100 5642067 http://www.medworm.com/index.php?rid=5510215&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002230%2Fabstract%3Frss%3Dyes Conclusion: Core constructs of the TTM as applied to ACP can be measured with high reliability and validity.Practice implications: Cross-sectional relationships between these constructs and stage of behavior change support the use of TTM-tailored interventions to change perceptions of the Pros and Cons of participation in ACP and promote the use of certain Processes of Change in order to promote older persons’ engagement in ACP. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510215 Fri, 08 Jul 2011 04:00:00 +0100 5510215 http://www.medworm.com/index.php?rid=5152838&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003156%2Fabstract%3Frss%3Dyes Conclusion: Unintended consequences may arise from efforts to give full information and challenge therapeutic misconceptions. People wanted ‘enough’ information to help them decide, but their definition of ‘enough’, and the relative importance of written information versus discussion/advice from trusted professionals, varied by individual. In seeking to minimise misunderstanding we stress uncertainty and risk but have perhaps lost sight of the value people derive from trial participation.Practice Implications: Better information on trial availability, shorter trial leaflets and greater emphasis on face-to-face discussion are suggested. Recruitment literature could appeal to a wider range of benefits. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152838 Thu, 07 Jul 2011 23:00:00 +0100 5152838 http://www.medworm.com/index.php?rid=5004325&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003454%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5004325 Thu, 07 Jul 2011 18:24:05 +0100 5004325 http://www.medworm.com/index.php?rid=5152852&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002096%2Fabstract%3Frss%3Dyes Conclusion: This study shows that independent of physician and diagnosis, patients’ language proficiency has a more important impact on the number of cues expressed by the patient than cultural difference.Practice implications: Medical schools and Continuing Medical Education should focus on training programs for recognizing and handling linguistic barriers between physicians and patients. Patient education programs should encourage patients who experience language barriers to open up to physicians. In situations where language is a barrier, physicians and patients should be encouraged to use interpreters to enhance the expression of emotions. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152852 Tue, 05 Jul 2011 23:00:00 +0100 5152852 http://www.medworm.com/index.php?rid=5152837&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003090%2Fabstract%3Frss%3Dyes Conclusions: Coder inter-rater reliability was lower than expected; convergent and divergent validity were not supported. The 4HCS and MPCC operationalize patient-centeredness differently, illustrating a lack of conceptual clarity.Practice implications: The patient's perspective is important. Family practice providers can facilitate a more positive patient perception of patient-centeredness by addressing patient concerns to help reduce patient uncertainty, and by negotiating decision-making roles. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152837 Tue, 05 Jul 2011 23:00:00 +0100 5152837 http://www.medworm.com/index.php?rid=5642056&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003053%2Fabstract%3Frss%3Dyes Conclusion: Simply sitting instead of standing at a patient's bedside can have a significant impact on patient satisfaction, patient compliance, and provider–patient rapport, all of which are known factors in decreased litigation, decreased lengths of stay, decreased costs, and improved clinical outcomes.Practice implications: Any healthcare provider may have a positive effect on doctor–patient interaction by sitting as opposed to standing during a hospital follow-up visit. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642056 Mon, 04 Jul 2011 04:00:00 +0100 5642056 http://www.medworm.com/index.php?rid=5152843&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002485%2Fabstract%3Frss%3Dyes Abstract: Objective: This paper examines three dysfunctional communication processes in the primary care consultation using conversation analysis theory and methods: dysfunctions in problem presentation, medical questioning that limits the expression of additional concerns, and the emergence of discordance between physicians and patients in the context of treatment recommendations.Results: It is proposed that these dysfunctions arise from the transfer of normative conventions that function well in the practice of ordinary conversation into medical contexts where they serve to limit the effectiveness of communication. Because these conventions are rooted in, and reinforced by, the activities of daily life, they may be difficult to eradicate from the medical visit.Practice implications: Redu... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152843 Wed, 29 Jun 2011 23:00:00 +0100 5152843 http://www.medworm.com/index.php?rid=5642064&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002436%2Fabstract%3Frss%3Dyes Conclusion: MEDIAS 2 ICT is as effective in lowering HbA1c as previously established education programmes, but showed superiority in reducing diabetes-related distress.Practical implications: MEDIAS 2 ICT provides an alternative for education of people with type 2 diabetes treated by multiple injection therapy. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642064 Wed, 29 Jun 2011 04:00:00 +0100 5642064 http://www.medworm.com/index.php?rid=5642065&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100245X%2Fabstract%3Frss%3Dyes Conclusion: Heart failure nurse education at the time of hospital discharge results in improved patient knowledge and reduced risk of readmission.Practice implications: Health care personnel should encourage education sessions for heart failure patients. Resources possibly need to be allocated for nurse led education sessions in heart failure patients as it improves outcomes and knowledge. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642065 Mon, 27 Jun 2011 04:00:00 +0100 5642065 http://www.medworm.com/index.php?rid=5642054&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003041%2Fabstract%3Frss%3Dyes “Good morning, Mr. W.,” I said cheerfully as I entered my patient's room, pausing briefly to turn on the lights as I had done the preceding 19 mornings. Mr. W. shut his eyes instinctively. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642054 Mon, 27 Jun 2011 04:00:00 +0100 5642054 http://www.medworm.com/index.php?rid=5642063&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003065%2Fabstract%3Frss%3Dyes Conclusions: The present offer of CME is insufficient to educate GP's in palliative care. The absence of quality criteria and the lack of coordination between different providers results in an unattractive labyrinth of courses leaving GP's and their patients in the cold.Practice implications: A comprehensive offer of CME sessions should be installed in a coordination between all providers. This could render the use of means (logistics and speakers) more efficient. Further research could look into other ways of acquiring palliative care competences such as evaluating the learning effect of GP's working together with specialized palliative home care teams. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642063 Thu, 23 Jun 2011 04:00:00 +0100 5642063 http://www.medworm.com/index.php?rid=5004326&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111003089%2Fabstract%3Frss%3Dyes Three papers in this month's Patient Education and Counselling highlight a major concern in clinical communication training, the effectiveness but poor reach of communication training programmes in continuing medical education. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5004326 Tue, 21 Jun 2011 23:00:00 +0100 5004326 http://www.medworm.com/index.php?rid=5642066&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002059%2Fabstract%3Frss%3Dyes Conclusions and implications: The outcomes of DNA-testing were better predicted by the counselees’ perception than by the actually given genetic-information. We recommend genetic-counselors to have tailored, interactive dialogues about the counselees’ perception. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642066 Mon, 20 Jun 2011 04:00:00 +0100 5642066 http://www.medworm.com/index.php?rid=5642068&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002424%2Fabstract%3Frss%3Dyes Conclusions: Although Muslim Arab-Israeli women express gender bias regarding their preference for gynecologists/obstetricians, personal and professional skills are considered to be more important factors when it comes to actually making a choice.Practice implication: We suggest that the ideal obstetrician/gynecologist for these women would be female, though skilled, knowledgeable, and experienced male would be appropriate. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642068 Fri, 17 Jun 2011 04:00:00 +0100 5642068 http://www.medworm.com/index.php?rid=5642059&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002217%2Fabstract%3Frss%3Dyes Conclusions: In clinic viewing of decision aids may be a feasible and effective distribution method in primary care.Practice implications: In clinic distribution requires an electronic health information system to identify potentially eligible patients, and a staff member dedicated to DA distribution. Brief decision aids (less than 10min) are needed so patients can complete their use prior to the visit to facilitate patient–physician decision making. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642059 Thu, 16 Jun 2011 04:00:00 +0100 5642059 http://www.medworm.com/index.php?rid=5152854&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002345%2Fabstract%3Frss%3Dyes Conclusion: This paper discusses ten methodological issues in linking continuous psychophysiological data to verbal and nonverbal events in a medical consultation observed with the Verona coding system.Practice implications: When linking the two worlds of research, the methodological challenges discussed need to be solved to obtain a valid and reliable application of psychophysiological measures in medical communication research. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152854 Tue, 14 Jun 2011 23:00:00 +0100 5152854 http://www.medworm.com/index.php?rid=5642060&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002370%2Fabstract%3Frss%3Dyes Conclusions: DAs used in routine care were associated with significant knowledge gains and reductions in decisional conflict. Some subsets of patients (those reporting low baseline knowledge, high DC, or Hispanic ethnicity) may benefit more than others.Practice implications: Breast cancer patients benefit overall from routine distribution of DAs. Our exploratory findings may be useful in generating hypotheses to identify target populations who would most benefit from reviewing DAs. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642060 Mon, 13 Jun 2011 04:00:00 +0100 5642060 http://www.medworm.com/index.php?rid=4918442&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002965%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4918442 Fri, 10 Jun 2011 23:46:59 +0100 4918442 http://www.medworm.com/index.php?rid=5414927&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002382%2Fabstract%3Frss%3Dyes Conclusion: Clinicians infrequently offered patients a choice or explored appraisals. Most appraisals supported rather than challenged treatment options. Clinicians most often legitimized appraisals, thereby helping patients to feel good about the decision. Exploring appraisals may help patients in forming more stable preferences, thus benefiting patients in the long run.Practice implication: Clinicians should request patient appraisals and ascertain whether these seem well-informed before making treatment recommendations. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414927 Thu, 09 Jun 2011 04:00:00 +0100 5414927 http://www.medworm.com/index.php?rid=5414933&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002400%2Fabstract%3Frss%3Dyes Conclusion: People can use ‘personal experiences’ information in various ways to support their decision-making, and exercise some discrimination as they do.Practice implications: ‘Personal experiences’ information may help people in a number of ways in relation to decision-making. However, ‘personal experiences’ information does not replace the need for ‘general facts’ and care should be taken when it is used in resources for patients. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414933 Wed, 08 Jun 2011 04:00:00 +0100 5414933 http://www.medworm.com/index.php?rid=5152841&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002357%2Fabstract%3Frss%3Dyes Conclusion: Expression of cues and concerns in immigrant patients is dependent on the patient's language proficiency and the physician's gender.Practice implications: Providers should recognize that immigrant patients may have many emotional cues and concerns, but that language problems may represent a barrier for the expression of these concerns. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152841 Tue, 07 Jun 2011 23:00:00 +0100 5152841 http://www.medworm.com/index.php?rid=5642070&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002394%2Fabstract%3Frss%3Dyes Abstract: Objective: To examine physiological and health-related quality of life (HRQOL) outcomes in community living adults attending a 12-week combined lifestyle wellness program.Methods: A sample of overweight and obese adults (n=319) and a subgroup who also had diabetes (n=46 of 319) were studied. The program focuses on dietary, physical activity, and behavioral strategies to promote cardiovascular health. Baseline and 12-week measures were obtained.Results: In the total sample, all physiological and HRQOL outcomes improved (p (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642070 Mon, 06 Jun 2011 04:00:00 +0100 5642070 http://www.medworm.com/index.php?rid=5642052&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001984%2Fabstract%3Frss%3Dyes Conclusions: Bowel preparation, lack of awareness of the importance of screening, and feelings of vulnerability in women are all significant barriers to screening colonoscopy.Practice implications: Patient reported obstacles and barriers to screening colonoscopy needs to be addressed to improve adherence. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642052 Fri, 03 Jun 2011 04:00:00 +0100 5642052 http://www.medworm.com/index.php?rid=5152844&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002187%2Fabstract%3Frss%3Dyes Conclusion: Future research needs to examine which disclosure styles patients perceive as competent, and to assess their causal impacts on objective and relational disclosure outcomes.Practice implications: This study provides an important baseline understanding of medical error disclosures that is essential for the successful implementation of empirically based training programs. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152844 Thu, 02 Jun 2011 23:00:00 +0100 5152844 http://www.medworm.com/index.php?rid=5642061&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002412%2Fabstract%3Frss%3Dyes Conclusions: Knowledge of physician perspectives is an essential element on which to base interventions to improve the quality of care to this population.Practice implications: Physicians should be reminded of the importance of using professional interpretation services in multi-lingual encounters. Cross-cultural training should be further advanced in Canadian medical curricula. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642061 Thu, 02 Jun 2011 04:00:00 +0100 5642061 http://www.medworm.com/index.php?rid=5510221&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002072%2Fabstract%3Frss%3Dyes Conclusion: For enablement consultations should be patient-centered and doctors should facilitate socio-emotional interchange. Observable behavior included in communication skills training probably contributes to only about a third of the factors that engender enablement in consultations.Practice implications: To support patient enablement in consultations, clinicians should focus on agreements, approvals and legitimization whilst attending to patient agendas. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510221 Mon, 30 May 2011 04:00:00 +0100 5510221 http://www.medworm.com/index.php?rid=5152853&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002229%2Fabstract%3Frss%3Dyes Conclusion: This recent research has revealed that these placebo-induced biochemical and cellular changes in a patient's brain are very similar to those induced by drugs. This new way of thinking may have profound implications both for clinical trials and for medical practice. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152853 Sun, 29 May 2011 23:00:00 +0100 5152853 http://www.medworm.com/index.php?rid=5152845&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100228X%2Fabstract%3Frss%3Dyes Abstract: Objective: To examine the influence of patient and physician communication factors on diagnostic delay (DD).Methods: 242 patients diagnosed with colorectal cancer (CRC) in the past 6 months who experienced symptoms prior to diagnosis were administered a 2-h semi-structured qualitative interview to assess communication with health care provider and ease of access to care, among other factors. Patient-provided information was verified via review of medical records.Results: The factors associated with DD>2 months included lower income (OR=0.56, p=0.03), having regular physician prior to receiving a cancer diagnosis (OR=2.52, p=0.03), having a physician who used temporizing communication strategies during the consultation (OR=2.41, p=0.02), receiving an initial alternate diagnosis (O... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152845 Sun, 29 May 2011 23:00:00 +0100 5152845 http://www.medworm.com/index.php?rid=5642057&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002205%2Fabstract%3Frss%3Dyes The objective in this study was to evaluate a web-based type 2 diabetes self-management education programme aimed at improving knowledge, encouraging active patient participation and providing supportive self-management tools.Methods: (1) An effect evaluation was conducted using a randomized controlled trial with a pre-test and post-test design (n=99) and a knowledge questionnaire. (2) A user evaluation was conducted using an online questionnaire (n=564) and one-on-one interviews (n=11) to examine the perceived quality, use of functionalities and use of the programme as a supportive tool in education.Results: The effect evaluation showed a significant intervention effect (p (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642057 Fri, 27 May 2011 04:00:00 +0100 5642057 http://www.medworm.com/index.php?rid=5510218&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002060%2Fabstract%3Frss%3Dyes Conclusion: Findings suggest that TEACH impacted clinical practice and may serve as a model for knowledge translation initiatives in other health behavior domains.Practice implications: These data demonstrate that it is feasible to operationalize interprofessional knowledge translation models to transfer research findings into practice. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510218 Thu, 26 May 2011 04:00:00 +0100 5510218 http://www.medworm.com/index.php?rid=5510220&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002035%2Fabstract%3Frss%3Dyes Conclusion: Although providers frequently discuss some environmental triggers and provide education, there is room for more comprehensive discussions of these issues, which may contribute to decreased asthma exacerbations.Practice implications: Providers, or alternatively, asthma health educators, should devote more time to discussing environmental asthma triggers and control strategies with pediatric asthma patients and their families, as they are important components of overall asthma control. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510220 Wed, 25 May 2011 04:00:00 +0100 5510220 http://www.medworm.com/index.php?rid=5414922&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002199%2Fabstract%3Frss%3Dyes Conclusions: Among diverse diabetes patients in managed care, provider type and communication were significantly related to patient-reported discrimination.Practice implications: Given potential negative impacts on patient satisfaction and treatment decisions, future studies should investigate which interpersonal aspects of the provider–patient relationship reduce patient perceptions of unfair treatment. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414922 Wed, 25 May 2011 04:00:00 +0100 5414922 http://www.medworm.com/index.php?rid=5414929&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001972%2Fabstract%3Frss%3Dyes Conclusion: Students’ experiences at CCSC are associated with their perceptions of communications skills learning. Content analysis associations indicated that these perceptions are influenced by context.Practice implications: Improvement of curricula, teaching and assessment methods, and investment in faculty development are likely to foster positive perceptions towards learning communication skills in these students. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414929 Fri, 20 May 2011 04:00:00 +0100 5414929 http://www.medworm.com/index.php?rid=5414904&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001996%2Fabstract%3Frss%3Dyes Conclusion: Adherence must not be seen as meaningless behaviour, which can simply be learned, but rather as the result of subjective experiences on living with hypertension and the ability to accept the diagnosis and its treatment.Practice implications: It is premature to initiate therapy straight after the diagnosis, before the patient is prepared to take the tablets. Supporting adherence means to stay in dialogue and to give the time, privacy and patience to enable patients to overcome their inhibitions of asking and to accept the therapy. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414904 Fri, 20 May 2011 04:00:00 +0100 5414904 http://www.medworm.com/index.php?rid=5152849&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002114%2Fabstract%3Frss%3Dyes Abstract: Objective: To assess the impact of patient-centered communication (PCC) behaviors on patients’ evaluations of physicians and acceptance of clinical recommendations.Methods: We randomized 248 patients to view video-recorded, standardized vignettes, depicting a cardiologist using a high vs. low degree of PCC while recommending bypass surgery to a patient with angina and 3-vessel coronary artery disease. We compared patients’ ratings of the physician and their decision making in response to the physician's recommendation, for high vs. low PCC vignettes.Results: Patients viewing high PCC vignettes rated the video physician more favorably overall (3.01 vs. 2.12, p (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152849 Thu, 19 May 2011 23:00:00 +0100 5152849 http://www.medworm.com/index.php?rid=5414918&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002011%2Fabstract%3Frss%3Dyes Conclusion: Patient centeredness is weakly related to visit length, but may reflect inefficient use of time in long encounters.Practice implications: Efforts to make visits more patient centered should focus on improving dialogue quality and efficient use of time, not on making visits longer. Shorter visits for Black and Hispanic patients could contribute to health disparities related to race and ethnicity. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414918 Thu, 19 May 2011 04:00:00 +0100 5414918 http://www.medworm.com/index.php?rid=5642069&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001959%2Fabstract%3Frss%3Dyes Conclusions: Further development and testing of the patient questionnaire is warranted to validate measurement of how patients perceive the caring they and their doctor give, and receive from, each other.Practice implications: From the patient perspective the questionnaire may increase awareness of the importance of family doctors and patients caring about each other and themselves. It may inform and evaluate medical students, educational programmes and caring in doctor–patient relationships. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642069 Wed, 18 May 2011 04:00:00 +0100 5642069 http://www.medworm.com/index.php?rid=5642055&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002126%2Fabstract%3Frss%3Dyes Abstract: Objective: To test the effect of Choice, an interactive tailored patient assessment tool (ITPA), on cancer patients’ expressed cues and concerns (C&Cs), and clinicians’ responses to these C&Cs.Methods: 97 experimental group consultations, where patients used the Choice ITPA to report their symptoms and problems in preparation to their consultation, were compared to 99 control group consultations. All consultations were audio-taped and coded using the Verona Coding Definitions of Emotional Sequences (VR-CoDES).Results: We identified 473 cues and 109 concerns with a mean number of 3.0 (SD=3.2). The most frequent utterance was cue B (45.2%), indicating expression of uncertainty or hope. We found more C&Cs in consultations with the Choice ITPA compared to the control group (p (So... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642055 Wed, 18 May 2011 04:00:00 +0100 5642055 http://www.medworm.com/index.php?rid=5510225&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001960%2Fabstract%3Frss%3Dyes Conclusions: The locally developed ongoing diabetes self-management education programs prevented an increase in A1C and can have an effect on A1C in patients with higher A1C level.Practice implications: Locally developed programs may be less effective than programs developed for studies. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510225 Wed, 18 May 2011 04:00:00 +0100 5510225 http://www.medworm.com/index.php?rid=5152840&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100142X%2Fabstract%3Frss%3Dyes Conclusion: Clinicians’ interpersonal sensitivity is an important component of quality of care and deserves further research.Practice implications: This important skill should be incorporated into training programs to improve clinician–patient communication. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152840 Tue, 17 May 2011 23:00:00 +0100 5152840 http://www.medworm.com/index.php?rid=5642062&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002102%2Fabstract%3Frss%3Dyes Conclusion: This study serves as a stimulus for further research on the training of specific elements of bbn and different approaches of evaluating bbn competency.Practice implications: In light of the different facets of bbn competency, it is important to set priorities regarding the teaching aims and to provide a consistent approach. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642062 Mon, 16 May 2011 04:00:00 +0100 5642062 http://www.medworm.com/index.php?rid=5642058&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002023%2Fabstract%3Frss%3Dyes Conclusion: This study illustrates the potential benefit of the extended TPB and CSM in designing a decision aid to support women choosing breast cancer surgery.Practice implications: BresDex could provide decision-making support and serve as an additional source of information, to complement the care received from the clinical team. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642058 Mon, 16 May 2011 04:00:00 +0100 5642058 http://www.medworm.com/index.php?rid=5642053&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111002047%2Fabstract%3Frss%3Dyes Conclusions: Findings indicate multilayered, context-specific experiences and ways in which both people with ME/CFS, as well as those involved in their lives (e.g., family or the medical community), interpret this illness. Future qualitative studies should recognize the various facets of the ME/CFS experience, the network members of people with ME/CFS, and the sociocultural environment through which the illness is understood.Practice implications: Health care professionals can gain unique insight from patient experiences, allowing for more accurate diagnoses and treatment recommendations. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5642053 Mon, 16 May 2011 04:00:00 +0100 5642053 http://www.medworm.com/index.php?rid=5510217&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100200X%2Fabstract%3Frss%3Dyes Conclusion and practice implications: The preference-matching scales allow areas to be identified in which physicians are not very successful in addressing the communication preferences of patients. With back pain patients, physicians should take particular consideration of the very great need for open communication and information about further treatment. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510217 Mon, 16 May 2011 04:00:00 +0100 5510217 http://www.medworm.com/index.php?rid=5510216&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001868%2Fabstract%3Frss%3Dyes Conclusion: The PCAP scale shows partial evidence of reliability and two forms of validity.Practice implications: More research with this scale (developing more reliable and valid composites) is needed to extend these preliminary findings before this scale is applicable for use in practice. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510216 Mon, 16 May 2011 04:00:00 +0100 5510216 http://www.medworm.com/index.php?rid=5414928&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001935%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the effect our developmental–behavioral pediatrics (DBP) curricular model had on residents’ comfort with handling mental health issues.Methods: From August 2007 to January 2010, residents participating in the Indiana University DBP rotation completed a self-assessment questionnaire at baseline and at rotation end. Residents rated their comfort with the identification, treatment, and counseling of mental health problems using a 5-point scale.Results: Ninety-four residents completed both self-assessments. At baseline, categorical pediatric residents possessed higher comfort levels toward identification (mean 2.8 vs. 2.3 for non-categorical pediatrics residents, p (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414928 Mon, 16 May 2011 04:00:00 +0100 5414928 http://www.medworm.com/index.php?rid=4918443&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100214X%2Fabstract%3Frss%3Dyes Despite competing demands, primary care physicians are expected to counsel patients to change unhealthful behaviors. For instance, according to the US Preventive Task Force guidelines, physicians should counsel their patients who smoke to quit (A rating) and provide intensive weight counseling to obese patients (B rating) . However, most physicians have not learned how to counsel effectively. There is a recent trend that medical schools and residency programs include courses on doctor-patient communication; yet, most practicing physicians have not received this training. In this issue, Haeseler and colleagues describe a two-hour curriculum for medical students that included didactic and feedback elements to teach MI techniques. They found that, according to a standardized patient, those wh... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4918443 Sun, 15 May 2011 23:00:00 +0100 4918443 http://www.medworm.com/index.php?rid=5152847&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001947%2Fabstract%3Frss%3Dyes Conclusion: The use of visual cues enhances satisfaction with the information presented on the website, and the use of non-complex language improves recall.Practice implications: The results of the current study can be used to improve computer-based information systems for patients. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152847 Mon, 09 May 2011 23:00:00 +0100 5152847 http://www.medworm.com/index.php?rid=5152846&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001911%2Fabstract%3Frss%3Dyes Conclusion: The acceptable reliability and participants’ overall positive experiences point to the value of ongoing research into rigorous Web-based communication skills assessment.Practice implications: With efficient and reliable scoring, the Web offers an important way to measure and potentially enhance physicians’ communication skills. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152846 Sun, 08 May 2011 23:00:00 +0100 5152846 http://www.medworm.com/index.php?rid=5414925&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001844%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the impact of a socio-cognitive intervention associated with a pedometer-based program on physical activity, cardiovascular risk factors and self-efficacy expectation during one year following an acute coronary syndrome.Methods: Sixty-five subjects were randomized during hospitalization in an experimental or a usual care group. Average steps/day was measured every 3 months until one year following discharge. Other dependent variables were measured at baseline, 6 and 12 months follow-up.Results: There were 32 patients in the experimental group and 33 patients in the usual care group. Group characteristics were comparable. At baseline, averages steps/day were similar between groups (5845±3246 vs. 6097±3055 steps/day; p=0.812). At 3-month follow-up, both gro... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414925 Fri, 06 May 2011 04:00:00 +0100 5414925 http://www.medworm.com/index.php?rid=5414935&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001856%2Fabstract%3Frss%3Dyes Conclusion: Despite the mixed findings of the studies, some support exists for the use of decision aids with women diagnosed with early stage breast cancer.Practice implications: To ensure successful implementation of decision aids in clinical practice, healthcare providers should be educated on their use. Greater allocation of time, space and access to decision aids is also needed. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414935 Thu, 05 May 2011 04:00:00 +0100 5414935 http://www.medworm.com/index.php?rid=5414924&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001881%2Fabstract%3Frss%3Dyes Conclusion: Overcoming barriers to information needs may be less dependent on literacy considerations and more dependent on issues that divide across levels of educational attainment.Practice implications: Oncologists and hospital staff should be attentive to the fact that many patients require additional assistance to meet their information needs. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414924 Thu, 05 May 2011 04:00:00 +0100 5414924 http://www.medworm.com/index.php?rid=5414937&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001819%2Fabstract%3Frss%3Dyes Conclusion: Models of empowerment, which promote that HCPs bring clinical expertise and patients ‘lay’ expertise of illness to the medical encounter, are inadequately descriptive of how empowerment approaches are actually engaged with, by HCPs.Practice implications: The empowerment approach is construed and utilised in different ways. Clarification of what empowerment entails in practice for HCPs, as well as what HCPs perceive are its multiple aims, is required. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414937 Fri, 29 Apr 2011 04:00:00 +0100 5414937 http://www.medworm.com/index.php?rid=5414910&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001807%2Fabstract%3Frss%3Dyes Conclusion: Based on our data, while health literacy level can be assessed with the NVS its practicality as a quick screening tool in the elderly population appears limited.Practice implications: Knowing the level of patient's health literacy may help physicians deliver health information in the format that patients can understand. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414910 Fri, 22 Apr 2011 04:00:00 +0100 5414910 http://www.medworm.com/index.php?rid=5510224&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001790%2Fabstract%3Frss%3Dyes Conclusion: PwMS! appreciate evidence-based information about relapse management and view the unbiased presentation of scientific uncertainty as a chance for decision autonomy.Practice implications: The implementation study confirms the program's transferability into clinical practice. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510224 Wed, 20 Apr 2011 04:00:00 +0100 5510224 http://www.medworm.com/index.php?rid=5510219&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001777%2Fabstract%3Frss%3Dyes Conclusion: Students acquire a ‘satisfactory’ level of communication competency early in the curriculum. Communication courses in the curriculum do not enhance this level. Clinical experience has also a limited effect.Practice implications: The learning conditions for deliberate practice must be fulfilled in medical curricula and in postgraduate training in order to provide medical students and physicians the opportunity to attain an expert level in communication. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510219 Tue, 19 Apr 2011 04:00:00 +0100 5510219 http://www.medworm.com/index.php?rid=5510223&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001753%2Fabstract%3Frss%3Dyes Abstract: Objective: Few studies have examined the effect of goal difficulty on behavioral change even though goal setting is widely used in diabetes education. The effect of a goal to consume either 6 or 8 servings/day of low glycemic index (LGI) foods was evaluated in this study.Methods: Adults 40–65 years old with type 2 diabetes were randomly assigned to the 6 or 8 serving/day treatment group following a 5-week GI intervention. Perceived goal difficulty, commitment, satisfaction, and self-efficacy were evaluated, and four day food records assessed dietary intake.Results: Both groups increased consumption of LGI foods (P (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510223 Mon, 18 Apr 2011 04:00:00 +0100 5510223 http://www.medworm.com/index.php?rid=5414932&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001765%2Fabstract%3Frss%3Dyes Conclusion: The majority of our cancer patients trusted doctors and wanted to learn more about the progress of their cancer, in contrast to the general tendency of their families to hide the diagnosis. The hospital is still the most preferred place for dying.Practice implications: Alterations in communication may lead to disparities in patient outcomes; therefore, communication skill training should guide clinicians to recognise these tendencies. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414932 Mon, 18 Apr 2011 04:00:00 +0100 5414932 http://www.medworm.com/index.php?rid=5414903&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001789%2Fabstract%3Frss%3Dyes Conclusions: Training providers to discuss certain treatment-specifics with patients may improve their ability to perceive patient-agreement regarding treatment and may directly improve patient-adherence.Practice implications: Discussing treatment-specifics with patients may directly improve adherence, but providers should not rely on these discussions to give them accurate estimates of the patients’ likely adherence. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414903 Mon, 18 Apr 2011 04:00:00 +0100 5414903 http://www.medworm.com/index.php?rid=5510222&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001418%2Fabstract%3Frss%3Dyes Conclusions: Nationwide implementation of pictorial warnings may be effective in increasing heavy smokers’ motivation to quit.Practice implication: Due to the fact that perceived vulnerability, response and self-efficacy are not more strongly affected by pictorial warnings this effect may turn out to be short-term. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510222 Mon, 11 Apr 2011 04:00:00 +0100 5510222 http://www.medworm.com/index.php?rid=5152839&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001431%2Fabstract%3Frss%3Dyes Conclusion: This cohort study suggests that CST might make students more vulnerable to decline in attitude scores during clerkships.Practice implications: These remarkable findings, contrary to what educators would expect to result from their efforts, challenge medical education to address the new questions that are raised about the validity of the questionnaires, the impact of CST and the learning processes involved in the development of patient-centredness. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152839 Sun, 10 Apr 2011 23:00:00 +0100 5152839 http://www.medworm.com/index.php?rid=5004348&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001406%2Fabstract%3Frss%3Dyes Involving patients in service development is an important facet of patient-centred care. Patient involvement can lead to increased satisfaction, better understanding of and confidence in, decisions that are made, and improved health outcomes . In relation to cancer, the Calman–Hine report and the NHS Cancer Plan emphasise that cancer services should be more patient-centred and should be developed with consideration of patient views . (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5004348 Sun, 10 Apr 2011 23:00:00 +0100 5004348 http://www.medworm.com/index.php?rid=4918467&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100139X%2Fabstract%3Frss%3Dyes Thank you very much for the helpful comments on our study. We agree with Mr. van Ravensteijn, Ms. Dijk, and Mr. Lucassen's that when implementing the reattribution model, there is a risk that external attributions on the part of the therapist may put pressure on patients to attribute their symptoms to psychological causes. This aspect of the reattribution model is indeed insufficiently oriented towards the individual patient. This risk may be intensified by the framework of an intervention study with the target criterion “motivation for starting psychotherapy.” (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4918467 Sun, 10 Apr 2011 23:00:00 +0100 4918467 http://www.medworm.com/index.php?rid=5414923&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001340%2Fabstract%3Frss%3Dyes Conclusion: Results suggest there is an opportunity and need to improve health literacy training for healthcare workers of all kinds. Widespread adoption of health literacy training programs would improve the delivery of healthcare to low health literate patients.Practice implications: Participants initially overestimated their knowledge of health literacy, suggesting a need to improve initial training and continuing medical education regarding health literacy. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414923 Fri, 08 Apr 2011 04:00:00 +0100 5414923 http://www.medworm.com/index.php?rid=5414917&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001376%2Fabstract%3Frss%3Dyes Abstract: Objective: Evidence suggests that physicians’ use of motivational interviewing (MI) techniques helps patients lose weight. We assessed patient, physician, relationship, and systems predictors of length of weight-loss discussions and whether physicians’ used MI techniques.Methods: Forty primary care physicians and 461 of their overweight or obese patients were audio recorded and surveyed.Results: Weight-related topics were commonly discussed (nutrition 78%, physical activity 82%, and BMI/weight 72%). Use of MI techniques was low. A multivariable linear mixed model was fit to time spent discussing weight, adjusting for patient clustering within physician. More time was spent with obese patients (p=.0002), by African American physicians (p=.03), family physicians (p=.02), and ph... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414917 Fri, 08 Apr 2011 04:00:00 +0100 5414917 http://www.medworm.com/index.php?rid=5510227&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001327%2Fabstract%3Frss%3Dyes Conclusion: Patients living with depression may perceive practice-based case management as beneficial if carried out in a trustworthy and empathetic manner.Practice implications: General practices should ensure that depression case management is patient-centered and non-mechanical. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510227 Thu, 07 Apr 2011 04:00:00 +0100 5510227 http://www.medworm.com/index.php?rid=5510213&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001145%2Fabstract%3Frss%3Dyes Conclusion: Findings appear to vary with the measure of preferred decision making used, time of the publication and characteristics of the population.Practice implications: The role preference measure itself must be considered when interpreting patient responses to a measure or question about a patient's preference for decision roles. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510213 Thu, 07 Apr 2011 04:00:00 +0100 5510213 http://www.medworm.com/index.php?rid=4674974&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001443%2Fabstract%3Frss%3Dyes How do we know if our students are fit for practice, and have available sufficient skills to be able to meet effectively the complex demands of clinical reality? Demands that are related to meeting professional standards in communicating with a wide variety of people in terms of age and social economic, cultural and educational backgrounds about a broad range of medical problems. The only way is to use assessments, observing the skills of our students in a sample of situations that represent this real-life variety of daily clinical practice. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4674974 Tue, 05 Apr 2011 01:36:02 +0100 4674974 http://www.medworm.com/index.php?rid=4674973&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001686%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4674973 Tue, 05 Apr 2011 01:36:02 +0100 4674973 http://www.medworm.com/index.php?rid=5510228&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001352%2Fabstract%3Frss%3Dyes Conclusions: Important factors associated with trust and distrust of providers and the medical care system may impact health-seeking behaviors among underserved women.Practice implications: Opportunities to improve patient-centered communication around the issues of prevention and cervical cancer screening (such as providing patient-focused information about access to appropriate screening tests) could be used to improve patient care and build patients’ trust. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510228 Mon, 04 Apr 2011 04:00:00 +0100 5510228 http://www.medworm.com/index.php?rid=5414934&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001339%2Fabstract%3Frss%3Dyes Conclusion: The encouraging evidence of this study indicates that it is recommended to provide self-management programs to adult patients with arthritis. Further research is needed on self-management for chronic back pain.Practice implications: Self-management is a safe, community-based and effective way for patients with arthritis to manage pain and disability. Core skills of self-management should be delivered using multiple approaches. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414934 Mon, 04 Apr 2011 04:00:00 +0100 5414934 http://www.medworm.com/index.php?rid=5189392&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001364%2Fabstract%3Frss%3Dyes Where there is love for mankind, there is love for the art of healing.Hippocrates, Aphorisms The art of healing is threatened by a growing reliance on evidence-based treatments in general medicine and in psychiatry – an essential, but limited approach to comprehensive clinical care. Suicide prevention, in particular, remains far from incorporating evidence-based interventions, despite being a major public health problem. Suicide involves approximately a million deaths/year internationally that far exceed fatalities due to wars, homicides, and most natural disasters . (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5189392 Sun, 03 Apr 2011 23:00:00 +0100 5189392 http://www.medworm.com/index.php?rid=5414926&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001273%2Fabstract%3Frss%3Dyes Conclusion: Psychiatric outpatients show a considerable desire to participate in decision making about their treatment. The Spanish version of the LATCon Scale seems to be a valid instrument.Practice implications: Psychiatrists must consider their patients’ desire to participate in treatment decisions and explore how patients’ views about psychiatric medications influence their attitudes towards concordance. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414926 Fri, 01 Apr 2011 04:00:00 +0100 5414926 http://www.medworm.com/index.php?rid=5414900&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001236%2Fabstract%3Frss%3Dyes Conclusion: Specialists in poison information identified challenges specific to communicating with patients over the telephone and reported several types of strategies they used to manage them.Practice implications: Telephone communication training may be needed to assist health care providers in improving their communication skills. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414900 Fri, 01 Apr 2011 04:00:00 +0100 5414900 http://www.medworm.com/index.php?rid=5319758&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001248%2Fabstract%3Frss%3Dyes Conclusion: Urban callers were more likely than their rural counterparts to discuss cancer treatment trials, placing individuals living in rural areas at a disadvantage in learning about and communicating with their providers about possible participation in clinical trials.Practice implications: Through its multiple access points, the CIS can serve as an important source of clinical trials information for rural cancer patients, family members, and providers. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319758 Fri, 01 Apr 2011 04:00:00 +0100 5319758 http://www.medworm.com/index.php?rid=5152842&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100111X%2Fabstract%3Frss%3Dyes Conclusions: When patients expressed negative emotions or cues to such, hospital physicians tended to move away from emotional communication, particularly if the emotion was expressed as an explicit concern.Practice implications: Medical training should enable physicians’ to explore the patients’ emotions in situations where it will improve the medical treatment. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152842 Thu, 31 Mar 2011 23:00:00 +0100 5152842 http://www.medworm.com/index.php?rid=5319745&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001315%2Fabstract%3Frss%3Dyes The number of individuals actively seeking health information through the Internet is growing worldwide because it offers endless possibilities, both in medical and research fields. The Internet sites are often lacking of adequate information concerning disease complications and aftercare . Designers of patients’ electronic health record portals need to recognize that a patient's interaction with a computer is just an extension of the patient–physician relationship, and systems must be built to be as flexible as possible to accomplish the same goals . In order to address the problem of a medical search engine, tailored for non-expert medical information seekers, several Internet based systems have been developed. MedicoPort, a search engine built to retrieve medical information from th... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319745 Thu, 31 Mar 2011 04:00:00 +0100 5319745 http://www.medworm.com/index.php?rid=4649668&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000784%2Fabstract%3Frss%3Dyes This issue of Patient Education and Counseling features a special section labeled “Medications: information, adherence and communication”. This special section focuses on different aspects of patient education related to medications. Patients receive medication information from many sources, including physicians, nurses, pharmacists, the Internet, friends, family, etc. The goal of the special section is to give us the opportunity to better understand the factors related to patients’ information needs, the provision of medication education, and the impact of medication education on adherence. There are four papers in this section that use qualitative and quantitative methodologies to address these issues. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4649668 Tue, 29 Mar 2011 23:55:47 +0100 4649668 http://www.medworm.com/index.php?rid=5414901&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000358%2Fabstract%3Frss%3Dyes Abstract: Objective: Advanced cancer family caregivers who have good relationships with other family members and with patient's health care providers (PHCPs) have less emotional distress than caregivers with poor relationships. Given a history of different experiences in medical settings among Whites and African Americans, we examined moderation effects by race.Methods: Baseline data from an ongoing study were collected via telephone interviews with 397 family caregivers of advanced cancer patients at two cancer clinics. Depressed mood and anxiety were measured with the 14-item Profile of Mood States.Results: Caregivers reporting good relationships with family (p (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414901 Fri, 25 Mar 2011 04:00:00 +0100 5414901 http://www.medworm.com/index.php?rid=5319760&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001182%2Fabstract%3Frss%3Dyes Conclusion: The majority of the caregivers had good knowledge and favorable attitude toward administration of ARV medication to children. However some misconceptions such as beliefs that ART cures HIV/AIDS exist.Practical implications: Health education efforts should continue focusing on the objective of ART treatment and toward dispelling the prevailing misconceptions. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319760 Wed, 23 Mar 2011 04:00:00 +0100 5319760 http://www.medworm.com/index.php?rid=5414916&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001121%2Fabstract%3Frss%3Dyes Conclusion: Doctors in a Southeast Asian country use a paternalistic communication style during consultations, regardless of patients’ educational background.Practice implication: To approach a more partnership doctor–patient communication, culture and clinical environment concern of Southeast Asian should be further investigated. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414916 Mon, 21 Mar 2011 04:00:00 +0100 5414916 http://www.medworm.com/index.php?rid=5319767&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001194%2Fabstract%3Frss%3Dyes Conclusion: Health professionals saw knowledge transfer as valuable, but ultimately valued professional knowledge above user knowledge.Practice implications: Even health personnel who embrace user involvement limit the influence of user knowledge on their own professional work. It seems necessary that user involvement be included in health policy and practice guidelines at hospital wards, if it is desirable that user knowledge influence professional knowledge and everyday work. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319767 Mon, 21 Mar 2011 04:00:00 +0100 5319767 http://www.medworm.com/index.php?rid=5319765&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001212%2Fabstract%3Frss%3Dyes Conclusions: Long-term fibromyalgia patients saw peer support as an impetus to an ongoing process of reconstruction of identity, illness acceptance and coping with fibromyalgia.Practice implications: In addition to up-dating their knowledge about fibromyalgia and its treatment, long term patients may need arenas where they can share and compare their experiences to those of other patients with a long history of fibromyalgia. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319765 Fri, 18 Mar 2011 04:00:00 +0100 5319765 http://www.medworm.com/index.php?rid=5319757&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001224%2Fabstract%3Frss%3Dyes Conclusions: Nearly half of patients were willing to view an educational video from home prior to their office visits and most were prompted to ask specific health maintenance questions. Further research is needed to confirm these preliminary findings and quantify the value of this educational video in activating patients regarding receiving recommended health maintenance procedures.Practice implications: Video education from home may active patients to improve their involvement in general health maintenance during their annual examination. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319757 Thu, 17 Mar 2011 04:00:00 +0100 5319757 http://www.medworm.com/index.php?rid=4588530&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000784%2Fabstract%3Frss%3Dyes (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4588530 Tue, 15 Mar 2011 19:39:11 +0100 4588530 http://www.medworm.com/index.php?rid=5414887&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001169%2Fabstract%3Frss%3Dyes Conclusion: The systematic review and the meta-analysis demonstrate a significant and positive effective of face-to-face tailored messaging upon participants’ health behaviors.Practice implications: Health practitioners should be encouraged to allot time in their work routines to discover their patients’ psycho-social characteristics and felt needs in order that they can provide a tailored health message to enable the patient to adopt health-promoting regimes into their lifestyle. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414887 Mon, 14 Mar 2011 04:00:00 +0100 5414887 http://www.medworm.com/index.php?rid=5319766&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000371%2Fabstract%3Frss%3Dyes Conclusion: Professionally provided medically focused action plans that do not ‘fit’ with and incorporate the patients’/carers’ views of asthma, and their management strategies, will continue to be under-utilised.Practice implications: Professionals need to develop a more patient-centred, partnership-based, approach to the joint development and review of action plans, recognising the experiential asthma knowledge of patients/carers. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319766 Fri, 11 Mar 2011 05:00:00 +0100 5319766 http://www.medworm.com/index.php?rid=5414908&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001157%2Fabstract%3Frss%3Dyes Abstract: Background: Over-use of antibiotics for acute respiratory infections (ARIs) increases antimicrobial resistance, treatment costs, and side effects. Patient desire for antibiotics contributes to over-use.Objective: To explore whether a point-of-care interactive computerized education module increases patient knowledge and decreases desire for antibiotics.Methods: Bilingual (English/Spanish) interactive kiosks were available in 8 emergency departments as part of a multidimensional intervention to reduce antibiotic prescribing for ARIs. The symptom-tailored module included assessment of symptoms, knowledge about ARIs (3 items), and desire for antibiotics on a 10-point visual analog scale. Multivariable analysis assessed predictors of change in desire for antibiotics.Results: Of 686 a... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414908 Thu, 10 Mar 2011 05:00:00 +0100 5414908 http://www.medworm.com/index.php?rid=5414888&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000127%2Fabstract%3Frss%3Dyes Conclusions: More than half of the concerns were not preceded by a negative emotional cue. Few consultations contained more than 3 NECC, and NECC tended to be expressed relatively early.Practice implications: Patients’ expressions of emotional issues are few, and most of them are subtle. Physicians should be thoroughly trained to identify and respond to them. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414888 Thu, 10 Mar 2011 05:00:00 +0100 5414888 http://www.medworm.com/index.php?rid=5414915&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000759%2Fabstract%3Frss%3Dyes Conclusion: Changes in attitudes toward patient-centered care are possible with educational intervention.Practice implications: The results of this study may help to inform educators of medical professionals about the education of practitioners to develop patient-centered attitudes. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414915 Wed, 09 Mar 2011 05:00:00 +0100 5414915 http://www.medworm.com/index.php?rid=5152851&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000760%2Fabstract%3Frss%3Dyes Conclusions: Immigrant cancer patients with interpreters experience different interactions with their doctors than Anglo-Australians, which may compromise their well-being and decisions.Practice implications: Guidelines and proven training programmes are needed to improve communication with immigrant patients, particularly those with interpreters. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152851 Wed, 09 Mar 2011 00:00:00 +0100 5152851 http://www.medworm.com/index.php?rid=5152850&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000413%2Fabstract%3Frss%3Dyes Conclusions: The examination of patient CHL levels may provide a better understanding of the potential barriers to patients’ self-management of disease.Practice implications: The benefit of active participation may be greater among patients with lower CHL who are likely to have greater difficulties in communicating with the physician, yet tend to rely on the physician as the sole source of health information. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5152850 Wed, 09 Mar 2011 00:00:00 +0100 5152850 http://www.medworm.com/index.php?rid=5510212&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111001133%2Fabstract%3Frss%3Dyes Conclusion: Despite the sparse and heterogeneous studies, the results point in the direction of diagnostic tests making hardly any contribution to the level of reassurance. We recommend further studies on the use of diagnostic tests and other strategies to reassure the patient.Practice implications: A clear explanation and watchful waiting can make additional diagnostic testing unnecessary. If diagnostic tests are used, it is important to provide adequate pre-test information about normal test results. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510212 Tue, 08 Mar 2011 05:00:00 +0100 5510212 http://www.medworm.com/index.php?rid=5319764&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000735%2Fabstract%3Frss%3Dyes Conclusion: Desire for facilitated peer support is variable, and both giving and receiving support may have negative as well as positive consequences. These may depend on the nature of social comparisons that peer support interventions prompt, and the varying ways people interpret these.Practical implications: Services offering facilitated peer support should recognise people's variable and contingent needs for support, and acknowledge the potential disadvantages of facilitated peer support for some patients. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319764 Tue, 08 Mar 2011 05:00:00 +0100 5319764 http://www.medworm.com/index.php?rid=5510226&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000747%2Fabstract%3Frss%3Dyes Conclusion: Representing randomness in individualized estimates of cancer risk increases subjective uncertainty about risk. A novel dynamic visual format produces the greatest effect, which is moderated by individual differences in optimism.Practice implications: Novel representations of randomness may be effective in improving people's understanding of the essential uncertainty pertaining to individualized cancer risk estimates. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510226 Mon, 07 Mar 2011 05:00:00 +0100 5510226 http://www.medworm.com/index.php?rid=5319768&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000383%2Fabstract%3Frss%3Dyes Conclusion: Communication training should focus further on the emotional aspects of patient interactions in order to support students during early clinical encounters.Practice implications: Skills required to manage emotional encounters need to be made more explicit to students. Opportunities to obtain feedback and develop competency should be offered as part of the core curriculum. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319768 Mon, 07 Mar 2011 05:00:00 +0100 5319768 http://www.medworm.com/index.php?rid=5319726&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000723%2Fabstract%3Frss%3Dyes Conclusion: Providing patients with information about what other people have done can significantly influence treatment choices, but the power of such descriptive norms depends on their precision.Practice implications: Communication of descriptive norms is only helpful if prevailing decisions in the population represent good clinical practice. Strategic presentation of such statistics, when available, may encourage patient outliers to modify their medical decisions in ways that result in improved outcomes. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319726 Wed, 02 Mar 2011 05:00:00 +0100 5319726 http://www.medworm.com/index.php?rid=5414899&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000711%2Fabstract%3Frss%3Dyes Conclusion: These results demonstrate one pathway through which social determinants may drive communication inequalities, which may result in increased disparities in health outcomes.Practice implications: Further exploration of the relationship between social determinants and information-seeking among post-treatment cancer patients may contribute to the development of strategies to reduce health disparities. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414899 Mon, 28 Feb 2011 05:00:00 +0100 5414899 http://www.medworm.com/index.php?rid=5414890&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000401%2Fabstract%3Frss%3Dyes Conclusion: Elucidating the multiple functions of listening in the clinical encounter from patient perspectives can assist physicians in improving their listening approach.Practice implications: For training purposes, we recommend that a module on listening should lead to a discussion not only about the skill required in listening attentively, but also to the values, beliefs, attitudes, and intentions of physicians who choose to listen to their patients. This teaching objective may be facilitated by future research that explores the concept of ‘authenticity’ in a physician's listening approach, which we argue is central to successful clinical outcomes. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414890 Mon, 21 Feb 2011 05:00:00 +0100 5414890 http://www.medworm.com/index.php?rid=5319759&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000395%2Fabstract%3Frss%3Dyes Conclusion: There are limitations in the research on effective ways to improve adjustment for men with prostate cancer of any stage and their partners; and scant research targeting minority groups and the concerns of men with advanced disease.Practice implications: Interventions for men with advanced prostate cancer could usefully target the implications of advancing disease and caregiver burden. There is an urgent need for researchers to focus efforts specifically on such men and their families. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319759 Mon, 21 Feb 2011 05:00:00 +0100 5319759 http://www.medworm.com/index.php?rid=5510214&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100019X%2Fabstract%3Frss%3Dyes Conclusion: Advance care planning can improve outcomes for patients and their relatives. Recent studies provide directions for how to facilitate advance care planning for patients with COPD.Practice implications: Advance care planning ought to be part of care for patients with advanced COPD. Future studies should focus on interventions to facilitate advance care planning in patients with COPD with the goal of improving the quality of end-of-life care. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5510214 Mon, 14 Feb 2011 05:00:00 +0100 5510214 http://www.medworm.com/index.php?rid=5414898&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000292%2Fabstract%3Frss%3Dyes Conclusion: Overall, counseling educates women about breast cancer risk and alleviates their anxiety. Importantly, benefits gained at immediate follow-up seem maintained over time.Practice implication: Affected women seem to benefit less from counseling. Counselors may need to devote more effort into educating these women and addressing their anxieties. Future studies should confirm the unexpected finding that cancer-related distress increased immediately post-counseling. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414898 Mon, 14 Feb 2011 05:00:00 +0100 5414898 http://www.medworm.com/index.php?rid=5414889&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100036X%2Fabstract%3Frss%3Dyes Conclusion: When physicians used counseling techniques consistent with MI principles, some of their patients’ weight-related attitudes and behaviors improved.Practice implications: Physicians may not be able to employ formal MI during a clinic visit. However, use of counseling techniques consistent with MI principles, such as expression of empathy, may improve patients’ weight-related attitudes and behaviors. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414889 Mon, 14 Feb 2011 05:00:00 +0100 5414889 http://www.medworm.com/index.php?rid=5414886&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000188%2Fabstract%3Frss%3Dyes Conclusions: Diabetes education had positive impact on glycemic control in mainland China in short duration.Practice implications: Future studies should use more creative ways of education, and the long-term impact of diabetes education should be evaluated. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414886 Mon, 14 Feb 2011 05:00:00 +0100 5414886 http://www.medworm.com/index.php?rid=5414931&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000243%2Fabstract%3Frss%3Dyes Conclusion: Patient–provider cultural distance was negatively associated with perceived quality of care and trust but did not explain racial/ethnic disparities in HIV care.Practice implications: Bridging cultural differences may improve patient–provider relationships but may have limited impact in reducing racial/ethnic disparities, unless coupled with efforts to address other sources of unequal care. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414931 Fri, 11 Feb 2011 05:00:00 +0100 5414931 http://www.medworm.com/index.php?rid=5414914&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000279%2Fabstract%3Frss%3Dyes Conclusion: Patients in this online forum routinely turned to the Internet after their medical visits, but were especially likely to do so when trust in the physician was low, anxieties were high, and the visit altered (for better or worse) their anxiety levels.Practice Implications: Since many patients seek online information after their appointments, physicians should suggest credible websites suited to the circumstances of each patient. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414914 Fri, 11 Feb 2011 05:00:00 +0100 5414914 http://www.medworm.com/index.php?rid=5319730&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399110007846%2Fabstract%3Frss%3Dyes Conclusion: Understanding the contributors to risk perception and applying this knowledge during screening visits and genetic counselling may help to reduce risk distortion and result in increased adherence to screening programs and reduced psychological distress.Practice implications: Prostate cancer screening should incorporate counselling to address patient-specific risk concepts in order to increase the accuracy and maintain the stability of risk perceptions. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319730 Fri, 11 Feb 2011 05:00:00 +0100 5319730 http://www.medworm.com/index.php?rid=5319769&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000024%2Fabstract%3Frss%3Dyes Conclusion: Substantial proportions of patients have a poor understanding of the causes of their AMI both at onset of the illness and 2–2.5 years later, notwithstanding CPRP.Practice implications: The health care system can ill afford complacency with regards patient education and understanding. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319769 Thu, 10 Feb 2011 05:00:00 +0100 5319769 http://www.medworm.com/index.php?rid=5414911&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000255%2Fabstract%3Frss%3Dyes Conclusion: This testing method used in ARV-naïve individuals was invaluable in identifying areas needing modification before its use in patients. Text associated with pictograms was more noticeable and better understood, but only if they were closely juxtaposed.Practice implications: Leaflet design should consider culture and literacy skills, be informed by learning theory and design principles, include visuals to enhance appeal and improve understanding, and involve end-users. Verbal counseling should accompany written information. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414911 Wed, 09 Feb 2011 05:00:00 +0100 5414911 http://www.medworm.com/index.php?rid=5319756&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000206%2Fabstract%3Frss%3Dyes Conclusion: Current breast cancer websites demonstrate promising use of targeting specific audiences and employing evidence strategies prescribed as effective by past research, however there is room for improvement.Practice implications: Tip sheets for incorporating audience targeting, readability, and storytelling should be created for health organizations to use in the process of developing their websites, as these constructs were found only sparingly on the assessed sites. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319756 Wed, 09 Feb 2011 05:00:00 +0100 5319756 http://www.medworm.com/index.php?rid=5319723&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000231%2Fabstract%3Frss%3Dyes Conclusion: This study raises questions about how ‘patient-centered’ current goal setting practices are and whether a ‘patient-centered’ approach is even possible in inpatient stroke rehabilitation when considering predominant funding and health system models.Practice implications: For ‘patient-centered’ goal setting to be more than rhetorical, clinicians need to examine the values they attribute to certain types of goals, the influence of organizational drivers on goal selection, and how goals are actually used to influence clinical practice. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319723 Wed, 09 Feb 2011 05:00:00 +0100 5319723 http://www.medworm.com/index.php?rid=5414913&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399110007834%2Fabstract%3Frss%3Dyes Conclusion: For men eligible for PCS, feeling informed and feeling clear about values may not reflect distinct cognitive processes. Feeling supported may not be a factor contributing to uncertainty.Practice Implications: Research should address whether current DCS subscales best represent the factors that contribute to uncertainty for PCS and for other screening decisions. Research should also explore the influence of health literacy on the factor structure of the DCS-LL. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414913 Tue, 08 Feb 2011 05:00:00 +0100 5414913 http://www.medworm.com/index.php?rid=5414897&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000139%2Fabstract%3Frss%3Dyes Conclusion: The VTP addressed participants’ awareness of emotional and bodily reactions in a process-oriented and supportive group. The program had enhanced participants’ recognition of their disease-related emotions and helped them to more actively relate to their own needs.Practical implications: This study has highlighted how a process-oriented group intervention that combines topics related to life, rather than disease, and learning methods that enhance emotional awareness and adaptive emotional expression can enhance emotional well-being and coping behavior in patients with rheumatic diseases. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414897 Tue, 08 Feb 2011 05:00:00 +0100 5414897 http://www.medworm.com/index.php?rid=5414893&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000218%2Fabstract%3Frss%3Dyes Conclusions: When patients perceive clinicians as empathetic, rating them perfect on the CARE tool, the severity, duration and objective measures (IL-8 and neutrophils) of the common cold significantly change.Practice implications: This study helps us to understand the importance of the perception of empathy in a therapeutic encounter. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414893 Tue, 08 Feb 2011 05:00:00 +0100 5414893 http://www.medworm.com/index.php?rid=5414892&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100022X%2Fabstract%3Frss%3Dyes Abstract: Objective: To test an active-learning, empowerment approach to teaching patients about the “diabetes ABCs” (hemoglobin A1C, systolic blood pressure, and low density lipoprotein cholesterol).Methods: 84 (97%) diabetic patients who participated in a randomized effectiveness trial of two clinic-based group educational methods and completed a post-intervention assessment. The empowerment arm participated in a group session that incorporated two educational innovations (a conceptual metaphor to foster understanding, and team-based learning methods to foster active learning). The traditional diabetes education arm received a didactic group session focused on self-management and educational materials about the diabetes ABCs. Participants in both arms received individual review of th... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414892 Tue, 08 Feb 2011 05:00:00 +0100 5414892 http://www.medworm.com/index.php?rid=5319755&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000267%2Fabstract%3Frss%3Dyes Conclusions: The DLBQ proves to be a valid instrument for measuring important determinants of the intention to change three lifestyle behaviors in adults at high risk of T2DM and CVD.Practice implications: The identified ‘key-determinants’ of the TPB that seem to contribute to an increased intention to change behavior could be of value in designing future lifestyle interventions. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319755 Tue, 08 Feb 2011 05:00:00 +0100 5319755 http://www.medworm.com/index.php?rid=5319752&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000280%2Fabstract%3Frss%3Dyes Conclusion: The results of this study challenge existing beliefs.Practice implications: New intervention approaches that focus on a realistic decrease in anxiety and perceived control are needed. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319752 Tue, 08 Feb 2011 05:00:00 +0100 5319752 http://www.medworm.com/index.php?rid=5414896&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000073%2Fabstract%3Frss%3Dyes Conclusions: Government advice is a specialized form of health communication with members of the public. People engage in an active process of evaluating government advice in terms of its credibility, feasibility and costs. To improve future pandemic preparedness, attempts should be made to elicit and address common doubts and concerns people have about following recommended advice.Practical implications: This study provides preliminary information on potential concerns and issues that could be addressed in future pandemic communications. Further research is needed to elicit and address the public perspective so that the impact of future pandemics may be reduced. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414896 Fri, 04 Feb 2011 05:00:00 +0100 5414896 http://www.medworm.com/index.php?rid=5414891&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000048%2Fabstract%3Frss%3Dyes Abstract: Objective: The purpose of this study was to develop and evaluate a 12-week weight management intervention involving computerized self-monitoring and technology-assisted feedback with and without an enhanced behavioral component.Methods: 120 overweight (30.5±2.6kg/m2) adults (45.0±10.3 years) were randomized to one of three groups: computerized self-monitoring with Basic feedback (n=45), Enhanced behavioral feedback (n=45), or wait-list control (n=30). Intervention participants used a computer software program to record dietary and physical activity information. Weekly e-mail feedback was based on computer-generated reports, and participants attended monthly measurement visits.Results: The Basic and Enhanced groups experienced significant weight reduction (−2.7±3.3kg and −2... Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414891 Fri, 04 Feb 2011 05:00:00 +0100 5414891 http://www.medworm.com/index.php?rid=5319748&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000036%2Fabstract%3Frss%3Dyes The government-subsidized apartments were a uniform size of 60m2. The upper apartments were flat-roofed, which made the summers unbearably hot for some. When people felt desperate for cooler air they would go and sit in the air-conditioned community health clinic in Ringelblum Street where medical care was freely available. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319748 Thu, 03 Feb 2011 05:00:00 +0100 5319748 http://www.medworm.com/index.php?rid=5319716&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399110007858%2Fabstract%3Frss%3Dyes Conclusion: Findings suggest that it is feasible to train and graduate peer leaders with the necessary knowledge and skills to facilitate DSMS interventions.Practical implications: With proper training, peer support may be a viable model for translating and sustaining DSMS interventions into community-based settings. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319716 Thu, 03 Feb 2011 05:00:00 +0100 5319716 http://www.medworm.com/index.php?rid=4918466&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000115%2Fabstract%3Frss%3Dyes Thank you for your interesting qualitative analysis of the conversation between therapists and inpatients suffering from medically unexplained symptoms. Your results provide us with further insights in the communication between the caregiver and the person receiving care. In your conclusion you state that patients are inclined to react defensively to psychosomatic attributions. Furthermore, you suggest that reattribution should be introduced in a patient-centered rather than persuasive way. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=4918466 Wed, 02 Feb 2011 00:00:00 +0100 4918466 http://www.medworm.com/index.php?rid=5414936&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS073839911100005X%2Fabstract%3Frss%3Dyes Conclusion: These unexpected findings may have occurred due to patients’ inability to perceive providers’ weight bias, measurement error in questionnaire items, or decreasing weight bias among health professionals.Practice implications: Patient's positive perceptions of providers may indicate promise for health professionals acting as motivators of behavior change in obese patients. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414936 Mon, 31 Jan 2011 05:00:00 +0100 5414936 http://www.medworm.com/index.php?rid=5319725&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399111000097%2Fabstract%3Frss%3Dyes Conclusion: Program elements were well received and logistically feasible. However, recruitment to an extra educational group visit was low. Future implementation will move SDM-GRIP to the point of routine ordering of non-emergent stress tests to retain pre-decision timing of PCI and to improve coordination of care, with SDM tools available across primary care and cardiology.Practice implications: Guidance prompts and provider training appear feasible. Implementation at stress testing requires further investigation. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5319725 Mon, 31 Jan 2011 05:00:00 +0100 5319725 http://www.medworm.com/index.php?rid=5414895&cid=s_36871_46_f&fid=36871&url=http%3A%2F%2Fwww.pec-journal.com%2Farticle%2FPIIS0738399110007445%2Fabstract%3Frss%3Dyes Conclusion: Trust contributes to improvements in health outcomes. The relationship between trust and satisfaction may be stronger among patients with higher decision-making preferences.Practice implications: For healthcare providers, efforts should be made to cultivate patients’ trust and enhance their decision-making preferences to maximize satisfaction and improve outcomes. (Source: Patient Education and Counseling) Patient Education and Counseling journals http://www.medworm.com/rss/comments.php?id=5414895 Thu, 27 Jan 2011 05:00:00 +0100 5414895