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991.
José Pérez-Revuelta José María Villagrán-Moreno Luisa Moreno-Sánchez Juan Manuel Pascual-Paño Francisco González-Saiz 《Patient education and counseling》2018,101(8):1477-1482
Objective
The aim of this paper is to provide evidence of the validity and reliability of the COMRADE scale (Combined Outcome Measure for Risk communication And treatment Decision making Effectiveness) in patients suffering from schizophrenia spectrum disorders.Method
150 patients recruited at five mental health centers were assessed using a cross-sectional study design. The COMRADE, WAIS-S (therapeutic alliance) and TSQM (satisfaction with medication) scales were used.Results
Exploratory Factor Analysis identified three factors from the COMRADE (F1: “Risk communication”; F2: “Confidence in decision” and F3: “Knowledge of decisional balance”) which explain 45.2, 8.5 and 6% of the variance, respectively. Statistically significant correlations were observed between the scores of the COMRADE subscales with the subscales of the WAI-S and the TSQM. The internal consistency observed for each of the factorial scores of the COMRADE were (Cronbach’s alpha values) 0.90, 0.89 and 0.74, respectively.Conclusion
The COMRADE scale offers appropriate psychometric properties for its use as a measure of perceived patient involvement in the shared decision making process in antipsychotic treatment.Practice implications
The use of the COMRADE measure in psychiatric clinical practice and in research studies provides an outcome measure of interventions from the shared decision making model. 相似文献992.
Annemiek J. Linn Liset van Dijk Julia C.M. van Weert Beniam G. Gebeyehu Ad. A. van Bodegraven Edith G. Smit 《Patient education and counseling》2018,101(8):1419-1426
Objective
Improving adherence is a challenge and multiple barriers are likely to explain non-adherence. These barriers differ per patient and over course of the regimen. Hence, personalized interventions tailored to the specific barriers are needed. In a theoretical and evidence-based Tailored Multimedia Intervention, technology (online preparatory assessment, text messaging) was used as an add-on to a tailored counseling session (learned during a communication skills training), with the expectation of synergistic effects.Methods
A cluster randomized controlled trial was conducted in six hospitals, eight nurses and 160 chronic patients. Patient satisfaction with communication, beliefs about medication, self-efficacy and medication adherence were assessed at initiation of the treatment and after six months.Results
Intervention effects were found for patient satisfaction with nurses’ affective communication and self-efficacy at the initiation of treatment. The effect on self-efficacy remained after six months.Conclusion
By combining tailored counseling with technology, this intervention resulted in positive changes in important prerequisites of medication adherence.Practical implications
Technology can contribute significantly to health care providers’ ability to tailor information to the patients’ needs. 相似文献993.
Inge A. Stortenbeker Juul Houwen Peter L.B.J. Lucassen Hugo W. Stappers Willem J.J. Assendelft Sandra van Dulmen Tim C. olde Hartman Enny Das 《Patient education and counseling》2018,101(9):1577-1584
Objective
Positive communication is advocated for physicians during consultations with patients presenting medically unexplained symptoms (MUS), but studies generally focus on what is said rather than how it is said. This study quantified language use differences of general practitioners (GPs), and assessed their relation to patient anxiety.Methods
Language use of 18 Dutch GPs during 82 consultations was compared for patients with MUS versus medically explained symptoms (MES). Message content (positive or negative) was differentiated from its directness (direct or indirect), and related to changes in patient’s state anxiety (abbreviated State Trait Anxiety Inventory; STAI).Results
In total, 2590 clauses were identified. GPs approached patients with MES with relatively more direct (vs. indirect) positive and indirect (vs. direct) negative messages (OR 1.91, 95% CI 1.42–2.59). Anxiety of both patient groups increased when GPs used more direct (vs. indirect) negative messages (b?=?0.67, 95% CI 0.07–1.27)Conclusions
GPs use different language depending on the content of messages for patients with MES, but not MUS. Direct negative messages relate to an increase in patient anxiety.Practice implications
GPs could manage patient’s state anxiety by expressing negative messages in an indirect rather than direct manner. 相似文献994.
995.
Vincent Kalumire Cubaka Michael Schriver Peter Vedsted Gregory Makoul Per Kallestrup 《Patient education and counseling》2018,101(9):1601-1610
Objective
To identify, adapt and validate a measure for providers’ communication and interpersonal skills in Rwanda.Methods
After selection, translation and piloting of the measure, structural validity, test-retest reliability, and differential item functioning were assessed.Results
Identification and adaptation: The 14-item Communication Assessment Tool (CAT) was selected and adapted.Validity and reliability testing
Content validation found all items highly relevant in the local context except two, which were retained upon understanding the reasoning applied by patients. Eleven providers and 291 patients were involved in the field-testing. Confirmatory factor analysis showed a good fit for the original one factor model. Test-retest reliability assessment revealed a mean quadratic weighted Kappa?=?0.81 (range: 0.69–0.89, N?=?57). The average proportion of excellent scores was 15.7% (SD: 24.7, range: 9.9–21.8%, N?=?180). Differential item functioning was not observed except for item 1, which focuses on greetings, for age groups (p?=?0.02, N?=?180).Conclusion
The Kinyarwanda version of CAT (K-CAT) is a reliable and valid patient-reported measure of providers’ communication and interpersonal skills. K-CAT was validated on nurses and its use on other types of providers may require further validation.Practice implication
K-CAT is expected to be a valuable feedback tool for providers in practice and in training. 相似文献996.
Katherine Treiman Lauren McCormack Laura Wagner Nancy Roach Rebecca Moultrie Hannah Sanoff Carla Bann Richard L. Street Mahima Ashok Bryce B. Reeve 《Patient education and counseling》2018,101(9):1585-1593
Objective
This study assessed patient-centered communication (PCC) among newly diagnosed colorectal cancer patients. PCC, a key part of patient-centered care, contributes directly and indirectly to health-related quality of life, satisfaction with care, and other outcomes.Methods
We conducted a survey of patients in North Carolina, using a theoretically-based and validated measure that provides an overall PCC score and subscale scores for six PCC functions.Results
A total of 501 patients participated. The highest scores were for the PCC functions of Fostering Healing Relationships, Exchanging Information, and Making Decisions. The lowest scores were for the functions of Managing Uncertainty and Enabling Self-Management, yet these were functions respondents rated as most important. Respondents who thought about more than one health professional (versus oncologist) reported better communication. PCC also varied by treatment type, mental and physical health status, age, race, and education.Conclusion
Most patients reported good communication overall, however patients in poor physical health and mental health reported worse communication. The quality of communication varied across the PCC functions.Practice implications
Health professionals need to use a PCC approach that builds trust, respects the patient, provides salient information that patients can understand, provides emotional support, and facilitates the patient’s engagement in care. 相似文献997.
Victoria Siegrist Wolf Langewitz Rui Mata Dominik Maiori Ralph Hertwig Roland Bingisser 《Patient education and counseling》2018,101(12):2090-2096
Objective
We investigated the effects of information structuring and its potential interaction with pre-existing medical knowledge on recall in a simulated discharge communication.Methods
127 proxy-patients (i.e. students) were randomly assigned to one of four conditions. Video vignettes provided identical information, differing in means of information structuring only: The natural conversation (NC) condition was not explicitly structured whereas the structure (S) condition presented information organised by chapter headings. The book metaphor (BM) and the post organizer (PO) conditions also presented structured information but in addition included a synopsis, either at the beginning or at the end of discharge communication, respectively. Proxy-patients’ recall, perception of quality and pre-existing medical knowledge were assessed.Results
Information structuring (conditions: S, BM, PO) did not increase recall in comparison to NC, but pre-existing medical knowledge improved recall (p?<?.01). An interaction between medical knowledge and recall in the BM condition was found (p?=?.02). In comparison to the NC, proxy-patients in all information structuring conditions more strongly recommended the physician (p?<?.001).Conclusions
Structured discharge communication complemented by the BM is beneficial in individuals with lower pre-existing medical knowledge.Practice implications
The lower pre-existing medical knowledge, the more recipients will profit from information structuring with the BM. 相似文献998.
企业医院癌症患者信息需求现状调查分析 总被引：2，自引：0，他引：2
目的分析企业医院癌症患者信息需求状况及其影响因素，为患者提供相关信息及依据。方法采用癌症患者信息选择问卷及自制患者基本信息调查问卷，调查癌症患者信息需求情况。结果癌症患者“很想知道”的信息内容前五位的分别是“治愈的可能性有多大”占74．2％，“大概的治疗费用”占67．7％，“治疗的副作用”占63．1％，“治疗有效的个案”占63．1％和“有什么治疗可供选择”占62．7％；患者年龄、文化程度和家庭人均收入是癌症患者IPQCP得分的影响因素，有60．6％的患者表示希望获知“一切，无论好坏”的信息，有64．2％的患者表示信息量“知道的越多越好”，而文化程度和职业是患者信息内容需求的影响因素，性别、年龄、文化程度和家庭收入是患者信息量需求的影响因素。结论癌症患者大都希望获知自己疾病的真实情况，并有强烈的治疗愿望，但部分患者不愿知道自己的诊断，因此医护人员应该根据实际情况决定是否告知和如何告知患者各种相关疾病信息。 相似文献
999.
1000.
Alexander Jenson Debra L. Roter Harran Mkocha Beatriz Munoz Sheila West 《Patient education and counseling》2018,101(6):1075-1081
