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Journal Patient Educ Couns

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Medical uncertainty: putting flesh on the bones

Paul K.J. Han,

Patient Educ Couns (Patient education and counseling)
[2021, 104(11):2603-2605]

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Family-clinician shared decision making in intensive care units: Cluster randomized trial in China.

Xinchun Liu, Gerald Humphris, Aijing Luo, Mingshi Yang, Jin Yan, Shaohua Huang, Siyu Xiao, Ailian Lv, Guobao Wu, Peigen Gui, Qingyan Wang, Yudong Zhang, Yaxin Yan, Nie Jing, Jie Xu,

To investigate if a Family-Clinician Shared Decision-Making (FCSDM) intervention benefits patients, families and intensive care units (ICUs) clinicians. Six ICUs in China were allocated to intervention or usual care. 548 patients with critical illness, 548 family members and 387 ICU clinicians were included into the study. Structured FCSDM family meetings ... Read more >>

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Does the structure of the medical consultation align with an educational model of clinical communication? A study of physicians' consultations from a postgraduate examination.

Lorraine M Noble, Gianpaolo Manalastas, Rowena Viney, Ann E Griffin,

<h4>Objective</h4>This study examined whether the structure of consultations in which physicians were tasked with sharing information corresponded to the chronological stages proposed by an established educational model of clinical communication.<h4>Method</h4>Seventy six simulated consultations from a postgraduate examination for general medical hospital physicians were transcribed verbatim and converted into diagrams showing ... Read more >>

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Ask Rosa - The making of a digital genetic conversation tool, a chatbot, about hereditary breast and ovarian cancer.

Elen Siglen, Hildegunn Høberg Vetti, Aslaug Beathe Forberg Lunde, Thomas Akselberg Hatlebrekke, Nina Strømsvik, Anniken Hamang, Sigrid Tronsli Hovland, Jill Walker Rettberg, Vidar M Steen, Cathrine Bjorvatn,

<h4>Objective</h4>We aimed at developing a pilot version of an app (Rosa) that can perform digital conversations with breast or ovarian cancer patients about genetic BRCA testing, using chatbot technology, to identify best practices for future patient-focused chatbots.<h4>Methods</h4>We chose a commercial chatbot platform and participatory methodology with a team of patient ... Read more >>

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[2021, :]

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You're not getting in.

Lies Sercu,

The article provides a brief account of what a mentally ill patient experienced during an intake in a university psychiatric hospital. The experience was disruptive and almost led the patient to commit suicide. The story illustrates how the context, but especially the caregiver's behavior can aggravate the patient's situation rather ... Read more >>

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[2021, :]

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A systematic review of the association between health literacy and pain self-management.

Kyounghae Kim, Yuxuan Yang, Zequan Wang, Jie Chen, Zahra A Barandouzi, Hyejeong Hong, Hae-Ra Han, Angela Starkweather,

<h4>Objective</h4>To synthesize the impact of health literacy on pain self-management contexts, processes, and outcomes.<h4>Methods</h4>This systematic review employed a narrative synthesis. We used databases, including PubMed and PsycINFO, and handsearching of the reference lists to identify articles published before December 2020. Pain self-management variables were chosen based on the Individual and ... Read more >>

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[2021, :]

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Children's communication of emotional cues and concerns during a preoperative needle procedure.

Ida Kleye, Annelie J Sundler, Laura Darcy, Katarina Karlsson, Lena Hedén,

<h4>Objective</h4>This study explores children's expressions of emotional cues and concerns during needle procedures, nurses' responses and findings in relation to children's age and sex.<h4>Methods</h4>Twenty-six children aged 6-12 years were video recorded during a preoperative needle procedure. Emotional communication was analyzed using Verona Coding Definitions of Emotional Sequences.<h4>Results</h4>A total of 111 ... Read more >>

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[2021, :]

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Introducing a new journal: PEC Innovation.

Carma L Bylund, Arnstein Finset,

Patient Educ Couns (Patient education and counseling)
[2021, 104(10):2383]

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Effectiveness of technological interventions to improve healthcare communication with children with long-term conditions: A systematic review and meta-analysis of randomised controlled trials.

Emma Dorgeat, Ayowade Adeleye, Kate J Lifford, Adrian Edwards,

<h4>Objective</h4>This systematic review and meta-analysis aimed to evaluate the effectiveness of technological interventions used to improve communication between healthcare professionals (HCPs) and children with long-term conditions (LTCs).<h4>Methods</h4>PROSPERO: CRD42020221977. Five electronic databases were searched from inception to May 2021 for randomised controlled trials. Study characteristics were described and random-effects meta-analysis was ... Read more >>

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[2021, :]

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Special section: Selected papers from EACH 2020.

Hilde Eide, Arnstein Finset,

Patient Educ Couns (Patient education and counseling)
[2021, 104(10):2384-2385]

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Decision making about anti-TNF therapy: A pilot trial of a shared decision-making intervention.

Ellen A Lipstein, William B Brinkman, Yin Zhang, Kevin A Hommel, Richard F Ittenbach, Chunyan Liu, Lee A Denson,

<h4>Objective</h4>We conducted a pre-post pilot trial to determine the feasibility and acceptability of a multi-component intervention (pre-clinic letter, shared decision making cards and follow-up phone call) designed to facilitate SDM in pediatric inflammatory bowel disease (IBD).<h4>Methods</h4>We recruited physicians (n = 11) caring for IBD patients and families (n = 36) expected to discuss anti-tumor ... Read more >>

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[2021, :]

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Disappointing evaluation of a shared decision-making intervention for residents and orthopaedic surgeons.

Jeroen K J Bossen, Jesse Jansen, Trudy van der Weijden, Ide C Heyligers,

<h4>Objective</h4>To evaluate a shared decision-making (SDM) intervention in orthopaedic hip and knee osteoarthritis care.<h4>Methods</h4>Using a pre- post intervention design study, we tested an intervention, that included a decision aid for patients (ptDA) and a SDM training course for residents in training and orthopaedic surgeons. The theory of planned behaviour was ... Read more >>

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[2021, :]

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Active involvement of young people with T1DM during outpatient hospital consultations: Opportunities and challenges in transitional care services.

Mariëlle A C Peeters, Hielke G de Haan, Roland A Bal, AnneLoes van Staa, Jane N T Sattoe,

<h4>Objective</h4>Little is known about active involvement of young people (YP) with type 1 diabetes (T1DM) in transitional care. This study aims to gain insight into patient-provider interactions during outpatient hospital consultations.<h4>Methods</h4>Semi-structured observations (n = 61) of outpatient consultations with YP with T1DM (15-25 years) treated in 12 hospitals in the Netherlands. The ... Read more >>

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[2021, :]

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End of life care preference among hemodialysis population: Revisit Q methodology.

Radha Maniam, Maw Pin Tan, Mei Chan Chong,

<h4>Objective</h4>End-of-life care is often overlooked in the dialysis unit despite high mortality rates. This study aimed to understand the diverse subjectivity of opinions on end-of-life care preferences, feelings, needs, value and goals in life among a haemodialysis population.<h4>Methods</h4>The Q methodology was used where 37 opinion statements were ranked in order ... Read more >>

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[2021, :]

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How to talk with patients about weight? Viewpoints of 1697 individuals with overweight and obesity.

Lena Sagi-Dain, Moran Echar, Naama Paska-Davis,

<h4>Objectives</h4>To evaluate the preferences of individuals with overweight and obesity regarding the optimal approach for discussing the excess weight during medical appointments.<h4>Methods</h4>The cross-sectional study was conducted by distribution of an anonymous questionnaire in social media platforms during September 2020, aiming for respondents with body mass index over 25 kg/m<sup>2</sup>.<h4>Results</h4>The questionnaire was ... Read more >>

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[2021, :]

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A qualitative inquiry of communication based barriers to the diagnosis of pediatric cancer: Perceptions of primarily Spanish-speaking caregivers.

Austin R Waters, Eduardo R Zamora, Mark Fluchel, Echo L Warner, Stephanie Rosen, Vannina Gwilliam, Guadalupe E Tovar, Jennyffer P Morales, Anne C Kirchhoff,

<h4>Background</h4>Primarily Spanish-speaking cancer patients and caregivers often experience non-congruence with healthcare providers about beliefs, values, and knowledge of cancer. Our goal was to describe how communication related to the diagnosis of cancer was influenced by culture and language among primarily Spanish-speaking caregivers of pediatric cancer patients.<h4>Methods</h4>Caregivers participated in three focus ... Read more >>

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[2021, :]

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Health professionals' view on the role of hope and communication challenges with patients in palliative care: A systematic narrative review.

Enxhi Qama, Nicola Diviani, Nicola Grignoli, Sara Rubinelli,

<h4>Objective</h4>To identify health professionals' (HPs) perspectives on the role of hope and the main challenges faced when communicating with patients in palliative care (PC).<h4>Methods</h4>Search on PubMed, Scopus, SocIndex, Cochrane, and Web of Science using: palliat*, palliative care, palliative medicine, hospice care, terminal care, long term care, supportive care, end of ... Read more >>

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[2021, :]

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Helping the quitters quit: A systematic review and narrative synthesis of the barriers and facilitators to e-cigarette cessation and the support that is needed.

Judith Dyson, Malvika Bhatnagar, James Skinner, Michael Crooks,

<h4>Objective</h4>To investigate the barriers and facilitators to and support needed for e-cigarette cessation.<h4>Methods</h4>We systematically searched the subject-specific databases MEDLINE, CINAHL complete and psycINFO and the Cochrane database using synonyms relating to the terms e-cigarettes and cessation including English language, empirical, peer reviewed research papers, published from 2010 to 2021. We ... Read more >>

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[2021, :]

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Effectiveness of a minimal virtual motivational interviewing training for first years medical students: differentiating between pre-test and then-test.

Anne Marie Plass, Amra Covic, Louisa Lohrberg, Glenn Albright, Ron Goldman, Nicole Von Steinbüchel,

<h4>Background</h4>Shifting towards patient-centeredness, medical doctors need patient-centered communication skills. Motivational Interviewing (MI) is an evidence-based, collaborative, goal-oriented communication technique to strengthen a person's own motivation and commitment to change. The purpose of this study is to evaluate the effectiveness of a brief virtual role-play MI-training program on MI-knowledge and skills ... Read more >>

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[2021, :]

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Factors influencing COVID-19 vaccination intention: The roles of vaccine knowledge, vaccine risk perception, and doctor-patient communication.

Han Zheng, Shaohai Jiang, Qiaofei Wu,

<h4>Objective</h4>This study aims to investigate factors influencing COVID-19 vaccination intention in the United States.<h4>Methods</h4>A cross-sectional survey was conducted with 800 respondents recruited from an online panel managed by a survey company. Path analysis was employed to examine the relationships between the study variables.<h4>Results</h4>First, perceived susceptibility to COVID-19 vaccine side effects ... Read more >>

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[2021, :]

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Acknowledging and addressing the many ethical aspects of disease.

Bjørn Hofmann,

Diseases change the life of individuals, the social status of groups, the obligations of professionals, and the welfare of nations. Disease classifications function as a demarcation of access to care, rights, and duties. Disease also fosters social stigmatization and discrimination, and is a personal, professional, and political matter. It raises ... Read more >>

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[2021, :]

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A questionnaire-based study on quality and adequacy of clinical communication between physician and family members of admitted Covid-19 patients.

Rahul, Anup Kumar, Alka Verma, Om Prakash Sanjeev, Ratender Kumar Singh, Tanmoy Ghatak, Alok Nath,

<h4>Objective</h4>To assess adequacy of present means of clinical communication between physicians and (Covid-19) patients' family members, to analyse their perspectives and recommend felicitous practices for virtual conversation during ongoing pandemic.<h4>Methods</h4>Cross-sectional questionnaire-based (20 questions) anonymous online survey was conducted including patient's relatives (Group-1) and treating physicians (Group-2), through Google Forms.<h4>Results</h4>Response Rate ... Read more >>

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[2021, :]

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What do we know about written assessment of health professionals' communication skills? A scoping review.

Noelle Junod Perron, Peter Pype, Marc van Nuland, Maria Magdalena Bujnowska-Fedak, Marcela Dohms, Geurt Essers, Ragnar Joakimsen, Zoi Tsimtsiou, Claudia Kiessling,

<h4>Objective</h4>The aim of this scoping review was to investigate the published literature on written assessment of communication skills in health professionals' education.<h4>Methods</h4>Pubmed, Embase, Cinahl and Psychnfo were screened for the period 1/1995-7/2020. Selection was conducted by four pairs of reviewers. Four reviewers extracted and analyzed the data regarding study, instrument, ... Read more >>

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[2021, :]

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Barriers and facilitators to colonoscopy following fecal immunochemical test screening for colorectal cancer: A key informant interview study.

Robert S Kerrison, Elizabeth Travis, Christina Dobson, Katriina L Whitaker, Colin J Rees, Stephen W Duffy, Christian von Wagner,

<h4>Objectives</h4>People who are referred for colonoscopy, following an abnormal colorectal cancer (CRC) screening result, are at increased risk of CRC. Despite this, many individuals decline the procedure. The aim of this study was to investigate why.<h4>Methods</h4>As little is currently known about non-attendance at follow-up colonoscopy, and follow-up of abnormal screening ... Read more >>

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[2021, :]

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Development of a blended communication training program for managing medically unexplained symptoms in primary care using the intervention mapping approach.

Juul Houwen, Olga A de Bont, Peter Lbj Lucassen, Judith G M Rosmalen, Hugo W Stappers, Tim C Olde Hartman, Sandra van Dulmen,

<h4>Background</h4>General practice (GP) training in how to communicate with patients with medically unexplained symptoms (MUS) is limited.<h4>Objective</h4>Development, implementation and evaluation of an evidence-based communication training program for GP residents focused on patients with MUS in primary care.<h4>Methods</h4>We used the intervention mapping (IM) framework to systematically develop the MUS training program. ... Read more >>

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