Facing obesity: Adapting the collaborative deliberation model to deal with a complex long-term problem
Raising the subject of obesity is fraught with difficulty. Clinical conversations are complicated by misperceptions about its causes and management, unrealistic expectations, weight stigma, lack of provider training, time and reimbursement constraints, and complex underlying emotional aspects [1 –8]. As a result, patients do not receive the care they need to improve health and prevent associated co-morbidities [5,9]. There is an emerging understanding that care plans need to be co-developed with patients based on an understanding of biopsychosocial processes that affect weight and health [3,4,7,10–13]. (Source: Patient...
Source: Patient Education and Counseling - September 28, 2018 Category: International Medicine & Public Health Authors: Thea Luig, Glyn Elwyn, Robin Anderson, Denise L. Campbell-Scherer Source Type: research
A systematic review of Interventions to Reduce Psychological Distress in Pediatric Patients receiving Radiation Therapy
Radiation therapy is a cornerstone in the management of cancer in children [1,2]. This can be used as a primary therapy or in combination with surgery and/or chemotherapy [3]. External beam radiation therapy involving high energy (megavoltage) beams are commonly used in the treatment of many pediatric tumors. Radiation treatment is very precise, with accuracy planned to be within millimeters of the tumor localization. Of major concern for younger patients is unintended radiation exposure to critical organs [4 –7]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 28, 2018 Category: International Medicine & Public Health Authors: Moira O ’Connor, Georgia Halkett Tags: Review article Source Type: research
Social resource assessment: Application of a novel communication tool during hospital discharge
Regardless of condition, all hospitalized patients begin their transition from hospital to community-based settings by way of a discharge process that includes anticipatory planning (e.g., home health for supportive services) and self-management instructions (e.g., regarding medications, dressing changes, diet, activity). The quality of preparation for hospital discharge is an important determinant of patient outcomes [1]. However, the discharge process, that includes tasks such as assessing and communicating patient and family needs, individualized teaching, and organizing home going resources according to payment structu...
Source: Patient Education and Counseling - September 21, 2018 Category: International Medicine & Public Health Authors: Andrea S. Wallace, Nicole L. Pierce, Erica Davisson, Kirstin Manges, Toni Tripp-Reimer Source Type: research
Social Resource Assessment:Application of a Novel Communication Tool during Hospital Discharge
Regardless of condition, all hospitalized patients begin their transition from hospital to community-based settings by way of a discharge process that includes anticipatory planning (e.g., home health for supportive services) and self-management instructions (e.g., regarding medications, dressing changes, diet, activity). The quality of preparation for hospital discharge is an important determinant of patient outcomes [1]. However, the discharge process, that includes tasks such as assessing and communicating patient and family needs, individualized teaching, and organizing home going resources according to payment structu...
Source: Patient Education and Counseling - September 21, 2018 Category: International Medicine & Public Health Authors: Andrea S. Wallace, Nicole L. Pierce, Erica Davisson, Kirstin Manges, Toni Tripp-Reimer Source Type: research
The relationship between health literacy and perceived shared decision making in patients with breast cancer
Breast cancer is the most common cancer among women [1]. Being diagnosed with breast cancer is a heavy burden for patients and often requires that many healthcare decisions be made. Active participation in healthcare decisions requires an adequate level of health literacy. Health literacy has been conceptualised, by the European Health Literacy Consortium, as an individual ’s competencies to access, understand, appraise, and apply health information to make judgments and decisions concerning healthcare, disease prevention, and health promotion contexts to maintain or improve their quality of life [2]. (Source: Patient Ed...
Source: Patient Education and Counseling - September 18, 2018 Category: International Medicine & Public Health Authors: Hsiu-Nien Shen, Chia-Chen Lin, Tammy Hoffmann, Chia-Yin Tsai, Wen-Hsuan Hou, Ken N. Kuo Source Type: research
Decision-Making under Clinical Uncertainty: An in-depth Examination of Provider Perspectives on Adjuvant Chemotherapy for Stage II Colon Cancer
Adjuvant chemotherapy (ACT) improves average disease-free and overall survival among stage III colon and stage II and III rectal cancer patients.[1,2] However, benefits of ACT among stage II colon cancer patients continues to be debated, and nearly a quarter of stage II patients will have recurrence.[3] Controversy in this area stems from inconclusive clinical trial results,[4 –6] many of which have been insufficiently powered to detect treatment benefits among stage II patients[7,8], and challenges identifying which patients benefit most from ACT based on clinical risk features.[9] (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 17, 2018 Category: International Medicine & Public Health Authors: Rachel C. Shelton, Laura E. Brotzman, Danielle M. Crookes, Patrick Robles, AIfred I. Neugut Source Type: research
Sociodemographic and clinical correlates of key outcomes from a mobile insulin titration intervention (MITI) for medically underserved patients
The International Diabetes Federation reports that 425 million adults worldwide, or 1 in 11 people, had diabetes in 2017 [1]. For the U.S., the 2017 age-adjusted prevalence of diabetes was estimated to be 10.8% [2]. Although diabetes statistics are often reported in aggregate (i.e., type 1 and type 2 combined); type 2 diabetes accounts for 90-95% of all diabetes cases [5,6]. Data from the National Health and Nutrition Examination Survey show that approximately 50% of U.S. adults with diabetes are achieving an A1c (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 17, 2018 Category: International Medicine & Public Health Authors: Aisha T. Langford, Binhuan Wang, Natasha A. Orzeck-Byrnes, Sneha R. Aidasani, Lu Hu, Melanie Applegate, Dana N. Moloney, Mary Ann Sevick, Erin S. Rogers, Natalie K. Levy Source Type: research
Patient education during hospital admission due to exacerbation of Chronic Obstructive Pulmonary Disease. Effects on Quality of Life. Controlled and Randomized Experimental Study
Chronic obstructive pulmonary disease (COPD) is a prevalent and underdiagnosed disease, with high morbidity and mortality rates, constituting a major public health problem (1). It is estimated that by 2020, COPD will be the fifth cause of loss of years of life due to disability and the third cause of global mortality(1,2). The main symptoms are greater or lesser presence of dyspnea, coughing, and expectoration(3), causing limitations to patients ’ activities, leading to sedentary behaviour, weakness, and muscular atrophy. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 16, 2018 Category: International Medicine & Public Health Authors: A. Folch-Ayora, M.I. Orts-Cort és, L. Macia-Soler, M.V. Andreu-Guillamon, J. Moncho Source Type: research
the role of linguistics in improving the evidence base of healthcare communication
Healthcare providers are expected to stick to evidence-based medicine that integrates the best available research findings with individual clinical expertise [2,3] and should result in patients ’ improved health outcomes. In order to achieve this, a proper diagnosis and treatment plan need to be established, neither of which is possible without adequate communication. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 15, 2018 Category: International Medicine & Public Health Authors: Anna Udvardi Tags: Discussion Source Type: research
Explaining all without causing unnecessary harm: Is there scope for positively framing medical risk information?
Clinicians in the United Kingdom are now legally obliged to tell patients about every risk involved in prescribed medical treatments. Although important for informed consent, warning patients of risks such as side-effects can increase the incidence of these very side-effects, through the nocebo effect. Positively framing risk information could be a potential solution to this dilemma, and preliminary data has shown it is effective in healthy volunteers receiving a sham drug. Future research is needed to test its effectiveness in a clinical population. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 15, 2018 Category: International Medicine & Public Health Authors: R.K. Webster, J. Weinman, G.J Rubin Tags: Discussion Source Type: research
Monitoring Communication Skills Progress of Medical Students: Establishing a baseline has value, predicting the future is difficult
Competency-based, time-variable medical education (CBTV), which requires valid developmental competency assessments to both support student learning and make defensible promotion judgments, is the emerging model for health professions education [1,2]. Ideally, these competency assessments should be robust, fit for purpose, and substantively contribute to longitudinal programs of assessment to scaffold students ’ learning [3]. However, all these characteristics are rarely present in the assessment of clinical communication skills. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 13, 2018 Category: International Medicine & Public Health Authors: Kathleen Hanley, Colleen Gillespie, Sondra Zabar, Jennifer Adams, Adina Kalet Source Type: research
Effective of education on quality of life and constipation severity in patients with primary constipation
Constipation is an important health problem because it is frequently seen in the community and it impairs quality of life [1]. Constipation has no exact definition. Clinically, constipation is defined according to the Rome II and III criteria as a complex of at least two symptoms, including infrequent bowel movements (typically 25% of bowel movements), a subjective sensation of hard stools, and incomplete bowel evacuation [2]. When there is no underlying reason, the diagnosis of primary or idiopathic constipation is established. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 13, 2018 Category: International Medicine & Public Health Authors: Mehmet Hayrullah Ozturk, Serap Parlar K ılıc Source Type: research
Differences in expectations of passing standards in communication skills for pre-clinical and clinical medical students
Communication and interpersonal skills (CIS) are essential elements of good clinical practice [1]. Communication skills have been linked with patient and physician satisfaction, better medical decisions, patient safety, and adherence to treatment plans [2 –4]. Moreover, poor CIS can lead to malpractice suits [5]. As such, an understanding of standards and expectations for developmental growth and progression in CIS is essential for a competency-based approach to medical education [6]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 9, 2018 Category: International Medicine & Public Health Authors: Yoon Soo Park, Carol Kamin, Daisuke Son, Ginnie Kim, Rachel Yudkowsky Source Type: research
Stakeholder Views Regarding a Planned Primary Care Office-Based Interactive Multimedia Suicide Prevention Tool
Nearly 1 million people worldwide die by suicide annually [1]. In the United States (U.S.), about 80% of suicide deaths occur in men, and rates have increased by 31.6% among 35-64 year-old men (hereafter, middle-aged men) since 1999. Suicide is now the fourth leading cause of death in this group in the U.S., ahead of diabetes, pneumonia, and other common conditions, at staggering human and economic costs [2 –5]. Similarly sobering findings have been observed globally [6]. Thus, reducing suicide among middle-aged men is a high priority worldwide [1,2]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - September 8, 2018 Category: International Medicine & Public Health Authors: Anthony Jerant, Paul Duberstein, Camille Cipri, Bethany Bullard, Deborah Stone, Debora Paterniti Source Type: research
Evaluation of a shared decision making educational program: the Ottawa Decision Support Tutorial
Healthcare providers (HCP) often fail to meet patient expectations for sharing in decisions [1,2]. In fact, many HCPs exhibit low levels of patient-involvement behaviors and lack the requisite skills for engaging patients in shared decision making (SDM) [3,4]. SDM is a process whereby HCPs, patients, and family members collaborate to make health decisions [5]. Key elements of SDM include discussing: the problem and the decision to be made; options and evidence of their effects; patient ’s values, preferences, and ability to implement the choice; HCP’s knowledge; patient’s understanding; decision or its deferral; and,...
Source: Patient Education and Counseling - September 8, 2018 Category: International Medicine & Public Health Authors: Laura Boland, France L égaré, Meg Carley, Ian D. Graham, Annette M. O’Connor, Margaret L. Lawson, Dawn Stacey Source Type: research
