Uncertainty in consultations about genetic testing for cancer: an explorative observational study
Cancer genetic counseling is the process of helping people understand and adapt to the medical, psychological and familial implications of genetic contributions to cancer. It usually involves the interpretation of family and medical histories, education about inheritance, testing and prevention, promotion of informed choices, and adaptation to the risk or condition [1]. The main reasons for counselees to seek cancer genetic counseling are to i) obtain information, ii) make decisions, and iii) reduce uncertainty about their medical situation [2 –4]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 2, 2018 Category: International Medicine & Public Health Authors: Niki M. Medendorp, Marij A. Hillen, Laxsini Murugesu, Cora M. Aalfs, Anne M. Stiggelbout, Ellen M.A. Smets Source Type: research

Learning to be a doctor: Medical students ’ perception of their roles in longitudinal outpatient clerkships
Historically, medical school education consisted of primarily didactic, non-clinical experiences during the first two years followed by clinical clerkships in the third and fourth year. Since the 1990s, educators have recognized the theoretical benefits of early clinical experiences during the first and second years of medical school and have advocated for implementing them in curricula [1 –4]. Early exposure to patient care environments is associated with numerous beneficial outcomes including improvements in student communication skills, superior performance in third year clerkships, higher satisfaction in medical educ...
Source: Patient Education and Counseling - August 2, 2018 Category: International Medicine & Public Health Authors: Blair P. Golden, Bruce L. Henschen, Lauren A. Gard, Elizabeth R. Ryan, Daniel B. Evans, Jennifer Bierman, Kenzie A. Cameron Source Type: research

The possible impact of vulnerability on clinical communication: some reflections and a call for empirical studies
“Le Moi, de pied en cap, jusqu’à la moelle des os, est vulnérabilité.”“The I, from head to foot and to the bone marrow, is vulnerability.”Emmanuel Lévinas (1908-1955) (1)“No man is an Iland, intire of itselfe;”John Donne (1572-1631) (2) (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 1, 2018 Category: International Medicine & Public Health Authors: P ål Gulbrandsen Source Type: research

Patient Empowerment: A Critique of Individualism and Systematic Review of Patient Perspectives
Psychological empowerment, with its roots in community psychology, has been defined to encompass three constructs: critical awareness of power structures, perceived control over one ’s life, and citizen participation [1]. However, patient empowerment is most commonly defined as “helping patients discover and develop the inherent capacity to be responsible for one’s own life” [2]. These definitions highlight more than a difference in semantics. How empowerment is defined can influence how it is understood in relation to patient behaviors, and ultimately, who has responsibility to implement changes that promote patie...
Source: Patient Education and Counseling - August 1, 2018 Category: International Medicine & Public Health Authors: Joy Agner, Kathryn L. Braun Tags: Review article Source Type: research

Assessing the effectiveness of a goal-setting session as part of a structured group self-management education programme for people with type 2 diabetes
Diabetes self-management education (DSME) aims to help people achieve effective self- management skills and behaviour change [1] and has been shown to be effective in improving patients ’ clinical and psycho-social outcomes [2,3]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 1, 2018 Category: International Medicine & Public Health Authors: M áire O Donnell, Marian E. Carey, Rosie Horne, Alberto Alvarez-Iglesias, Melanie J. Davies, Molly Byrne, Sean Dinneen Source Type: research

Teaching Residents Mental Health Care
Approximately 50% of the U.S. population will have a mental health disorder (includes substance use disorders) at some time in their lives [1,2], but only 25% receive care, compared to the 60-80% of heart disease patients who receive care [3,4]. There are prevalent concerns about mental health care not meeting standards [5 –8]. Psychiatrists see only 15% of all patients with mental disorders [9]. Research shows that two-thirds of physicians cannot obtain a timely psychiatric consultation [10], and that psychiatrists’ numbers are deficient in over 95% of U.S. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 30, 2018 Category: International Medicine & Public Health Authors: Robert C. Smith, Heather Laird-Fick, Francesca C. Dwamena, Laura Freilich, Brian Mavis, Katelyn Grayson-Sneed, Dale D ’Mello, Mark Spoolstra, David Solomon Source Type: research

Missing the forest for the trees
When my colleague, a senior urologist at the same hospital asked if I could see his wife, I set an appointment to see her on the next day, not knowing that this was the first and last straightforward thing in our relationship. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 27, 2018 Category: International Medicine & Public Health Authors: Ami Schattner Tags: Discussion Source Type: research

Assessing the Impact of the Public Nutrition Information Environment: Adapting the Cancer Information Overload Scale to Measure Diet Information Overload
Preventable non-communicable diseases including obesity, cardiovascular disease, cancer, and diabetes account for 70% of deaths worldwide [1]. Communication about diet and nutrition may be a useful population-level intervention approach to reduce the burden of non-communicable diseases [2 –5]. Indeed, developments in information and communication technologies in the past two decades substantially increased the amount of health information available to the general public [6]. Individuals may encounter messages from this information environment that affect their behaviors through the course of daily media consumption or th...
Source: Patient Education and Counseling - July 26, 2018 Category: International Medicine & Public Health Authors: Steven Ramondt, A. Susana Ram írez Source Type: research

Patterns of family communication and preferred resources for sharing information among families with a Lynch syndrome diagnosis
Lynch syndrome is a hereditary cancer syndrome that substantially increases risk of developing colorectal and endometrial cancer, as well as elevating the risk of developing cancer of the stomach, ovaries, urinary tract, brain, and small bowel [1,2]. Lynch syndrome is caused by a germline pathogenic variant (i.e., disease-associated mutation) in one of four mismatch repair genes: MLH1, MSH2, MSH6, and PMS2. Pathogenic variants in MSH2 and MLH1 are associated with up to 74% and 54% lifetime risks for colorectal and endometrial cancer, respectively, while PMS2 and MSH6 are associated with up to 22% and 26% lifetime risks for...
Source: Patient Education and Counseling - July 26, 2018 Category: International Medicine & Public Health Authors: Jenna Petersen, Cathryn Koptiuch, Yelena P. Wu, Ryan Mooney, Ashley Elrick, Kathryn Szczotka, Megan Keener, Lisa Pappas, Priyanka Kanth, Andrew Soisson, Wendy Kohlmann, Kimberly A. Kaphingst Source Type: research

Accuracy and Congruence of Physician and Adolescent Patient Weight-Related Discussions: Teen CHAT (Communicating Health: Analyzing Talk)
Overweight and obesity among U.S. adolescents have risen to (or remain at) epidemic levels [ [1 –4]. Excessive weight gain in adolescents is associated with increased risk of adverse health consequences including metabolic dysfunction, insulin resistance, hypertension and early markers of cardiovascular disease [5,6]. Further, adolescents who are overweight/obese tend to become overweight/ob ese adults [7]. Helping overweight/obese adolescents achieve and maintain a healthy weight is a healthcare priority. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 26, 2018 Category: International Medicine & Public Health Authors: Michael E. Bodner, Pauline Lyna, Truls Ostbye, Terrill Bravender, C. Alexander Stewart, James A. Tulsky, Pao-Hwa Lin, Kathryn I. Pollak Source Type: research

The Red Thread
Yinyuan hongxian, or the red thread of fate, is a Chinese legend that tells us that the gods tie an invisible red thread around the ankles of those who are destined to encounter or assist one another. While the thread may get longer or become entangled, it will never break. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 25, 2018 Category: International Medicine & Public Health Authors: Victor S. Sloan Tags: Discussion Source Type: research

Corrigendum to “More than nation and knowledge: cultural micro-diversity and organ donation in Switzerland” [Patient Educ. Couns. 64, December (1–3) (2006) 294–302]
In the introduction to our article «More than nation and knowledge: Cultural micro-diversity and organ donation in Switzerland» [1] several phrases were taken from the following two articles without offering proper reference to these publications: “Public knowledge and attitudes regarding organ and tissue donation: an analysis of the northwest Ohio community”, by SL Sander SL& BK Miller [2] and “Organ Donor Registration Preferences Among Hispanic Populations: Which Modes of Registration Have the Greatest Promise?”, by Jason T. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 25, 2018 Category: International Medicine & Public Health Authors: Peter J. Schulz, Kent Nakamoto, David Brinberg, Joachim Haes Tags: Corrigendum Source Type: research

Editorial Board
(Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 21, 2018 Category: International Medicine & Public Health Source Type: research

Updates on activities of tEACH, the teaching subcommittee of EACH
(Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 21, 2018 Category: International Medicine & Public Health Source Type: research

Qualitative methods can test and challenge what we think we know about clinical communication – if they are not too constrained by methodological ‘brands’
Because clinical communication is the vehicle for health care,the rigour of the scientific discipline that studies and shapes it is crucial for the quality of health care in the future. Claims to rigour in clinical communication science have tended to rest on quantitative methods. For instance, findings that surgeons miss 62% of ‘empathic opportunities’ are embedded in the discipline as evidence that doctors’ communication with patients is too doctor-centred [1]. However, quantifying clinical communication provides less certainty than is sometimes appreciated. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 21, 2018 Category: International Medicine & Public Health Authors: Peter Salmon, Bridget Young Tags: Editorial Source Type: research