| 1. |
- Hansson Scherman, Marianne, 1944, et al.
(author)
-
Drug compliance and identity: reasons for non-compliance. Experiences of medication from persons with asthma/allergy.
- 2004
-
In: Patient education and counseling. - : Elsevier BV. - 0738-3991. ; 54:1, s. 3-9
-
Journal article (peer-reviewed)abstract
- The aim of the study was to describe patient experiences of medication. Patients with asthma/allergy were interviewed in depth twice with 8 years between. The interviews were analysed according to the phenomenographic approach and three categories, one with four sub-categories, were identified: 'access to medicine is important to relieve discomfort and to avoid fear', 'medicine damages your body and your identity without curing the illness' (because 'you can become immune or addicted', 'the ability of your body to heal itself is weakened', 'your body's own signals are camouflaged' and 'you become stigmatised') and 'production and distribution of medicine is a profit-seeking commercial undertaking which is not primarily aimed at curing the patient'. Medication experiences were stable over time. Sociological and biological survival must be compared in an open discussion along with the patient's and health professional's different reasons for how they take or prescribe medication.
|
|
| 2. |
- Brorsson, Annika, et al.
(author)
-
Fears of disease and disability in elderly primary health care patients
- 1998
-
In: Patient Education and Counseling. - 0738-3991. ; 34:1, s. 75-81
-
Journal article (peer-reviewed)abstract
- Some diseases are more frightening than others to patients and every culture or society has its own most dreaded disease(s). In some previous studies it has been shown that the fears of the patients sometimes have their roots in events in family history. In this qualitative study fourteen men and women aged 66-83 years, all of whom were primary care patients were interviewed with regard to their fears in connection with their present symptoms as well as in general. The results showed that diseases believed to entail disability, bodily changes and/or loss of control over body or environment, were the most feared. These diseases are also likely to stigmatise or shame the bearer, i.e., to change the identity for the worse. This is in line with other studies, where control and autonomy is demonstrated to be essential for elderly people's self-esteem.
|
|
| 3. |
- Hallberg, Ann-Christine, et al.
(author)
-
Parents: the best experts in child health care? Viewpoints from parents and staff concerning child health services
- 2001
-
In: Patient Education and Counseling. - 0738-3991. ; 44:2, s. 151-159
-
Journal article (peer-reviewed)abstract
- The aim was to describe what parents and staff think about child health care, to identify agreements and disagreements. A qualitative study was made with semi-structured interviews based on a phenomenographic approach. Sixty parents, 14 nurses and six doctors from southern Sweden were interviewed. Parents and staff emphasized two tasks as being of particular importance: support and check-ups. There was a conflict between parents' need for security versus integrity. Individual nurses experienced a conflict between what they wanted to do and what they felt that they had to do. The parents viewed parental education as a chance to exchange experiences with other parents and receive support from other adults, while the staff mainly saw it as an opportunity to inform parents and strengthen them in their parental role. The study gives grounds for reflection about how the work of child health care can be changed in the future.
|
|
| 4. |
- Jensen, B O, et al.
(author)
-
The illness experiences of patients after a first time myocardial infarction
- 2003
-
In: Patient Education and Counseling. - 0738-3991. ; 51:2, s. 123-131
-
Journal article (peer-reviewed)abstract
- The purpose of this study was to investigate illness experiences of patients after a first myocardial infarction (MI), focusing on life situation and the recovery process over time. Thirty patients were interviewed within the first 3 days of hospitalisation, and again 17 weeks after discharge. The interviews were tape-recorded verbatim and the transcriptions were analysed and categorised using qualitative content analysis. The main category was Uncertainty of the life situation that was combined with and articulated the superior theme in both interviews. Analyses revealed uncertainty focused on problems related to: treatment-seeking behaviour; existential threat; preventing another coronary and need for knowledge and support, which the patients considered important for their case and future life. The findings are fundamental for the health care when education and counselling are planned and challenge health care personnel to listen to MI-patients' own experiences. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
|
|
| 5. |
- Lithner, Maria, et al.
(author)
-
Pre- and postoperative information needs
- 2000
-
In: Patient Education and Counseling. - 0738-3991. ; 40:1, s. 29-37
-
Journal article (peer-reviewed)abstract
- The purpose of this study was to investigate patients' need for pre- and postoperative information. Fifty patients admitted to open cholecystectomy were included in the study, 37 women and 13 men. Their median age was 49.5 years, ranging 17-76. The patients answered one questionnaire both at admission and at discharge. In the questionnaire, 48 statements had to be answered on a five-point, Likert scale. Our data show that patients admitted for cholecystectomy want a lot of information both at admission and at discharge. The most requested information was related to anxiety-creating factors such as pain and post-operative symptoms after surgery. Thirty per cent of the patients wanted both written and verbal information. This result focuses on the need to develop and share with the patient both written and verbal information.
|
|
| 6. |
- Selander, Staffan, et al.
(author)
-
The discursive formation of health. A study of printed health education material used in primary care
- 1997
-
In: Patient Education and Counseling. - 0738-3991. ; 31:3, s. 181-189
-
Journal article (peer-reviewed)abstract
- This study analyses printed educational material on cholesterol, food and health-related lifestyle changes used in primary care in southern Sweden. Two theoretically grounded perspectives are used: orientation of knowledge and rhetoric. According to the first one, the material contained many examples of abstract and detailed knowledge, such as tables of energy contents, and a little less of action-oriented and detailed knowledge, such as food recipes. We also found a few examples of comprehensive, abstract knowledge, such as theoretic explanations. Action-oriented and comprehensive knowledge, relating health to-lifestyle, were rare. The rhetoric style of the material was generally dominated by plain facts, without any identified voice (i.e. sender) or any emotional orientation. Overall, information was not related to 'the voice of the life-world' but to 'the voice of medicine', and it was in character more general than specific.
|
|
| 7. |
|
|
| 8. |
|
|
| 9. |
|
|
| 10. |
|
|
| 11. |
- Fossum, Bjöörn, et al.
(author)
-
How physicians experience patient consultations at an orthopaedic out-patient clinic : a qualitative study
- 2002
-
In: Patient Education and Counseling. - : Elsevier BV. - 0738-3991 .- 1873-5134. ; 47:2, s. 127-35
-
Journal article (peer-reviewed)abstract
- The aim of this study is to describe physicians' experiences in their encounters with patients by allowing the physicians to observe and comment on their own video-recorded medical consultations. Eighteen orthopaedic surgeons took part in the study; they were informed that we were interested in studying what actually takes place during a consultation, the quality of communication between doctor and patient, and how the physicians themselves experience the consultation. Each time the physician wished to make a comment, the video film was stopped and the comments were taped on audiocassette. The results showed that when the physicians watched the video-recorded consultations they commented spontaneously on issues regarding, among others: (1) how they try to adapt their communication to the patient's situation; (2) the need to explain things to the patient; (3) perceptions of working under unfavourable conditions; (4) difficulties in helping certain patients.
|
|
| 12. |
- Fossum, Bjöörn, et al.
(author)
-
Patient-centred communication : videotaped consultations
- 2004
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 54:2, s. 163-9
-
Journal article (peer-reviewed)abstract
- The aim of this study is to analyse the way in which orthopaedic physicians manage consultations, and to identify those factors associated with patient-experienced satisfaction/dissatisfaction. This was explored both using a descriptive method and by analysing comments from patients. Consultations were videotaped; 18 physicians and 18 patients participated. Approximately 1 week after the consultation, the patient was shown the video recording and asked for his/her points of view and spontaneous reactions. Each time, the patient wished to say something, the video was stopped and the comments recorded. According to the patients' comments of the videotaped consultations four consultations were mainly positive, seven negative and seven neither completely positive nor completely negative. We analysed the positive and negative consultations using the Consultation Map (CM) method. The pattern in the positive consultations shows a greater flexibility. Statements regarding initial history and aetiology often move to and fro between other items, and the consultation as a whole was often characterised by this rapid change between items. The pattern in the negative consultations seems to indicate a slower motion; with longer time spent with few items and fewer items covered. The positive consultations were characterised by a greater prevalence of the items 'Sharing Understanding' and 'Involving the Patient in Management'. On the other hand, the negative consultations were characterised by more time spent with the items 'History of problems', and 'Patient Ideas'. This might be due to the patient having tried to express him/herself in order to present his/her views but the physician not following them up. In this study, the CM has been helpful in clarifying the difference between encounters experienced as satisfactory or dissatisfactory.
|
|
| 13. |
|
|
| 14. |
|
|
| 15. |
|
|
| 16. |
|
|
| 17. |
|
|
| 18. |
|
|
| 19. |
|
|
| 20. |
- Hellström, Olle, 1940-, et al.
(author)
-
A phenomenological analysis of doctor-patient interaction : a case study
- 1998
-
In: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 33:1, s. 83-89
-
Journal article (peer-reviewed)abstract
- The fact that the biomedical model has been very successful in practice does not preclude that some health issues can be understood by way of other health care perspectives. Acquiring skills in meeting patients requires theories that structure other fields of knowledge than the biomedical sciences. An old man, who experiences himself as deeply misunderstood by the medical profession, is interviewed, his personal life-story is gone into and his case records and other available data are analysed. A phenomenological method is used, i.e. disciplined and rigorous reflection upon available data, remaining close to the particular pieces of the patient's narrative as they stand forth in their contextual relationships. The study shows that the doctors involved did not relate to the patient but to a biomedical image of him. His efforts to make himself understood were converted into instrumentally manageable disorders. Finally, dialogue medicine is briefly introduced as a model for counselling patients, especially when they need assistance to abandon the notion that they have been afflicted with a disease, a perception that might serve the purpose of keeping a threatening self-image out of consciousness.
|
|
| 21. |
- Hellström, Olle, 1940-
(author)
-
Dialogue medicine : a health-liberating attitude in general practice
- 1998
-
In: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 35:3, s. 221-231
-
Journal article (peer-reviewed)abstract
- Dialogue medicine is presented as the prime means of understanding patients' illnesses. It is a practical attitude especially aimed to assist or inspire patients to consider, see and manage their illness–demanding efforts to unwittingly suppress or disguise such self-reproaching thoughts as are worse to bear than the feeling of being afflicted with a disease. Along with diagnosing patients' perceived bodily disorders, doctors can choose to see them as persons whose ailments stand for efforts to manage their existence as communicative human beings. The core of the paper is an encounter between the author and a female patient which illuminates the usefulness of genuine dialogue in medical practice. The paper illustrates how the dialogical attitude helps patients to see and manage their difficult life-situations and how the doctor can be inspired to change and develop and improve his/her skills as a dialogue partner. Doctors' dialogical attitude in the encounter encompasses for example openness, empathy, sensitivity, courage, attentiveness and responsiveness, accompanied by concern, trust, respect, affection, appreciation and hope. The philosophical and theoretical foundations of the concept of dialogue medicine are sketched out and some practically significant traits are described.
|
|
| 22. |
- Hellström, Olle, 1940-
(author)
-
Health promotion and clinical dialogue
- 1995
-
In: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 25:3, s. 247-256
-
Journal article (peer-reviewed)abstract
- Clinical medicine would gain from a discussion of the significance of health promotion. Some central concepts are discussed: the diagnostic process; disease prevention vs. health promotion; the practical importance of the understanding of the difference between the 2 concepts health and absence-of-disease. The concept of health catches the intra-personal level, the undisrupted self, whereas absence of disease concerns the proper functioning of the organism, the human biology. By means of comparing 2 diagnoses, multiple sclerosis (MS) and fibromyagia syndrome (FS), it is argued that there are diagnoses of at least 2 distinct kinds. The diagnosis of MS is similar to a scientific discovery, whereas the diagnosis of FS is constructed more like criminal law. Consequently, diagnosis-based disease prevention and health promotion have to comply with a wide range reality. Finally, clinical dialogue is pointed out as a method that successfully combines diagnostic, preventive and promotive efforts, as well as clinical care and cure.
|
|
| 23. |
|
|
| 24. |
- Holmström, Inger, et al.
(author)
-
A change of the physicians' understanding of the encounter parallels competence development
- 2001
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 42:3, s. 271-278
-
Journal article (peer-reviewed)abstract
- Patients today complain that physicians do not listen. There is a need to improve the professional competence in the patient encounter. According to theory, competence is a result of how people perceive their work. Observation and reflection can improve the competence. The aim of this study was to investigate if physicians can develop a more patient-centred consultation style by an experienced-based specialist course and how such a development is related to the physicians understanding of the task. The physicians video recorded consultations and reflected on these. The video consultations were analysed with a time study and Pendleton et al.’s consultation schedule [Pendleton D, Schoefield T, Tate P, Havelock P. The consultation: an approach to learning and teaching. Oxford: Oxford University Press, 1984.]. Before–after questions were answered. The study indicates that seven out of 10 physicians participating in the course had developed a patient-centred attitude and acted according to it. The time study gave ambiguous results. This study implicates that it is possible to initiate competence development by influencing the understanding of the encounter.
|
|
| 25. |
- Holmström, Inger, et al.
(author)
-
Swedish health care professionals' diverse understandings of diabetes care
- 2003
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 51:1, s. 53-58
-
Journal article (peer-reviewed)abstract
- Knowledge of health care professionals’ different understandings of diabetes care is important when preparing such professionals in patient education. For patients to manage illness effectively, the actions of health care professionals are crucial. Patients’ understanding of their condition should be taken as the point of departure when creating a learning situation. The professionals’ understandings of diabetes care were mapped using a survey including 169 primary care doctors, nurses, assistant nurses and chiropodists in Stockholm, Sweden. The responses were analysed using a phenomenographic approach. Five understandings were identified: the professionals treat the patients, the professionals give information, the professionals focus relation and organisation, the professionals seek the patient’s agreement, and the professionals focus the patient’s understanding of the situation. Only 20 (12%) of the 169 professional caregivers focused the patient’s understanding. Professionals need to develop their understandings of health care and the professional–patient interaction in order to support the patients’ learning.
|
|
| 26. |
|
|
| 27. |
|
|
| 28. |
- Kjellgren, Karin I, 1950, et al.
(author)
-
Antihypertensive treatment and patient autonomy--the follow-up appointment as a resource for care.
- 2000
-
In: Patient education and counseling. - 0738-3991 .- 1873-5134. ; 40:1, s. 39-49
-
Journal article (peer-reviewed)abstract
- Since hypertension is a chronic condition which generally requires long-term commitment to pharmacological therapy as well as alterations of patient lifestyle, the patient-physician communication in the clinical setting is an important determinant of the quality of care and health outcome. The aim of the present study was to explore the structure and content of the communication between the patient and the physician, and the process of decision-making at a routine follow-up appointment for hypertension. The study was based on 51 audio-recordings of authentic consultations. Most patients had a passive role in the consultations, and initiated few topics of conversation. The few topics that the patients initiated were usually not about hypertension. Patients' questions about medication mainly referred to unwanted effects of the drugs. Little time was invested in discussing risks related to hypertension. A collaborative shared decision-making was seldom observed in the consultations.
|
|
| 29. |
- Kärner, Anita, et al.
(author)
-
Conceptions on treatment and lifestyle in patients with coronary heart disease : a phenomenographic analysis
- 2002
-
In: Patient Education and Counseling. - 0738-3991. ; 47:2, s. 137-143
-
Journal article (peer-reviewed)abstract
- Twenty-three patients with an acute event of coronary heart disease (CHD) received routine care including information about medication and lifestyle changes. They were interviewed after 1 year about their conceptions concerning drug treatment and lifestyle changes. The interviews were taped, transcribed and analysed using the phenomenographic approach. Conceptions were hierarchically categorised with regard to level of understanding. The results showed that the patients’ understanding of the effects and health benefits of their treatment was superficial as judged on an informed layman level. The knowledge was fragmentary and mechanistic. Several misconceptions were revealed. Few answers related to prognostic benefits. However, a conception about effects of stopping drug intake was risk of relapse. Some patients considered fate and heredity as the main causes of CHD. Thus, our patients had not achieved an adequate understanding of CHD treatment. The level of knowledge was lower than anticipated.
|
|
| 30. |
- Magnusson, M., et al.
(author)
-
Late diagnosis of congenital hearing impairment in children. The parents´experiences and opinions.
- 2000
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 41:3, s. 285-294
-
Journal article (peer-reviewed)abstract
- The purpose of the present investigation is to describe how parents experience a delayed identification of their child's hearing impairment. Ten parents of 8 children were interviewed. The impairment was confirmed when the children were between 2 years, and 5 years and 8 months. The results show that the parents and their child pass through a series of distinct phases: Unawareness, Suspicion, Confirmation and Habilitation. After the birth of the child there was first a calm period, which lasted until the possibility of a hearing impairment was suspected. Once the suspicion was raised, a time of much anxiety and frustration ensued. The parents described how defective communication and misunderstanding lead to frequent conflicts with their child. The differing behaviour of the child, in combination with poor language development, initiated referral to audiological assessment and confirmation of the hearing impairment. After confirmation, the parents felt relief but at the same time a sorrow. When hearing aids had been fitted and education in sign language was under way, the child's language and social behaviour improved. Supposedly, the late detection is explained by the combination of an insufficient test method that cannot detect all children with a hearing impairment and, in cases of uncertainty, a tendency to let the child pass rather than 'bringing bad news'. All parents in the present study would have wished to participate in a hearing screening program for new-borns, had the opportunity been present.
|
|
| 31. |
|
|
| 32. |
- Månsson, J., et al.
(author)
-
Evaluation of an educational programme for the early detection of cancer
- 1999
-
In: Patient Education and Counseling. - Amsterdam : Elsevier. - 0738-3991 .- 1873-5134. ; 37:3, s. 231-242
-
Journal article (peer-reviewed)abstract
- Avoiding patient's and doctor's delay is important for the detection of cancer. In order to study the possibilities for shortening the delay, without causing anxiety, an educational programme for early detection of cancer (EPEDC) was worked out, aimed to be evaluated at the community level. A community with 77 100 inhabitants, was informed about cancer symptoms in a letter. Participants who observed the cancer symptoms, described in the letter, were invited to visit the health centres, where they were interviewed and examined according to a specially designed schedule. Guidelines for taking care of these participants were also worked out. Fifteen previously unknown cancers were detected. By means of a telephone interview and a questionnaire the reactions to the EPEDC were studied. The results indicate that it is possible to inform and educate the population about cancer symptoms without causing anxiety on condition that there is an organisation which can be contacted without delay by subjects with potential cancer symptoms. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
|
|
| 33. |
|
|
| 34. |
|
|
| 35. |
- Rosenqvist, Urban
(author)
-
Diabetes service management training and the need for a patient perspective : a 10-year evolution of training strategies and goals
- 1995
-
In: Patient Education and Counseling. - : Elsevier BV. - 0738-3991 .- 1873-5134. ; 26:1-3, s. 209-213
-
Journal article (peer-reviewed)abstract
- In 1977, the Swedish National Board of Health and Welfare published guidelines for comprehensive care of patients with diabetes. The Stockholm County (1.6 million inhabitants) responded and opened a Diabetes Education and Training Centre, LUCD, in 1979. The goal was to reduce the impact of long-term complications. The centre should translate available knowledge about diabetes care into clinical practice, promoting a shift of patients and resources to the primary health care sector. Follow-up studies and new knowledge have changed the short-term training strategies; the long-term goal has remained unchanged. Current work is concentrated on training of staff, improving methods to support better patient learning, aiding organisational changes, and supporting large-scale interventions aimed at both patients, staff and the public. The patient can realize the goals. Knowledge and demands expressed by persons with diabetes are necessary for improvements of diabetes care. The skilled patient is also a guarantee for continuity of care. Regular follow-up of diabetes services was an important impetus for progressive change of short-term training strategies.
|
|
| 36. |
- Rosenqvist, Urban
(author)
-
Patient education - new trends in Sweden
- 2001
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 44:1, s. 55-58
-
Journal article (peer-reviewed)abstract
- Patient education has a long history in Sweden and the field of diabetes care has been in the forefront of the development since the last 20 years. It is now well recognised that patients with chronic diseases must know how to handle their situation and that the long-term outcomes very much depend on how successful they are in their endeavour. More recently, patient education was also provided outside the medical services. Group education and a new role of the educator as a tutor and facilitator has emerged. Education is imparted more and more in thr form of experiential learning.
|
|
| 37. |
- Sarkadi, Anna, et al.
(author)
-
Field test of a group education program for type 2 diabetes : measures and predictors of success on individual and group levels
- 2001
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 44:2, s. 129-39
-
Journal article (peer-reviewed)abstract
- We performed field testing of a previously described group education program for type 2 diabetes. HbA1c levels at start, 6 and 12 months were collected and demographic factors examined to identify predictors of long-term glycemic control on individual and group levels. “Glycemic success” comprised of (1) achieving target values of HbA1c≤6.5% and/or (2) decreasing HbA1c progressively, depending on initial values. Groups in the field test and previous pilot-study (N=105) decreased their mean HbA1c significantly after 6 months, implying that diabetes mass education led by pharmacists could be possible in the future. Target HbA1c≤6.5% was seen in 51% at start and 63% after 12 months (P=0.023). Initial HbA1c and BMI were the most important success predictors; age, sex, duration, and civil status showed no effects. Overweight individuals relapsed after initially decreasing their HbA1c, emphasizing the need for long-term support in weight management. Experienced loneliness affected outcomes, indicating interaction between diet self-care and social relations.
|
|
| 38. |
- Sarkadi, Anna, et al.
(author)
-
Study circles at the pharmacy — a new model for diabetes education in groups
- 1999
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 37:1, s. 89-96
-
Journal article (peer-reviewed)abstract
- During the past years diabetes education has developed greatly. However, a survey of diabetes care in Sweden in 1995 showed that only 40% of the patients examined had acceptable HbAlc values. This underlines the need for an effective and low-cost patient education programme. In this study we tested the feasibility of a 1-year group education model for patients with type 2 diabetes at Swedish pharmacies. In the study circles, led by specially trained pharmacists, participants learned how to self-monitor glucose, to interpret the results and to act upon them. We conclude that study circles held at pharmacies are a feasible way of educating persons with type 2 diabetes. The group setting promoted learning through peer help and gave emotional support to participants. Metabolic control as measured by HbAlc improved significantly after 6 months, but reverted to baseline levels again at 12 months. The reason for this needs further investigation.
|
|
| 39. |
- Sjöling, Mats, et al.
(author)
-
The impact of preoperative information on state anxiety, postoperative pain and satisfaction with pain management.
- 2003
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 51:2, s. 169-176
-
Journal article (peer-reviewed)abstract
- The primary objective of this study was to test whether specific information given prior to surgery can help patients obtain better pain relief after total knee arthroplasty (TKA). Secondary objectives were to study the impact of preoperative information on state and trait anxiety, satisfaction with pain management and satisfaction with nursing care. The study was an intervention study with two groups of equal size (n ¼ 30). The intervention group was given specific information while the control group received routine information. Pain assessments were made preoperatively and every 3 h for the first three postoperative days, using the visual analogue scale (VAS). The results of this study suggest that information does influence the experience of pain after surgery and related psychological factors. The postoperative pain declined more rapidly for patients in the treatment group, the degree of preoperative state anxiety was lower and they were more satisfied with the postoperative pain management.
|
|
| 40. |
- Skoglund, Pär, et al.
(author)
-
Analgesic medication--communication at pharmacies.
- 2003
-
In: Patient education and counseling. - 0738-3991. ; 51:2, s. 155-61
-
Journal article (peer-reviewed)abstract
- Treatment conducted in co-operation with the client is decisive for a successful result i.e. adherence to medication, satisfaction and improved health outcome. The aim of this study was to capture the communication between clients and pharmacists when dispensing prescriptions of analgesics in community pharmacies. The study was based on 42 authentic audio-recordings of clients' communication with pharmacists. Most clients had a passive role and the analysis testify to a short and asymmetric communication between the interlocutors. On average, the clients asked three questions. One-third of these questions were related to medication, i.e. dose, effect, written information, symptoms or disease. Of the questions asked by pharmacists, 2% were open in character. The study confirms previous research in other settings on caregiver dominance in consultations. Concordance in pharmaceutical care assumes a much more active client. Therefore facilitating a more active role for the clients at pharmacies is of the outmost importance.
|
|
| 41. |
- Sondell, Katarina, et al.
(author)
-
Underlying dimensions of verbal communication between dentists and patients in prosthetic dentistry
- 2003
-
In: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 50:2, s. 157-165
-
Journal article (other academic/artistic)abstract
- The study explores whether the task-focused and socio-emotional dimensions of clinical communication is recognizable in the verbal communication context of prosthetic dentistry, as well as if there are other dimensions of communication in that context. Sixty-one audio recordings were made at three specialist clinics of prosthetic dentistry in Sweden. Sixty-one patients and 15 dentists participated. Sixty-one prosthetic rehabilitation periods were followed. Tooth- or implant-supported fixed prostheses were placed during this time. One visit near the end of each rehabilitation period was audiorecorded. The verbal communication was analyzed with the Roter Interaction Analysis System (RIAS)-dental. The categories were subjected to exploratory factor analysis. Patient and dentist verbal behavior could not be defined exclusively as socio-emotional or task-focused but had to be defined in other dimensions; Emotional exchange, information exchange-patient horizon, relation building exchange, information exchange-dentist horizon, and administrative and counseling exchange. Since the 'emotional exchange' factor was found to capture the largest share of the variance in the communicated patterns, the present study suggests that prosthetic care in dentistry is basically a human relationship with strong emotional communicative content.
|
|
| 42. |
- Strömberg, Anna, 1967-, et al.
(author)
-
Interactive education on CD-ROM - A new tool in the education of heart failure patients
- 2002
-
In: Patient Education and Counseling. - Amsterdam : Elsevier. - 0738-3991 .- 1873-5134. ; 46:1, s. 75-81
-
Journal article (peer-reviewed)abstract
- The study aimed to develop and evaluate whether a computer-based program for patients with heart failure was user-friendly, could be operated by elderly patients and gave sufficient information about heart failure. The program was developed by a multidisciplinary group and designed with large, clear illustrations and buttons. A total of 42 patients aged 51-92 years tested the program and completed afterwards a questionnaire. Three heart failure nurses evaluated how the patients used the program and their attitudes towards the computer. All patients could use the program, despite the fact that only six had used a computer before. The patients were satisfied with the computer-based information and appreciated that the program was interactive, flexible and contained a self-test. They thought it was a better way of receiving information than reading a booklet or watching a video about heart failure. The nurses reported that the patients were positive towards the computer and seemed to understand the information and that the patient education was less time-consuming, when the patients could seek knowledge on their own. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
|
|
| 43. |
- Svarstad, Bonnie L, et al.
(author)
-
The brief medication questionnaire: A tool for screening patient adherence and barriers to adherence
- 1999
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 37:2, s. 113-124
-
Journal article (peer-reviewed)abstract
- Self-report tools for monitoring adherence can be useful in identifying patients who need assistance with their medications, assessing patient concerns, and evaluating new programs. The aim of this study is to test the validity of the Brief Medication Questionnaire (BMQ), a new self-report tool for screening adherence and barriers to adherence. The tool includes a 5-item Regimen Screen that asks patients how they took each medication in the past week, a 2-item Belief Screen that asks about drug effects and bothersome features, and a 2-item Recall Screen about potential difficulties remembering. Validity was assessed in 20 patients using the Medication Events Monitoring System (MEMS). Results varied by type of non-adherence, with the Regimen and Belief Screens having 80–100% sensitivity for “repeat” non-adherence and the Recall Screen having 90% sensitivity for “sporadic” non-adherence. The BMQ appears more sensitive than existing tools and may be useful in identifying and diagnosing adherence problems.
|
|
| 44. |
- Tingström, Pia, 1960-, et al.
(author)
-
Validation and feasibility of problem-based learning in rehabilitation of patients with coronary artery disease
- 2002
-
In: Patient Education and Counseling. - 0738-3991 .- 1873-5134. ; 47:4, s. 337-345
-
Journal article (peer-reviewed)abstract
- A patient education programme applying problem-based learning (PBL) was developed for patients with coronary artery disease (CAD). Groups with 6–8 patients and a tutor from the rehabilitation team met nine times for 1.5 h each. The feasibility and validity of the model was evaluated using patient questionnaires, interviews with tutors and video observations of tutorials. The participants were active (69% of all input) and discussions of acquired knowledge and lifestyle changes took place in all groups. A total of 89% of the patients reported implementation of lifestyle changes and over 90% rated their learning and overall experience of the programme as acceptable or high and the demands as acceptable. Shortcomings were the limited use of some of the steps in the problem-solving process and tutors’ difficulties in adapting to their new role; their answering of questions was higher than planned (35% of their total input). The programme was feasible in clinical routine.
|
|
| 45. |
- Acuña Mora, Mariela, et al.
(author)
-
Definitions, instruments and correlates of patient empowerment : A descriptive review
- 2021
-
In: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134.
-
Research review (peer-reviewed)abstract
- Objective: This review aimed to: (i) inventory the definitions and measurements of patient empowerment in healthcare literature; (ii) appraise the conceptual and methodological rigor of included studies; and (iii) identify correlates of patient empowerment in persons with chronic conditions.Methods: Four databases were searched to identify articles measuring patient empowerment in persons with chronic conditions, used a quantitative design and provided evidence on correlates of patient empowerment. Seventy-six articles were included and analyzed by descriptive statistics and summative content analysis.Results: The articles used a range of definitions (n = 35) and instruments (n = 38), evaluating a range of correlates in four categories: sociodemographic characteristics, clinical outcomes, patient-reported outcomes and patient-reported experiences. The most frequent associations were between patient empowerment and age (n = 21), sex (n = 15), educational level (n = 15) and quality of life (n = 18). However, they were not always significant.Conclusion: The broad variation of definitions and instruments highlights the lack of consensus on how to interpret and measure patient empowerment. Although several covariates have been evaluated, there are few studies assess the same relationships.Practice implications: Consensus on a definition and measurement of patient empowerment is needed to improve the quality of future research and to provide a more cohesive body of knowledge.
|
|
| 46. |
- Adolfsson, B, et al.
(author)
-
Locus of control and weight reduction
- 2005
-
In: Patient education and counseling. - : Elsevier BV. - 0738-3991. ; 56:1, s. 55-61
-
Journal article (peer-reviewed)
|
|
| 47. |
- Adolfsson, Emelie, et al.
(author)
-
Implementing empowerment group education in diabetes
- 2004
-
In: Patient Education and Counseling. - : Elsevier BV. - 0738-3991 .- 1873-5134. ; 53:3, s. 319-324
-
Research review (peer-reviewed)abstract
- The overall aim was to gain insight into and understand how physicians and nurses view the implementation of empowerment group education (EGE) in diabetes. Prior to the study the physicians and nurses attended a 2-day empowerment workshop. Further, they had implemented the empowerment approach in two groups of patients with type II diabetes. Three to 9 months later they (five physicians and 11 nurses from six family practices) participated in focus group interviews to evaluate the implementation of the EGE. The interviews were audio-taped, transcribed and analysed using the constant comparative method. The main result showed a conflict in roles. The physicians and nurses knew their role in the traditional approach but not with respect to the empowerment approach, which they needed to grow into. At the same time as they started a new way of working, their role had changed from being an expert to being a facilitator. As experts they felt secure, as facilitators they needed support in their educational process. To implement EGE they required support both from the family practice and from a supervisor in direct connection with the EGE. © 2004 Elsevier Ireland Ltd. All rights reserved.
|
|
| 48. |
|
|
| 49. |
- Al-Adili, Lina, et al.
(author)
-
Setting goals with patients at risk of malnutrition : A focus group study with clinical dietitians
- 2022
-
In: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 105:7, s. 2103-2109
-
Journal article (peer-reviewed)abstract
- Objective: Setting goals collaboratively with patients is a key aspect in shared decision-making (SDM) in malnutrition interventions. The aim, therefore, was to gain an understanding of clinical dietitians' reflections regarding the process of goal-setting with patients at risk of malnutrition.Methods: Six semi-structured audio-recorded focus group discussions were held with registered dietitians (n = 29) from primary healthcare and hospitals in Sweden. Focus group transcripts were analysed thematically to find patterns in the data and identify themes.Results: Dietitians expressed striving to explore patients' narratives, capabilities, and resources before deciding on goals. They described different strategies in counseling patients and a lack of patient participation in the goal setting. They emphasized the difficulties of setting feasible goals due to discrepancies between their clinically oriented goals and patients' personal goals.Conclusion: Findings highlight a gap in the process of setting goals for patients at risk of malnutrition, where patients' participation was lacking. Education in SDM, and strategies and tools to support dietitians in involving patients in goal-setting, are required to bridge the gap and promote person-centeredness. Practice implications: Findings may be further used to develop tools and strategies, and design studies on the implementation of and education in SDM and goal-setting for malnutrition interventions.
|
|
| 50. |
- Ali, Lilas, 1981, et al.
(author)
-
Effectiveness of web-based versus folder support interventions for young informal carers of persons with mental illness: A randomized controlled trial
- 2014
-
In: Patient Education and Counseling. - Shannon, Irland : Elsevier BV. - 0738-3991 .- 1873-5134. ; 94:3, s. 362-371
-
Journal article (peer-reviewed)abstract
- Objective: Compare the impact of two interventions, a web-based support and a folder support, for young persons who care for people who suffer from mental illness. Methods: This study was a randomized control trial, following the CONSORT statements, which compared the impact of two interventions. Primary outcome variable was stress, and secondary outcome variables were caring situation, general self-efficacy, well-being, health, and quality of life of young informal carers (N= 241). Data were collected in June 2010 to April 2011, with self-assessment questionnaires, comparing the two interventions and also to detect changes. Results: The stress levels were high in both groups at baseline, but decreased in the folder group. The folder group had improvement in their caring situation (also different from the web group), general self-efficacy, well-being, and quality of life. The web group showed increase in well-being. Conclusion: Young informal carers who take on the responsibility for people close to them; suffer consequences on their own health. They live in a life-situation characterized by high stress and low well-being. This signals a need for support. Practice implications: The non-significant differences show that each intervention can be effective, and that it depends upon the individual's preferences. This highlights the importance of adopting person-centered approach, in which young persons can themselves choose support strategy. © 2013 Elsevier Ireland Ltd.
|
|
