Review
Public, Environmental & Occupational Health
Ryan Antel, Samira Abbasgholizadeh-Rahimi, Elena Guadagno, Jason M. Harley, Dan Poenaru
Summary: This review explores the current use of AI and VR in doctor-patient surgical risk communication, finding that these technologies enhance risk communication and shared decision-making despite the need for improvements in usability and versatility.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Health Care Sciences & Services
Danielle M. Muscat, Heather L. Shepherd, Don Nutbeam, Lyndal Trevena, Kirsten J. McCaffery
Summary: This paper presents an integrated model that aims to enhance patient engagement in healthcare by drawing on the strengths of health literacy and shared decision-making concepts. The model includes addressing patients' skills and capacities, as well as modifying written and verbal information. It proposes an expanded model of shared decision-making that incorporates health literacy concepts and promotes two-tiered intervention methods to improve communication targeting and personalization and support the development of transferable health literacy skills among patients.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Olaug S. Lian, Sarah Nettleton, Huw Grange, Christopher Dowrick
Summary: This study explores the interactional processes of clinical decision-making during medical consultations, focusing on how patients show agency by proposing and opposing actions, as well as the normative dimensions and role expectations involved. The findings reveal that patients more frequently oppose actions than propose them, and their opposition is more direct. Patients reveal their values when explaining their proposals and opposition. The study also suggests that assertive patients have the most influence when they directly oppose actions and provide elaboration. However, patients' role-performance changes throughout the consultations, and they usually defer to the authority of general practitioners in the final stages of decision-making. The practice implications highlight the importance for clinicians to be attentive to patients' engagement in decision-making throughout the entire consultation, considering the normative dimensions and institutional constraints on patient actions.
PATIENT EDUCATION AND COUNSELING
(2022)
Review
Geriatrics & Gerontology
Christopher R. Carpenter, Jesseca Leggett, Fernanda Bellolio, Marian Betz, Ryan M. Carnahan, David Carr, Michelle Doering, Jennie Chin Hansen, Eric D. Isaacs, Deborah Jobe, Kathleen Kelly, Nancy Morrow-Howell, Beth Prusaczyk, Bob Savage, Joe Suyama, Allan S. Vann, Kristin L. Rising, Ula Hwang, Manish N. Shah
Summary: This article is a systematic scoping review that explores the communication strategies and decision-making process in the emergency department (ED) for persons living with dementia (PLWD) and their care partners. The study identifies research gaps and priorities for future studies in this area.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Public, Environmental & Occupational Health
Alastair Irvine, Marjon van der Pol, Euan Phimister
Summary: This paper models and tests how doctors should adapt their medical treatment decisions to accommodate patient non-adherence. The results show that doctors adapt to non-adherence as they learn about the probability of non-adherence in patients.
SOCIAL SCIENCE & MEDICINE
(2022)
Article
Psychiatry
Zhuo-Ran Chen, Li Zhang, Ya-Wei Chen, Meng-Yang Xu, Hang Jia, Meng-Ying Li, Yu-Han Lou, Ling Lan
Summary: Shared decision-making is a scientific and rational model for decision-making. Whether physicians choose this model is influenced by various factors, and it is unclear whether the strained doctor-patient relationship affects their choice. A survey showed that most physicians perceived the doctor-patient relationship as poor or strained, however, this did not significantly impact their preference for shared decision-making.
FRONTIERS IN PSYCHIATRY
(2022)
Review
Urology & Nephrology
Patrick Altmann, Katharina Leithner, Fritz Leutmezer, Tobias Monschein, Markus Ponleitner, Miranda Stattmann, Paulus Stefan Rommer, Tobias Zrzavy, Gudrun Zulehner, Klaus Berek, Thomas Berger, Gabriel Bsteh
Summary: The study compares perceptions of sexuality between patients with multiple sclerosis (pwMS) and their treating neurologists (MSologists), finding that while most pwMS consider sexuality important and would like to discuss it with their MSologists, only a small percentage of MSologists actually initiate such discussions. The findings suggest that MSologists should consider their patients' wishes and needs to talk about sexuality during consultations, and there is a strong desire for further medical education on this subject.
JOURNAL OF SEXUAL MEDICINE
(2021)
Letter
Medicine, General & Internal
Claire Davenport, Jennifer Ouellet, Mary E. Tinetti
Summary: This cross-sectional study focuses on incorporating patient-identified top health priorities into the care of older adults with multiple chronic conditions, while assisting in decision-making that aligns with these priorities.
Article
Psychiatry
Fabian Holzhueter, Florian Schuster, Stephan Heres, Johannes Hamann
Summary: The study identified different groups of patients with varying expectations and levels of engagement during ward rounds, highlighting a discrepancy in shared decision-making between doctors and patients. Encouraging patients to prepare agendas for ward rounds and improving patient participation and information procedures are essential for maximizing the potential of ward rounds.
FRONTIERS IN PSYCHIATRY
(2021)
Review
Geriatrics & Gerontology
Ruth E. Pel-Littel, Marjolein Snaterse, Nelly Marela Teppich, Bianca M. Buurman, Faridi S. van Etten-Jamaludin, Julia C. M. van Weert, Mirella M. Minkman, Wilma J. M. Scholte Op Reimer
Summary: Elderly patients with multiple chronic conditions participate less in shared decision making due to poor health and impairments, with healthcare professionals' interpersonal skills and organizational barriers also hindering the process. However, sharing personal values, decision support from informal caregivers, and care coordination can facilitate shared decision making.
Article
Veterinary Sciences
Yuma Ito, Hirono Ishikawa, Asuka Suzuki, Mio Kato
Summary: This study examined the implementation of shared decision-making (SDM) in veterinary hospitals and its relationship with consultation satisfaction among pet owners. The majority of pet owners preferred SDM and there was a significant correlation between SDM and consultation satisfaction.
BMC VETERINARY RESEARCH
(2022)
Article
Medical Informatics
Kaibiao Lin, Yong Liu, Ping Lu, Yimin Yang, Haiting Fan, Feiping Hong
Summary: This article introduces a fuzzy constraint-directed agent-based negotiation and recommendation framework for promoting shared decision-making (SDM) practice through intelligence. Experimental results show that the negotiation model effectively simulates preference negotiation and alleviates the pressure of increasing issues.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Article
Engineering, Electrical & Electronic
Ghina Saad, Hassan Harb, Abdelhafid Abouaissa, Lhassane Idoumghar, Nour Charara
Summary: With diseases and illnesses posing a growing threat to humans, hospitals are facing a shortage of qualified staff for continuous patient monitoring. Wireless body sensor networks (WBSN) are seen as a cost-effective solution for real-time health monitoring, though they also present challenges such as energy depletion and complex decision-making for doctors. The article proposes an efficient Patient-to-Doctor framework that operates at sensor and coordinator levels, enabling energy savings and timely detection of abnormalities at the sensor level, while at the coordinator level, it facilitates patient data storage, prediction, and decision-making by doctors. Simulation studies on real health data demonstrate the relevance of the proposed framework compared to existing systems.
IEEE SENSORS JOURNAL
(2021)
Article
Humanities, Multidisciplinary
Rebecca J. Wates, Jon Wilson, Mark T. Pfefer
Summary: Despite efforts to increase diversity in chiropractic care, barriers such as racial identity, referrals, communication, transportation, and understanding by care providers continue to impact non-Hispanic black populations. Increasing the number of practicing NHB chiropractors and improving minority recruitment to chiropractic colleges may help address disparities in access to care for this population.
HUMANITIES & SOCIAL SCIENCES COMMUNICATIONS
(2021)
Article
Oncology
Shucheng Pan, Jinjiao Mao, Lijuan Wang, Yun Dai, Wei Wang
Summary: This study aimed to explore patients' experiences and perceptions towards treatment decision-making. The findings revealed that patients with prostate cancer had varying degrees of involvement in the decision-making process, emphasizing their right to be informed about the disease condition and treatment options, as well as the importance of future considerations and advance care planning.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Public, Environmental & Occupational Health
Noora Jawad, Faisal F. Hakeem, Wael Sabbah
Summary: This study aims to examine socioeconomic and ethnic variations in the provision of health advice by dental professionals. The findings indicate the prominent roles of education level, ethnicity, and smoking status in the provision of health advice. The study emphasizes the need for targeted interventions to promote equity and cultural competence in delivering health advice in dental settings.
PATIENT EDUCATION AND COUNSELING
(2024)
Review
Public, Environmental & Occupational Health
Katherine Miles, Bernadette O'Neill, Shuangyu Li
Summary: This study conducted a meta-ethnography to identify and synthesize guidance for optimizing feedback interactions in undergraduate clinical communication simulations. The findings led to the development of a new Feedback Kidney Model, which can guide medical education and future research on feedback in promoting learning. Incorporating meta-cognitive training and utilizing the model can help improve students' learning and communication with patients through on-site face-to-face feedback.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Ellen Van de Velde, Ann Van Hecke, Kristof Eeckloo, Simon Malfait
Summary: This study investigates the suitability of experience-based co-design as a method for designing bedside handover in mental health care, and finds that it is a suitable method for enhancing patient involvement in nursing handovers in a general hospital's mental healthcare unit.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Yasmine Probst, Maddison Luscombe, Marta Hilfischer, Vivienne Guan, Lauren Houston
Summary: This study explores the interpretation of MS-targeted nutrition messages using semi-structured interviews. The findings reveal that dietary changes made by patients with MS after diagnosis are a coping mechanism to address uncertainty, fear of disease progression, and the risk of relapse. The admiration and skepticism towards extremist MS diets depend on individual vulnerability and support from healthcare professionals. The unique MS journey influences the interpretation of the messages, driven by engagement, practicality, and credibility.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Aisha T. Langford, Kerli Orellana, Nancy Buderer, Katerina Andreadis, Stephen K. Williams
Summary: This study examined the associations between digital health, sociodemographic factors, and medical conditions on patient-centered communication (PCC). The results suggested that age, education level, household income, and history of hypertension were related to the quality of PCC.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Danielle Huisman, Taylor Burrows, Louise Sweeney, Kirsty Bannister, Rona Moss-Morris
Summary: This study found limited information on symptoms during remission of inflammatory bowel disease (IBD) on readily searchable patient websites, which fails to adequately explain the persistence of symptoms during remission for patients.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Bethan Benwell, Maria Erofeeva, Catrin S. Rhys
Summary: This study examined how language choices made by call handlers affect the progress of complaint calls and the stance of the callers. The findings showed that displaying affiliation at relevant moments in the conversation helps advance the call and de-escalate the complaint, while the absence or misplacement of affiliation may lead to escalation. Early intervention in establishing affiliation with the caller's concerns and reasoning is crucial for de-escalation.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Sarah V. Hantzmon, Clemontina A. Davenport, Maya N. Das Gupta, Temi A. Adekunle, Sarah E. Gaither, Maren K. Olsen, Sandro O. Pinheiro, Kimberly S. Johnson, Hannah Mahoney, Allison Falls, Lauren Lloyd, Kathryn I. Pollak
Summary: This study examined the impact of racial differences on patient trust and distrust in physician-patient interactions through audio-recorded cardiologist-patient encounters. The results showed that Black patients had lower expressions of trust and a higher level of guardedness compared to White patients. It suggests that White clinicians can improve communication with Black patients to increase expressions of trust.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Caitlin S. Sayegh, Ellen Iverson, Karen K. Macdonell, Shinyi Wu, Marvin Belzer
Summary: This study applied a Supportive Accountability Model to examine youth's perception of remote human coaching and automated reminders for medication adherence. The findings indicated that both coaching and automated reminders were effective in improving adherence, with coaching being viewed as more potent and engaging. Phone calls enhanced the sense of supportive accountability, but texts were more convenient and flexible. Individual preferences varied.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Jennifer Necci Dineen, Mitchell Doucette, Mekaila Carey, Kerri M. Raissian
Summary: This paper aims to understand the facilitators and barriers perceived by general practice physicians in initiating anticipatory guidance around firearm safety. Qualitative interviews were conducted with 18 GPs to explore their perspectives. Barriers to providing secure firearm storage counseling include inadequate screening mechanisms, limited understanding of who is at risk for firearm injury, time pressures, concerns about patient receptivity, and a need for training. Structural issues need to be addressed before focusing on how to have conversations about firearm safety.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Henrike J. Westerink, Cato C. Bresser, Mirjam M. Garvelink, Cornelia F. van Udenkraan, Ouisam Zouitni, Hans A. J. Bart, Philip J. van der Wees, Paul B. van der Nat
Summary: This study aims to explore the perspectives and needs of healthcare professionals (HCPs) and patients regarding the use of outcome data in consultations. The findings indicate that HCPs do not routinely use aggregated outcome data in consultations due to various barriers. Patients, however, consider aggregated outcome data important but have different preferences based on their health conditions.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Bronwyn Newman, Mashreka Sarwar, Ashfaq Chauhan, Reema Harrison
Summary: Co-facilitation presents an opportunity to address inequity in codesign, and through our experiences in the CanEngage project, we have identified three mechanisms to promote equity.
PATIENT EDUCATION AND COUNSELING
(2024)
Review
Public, Environmental & Occupational Health
Andre Vaagan, Mette Haaland-Overby, Alison Axisa Eriksen, Kari Fredriksen, Vibeke Stenov, Cecilie Varsi, Brynja Ingadottir, Bryan Richard Cleal, Anita Royneberg Alvheim, Karl Fredrik Westermann, Hilde Stromme, Olof Birna Kristjansdottir
Summary: This study summarizes the recent evidence on the feasibility, acceptability, and effectiveness of videoconference group-based patient and caregiver education. The results suggest that this education approach is highly feasible and acceptable, and may improve health outcomes for participants. However, the evidence of effectiveness is limited and the quality of studies varies. Further research is needed to establish the effectiveness of this education approach for different patient and caregiver groups.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Momoka Igarashi, Takayuki Kawaguchi, Takuma Shiozawa, Sosei Yamaguchi
Summary: The study aims to identify conversation topics, who initiated the topics, and differences in topics with and without the use of a shared decision-making (SDM) tool in psychiatric outpatient consultations. The findings show that daily life issues, especially related to work, were the main topics discussed, and the SDM tool seems to facilitate discussion of patients' concerns.
PATIENT EDUCATION AND COUNSELING
(2024)
Article
Public, Environmental & Occupational Health
Qiwei Luna Wu, Grace Ellen Brannon
Summary: This study explores how patient-centered communication, media, and organizational factors influence patients' intentions to use telehealth. The findings suggest that positive healthcare experiences, organizational support, and quality media designs are associated with telehealth adoption.
PATIENT EDUCATION AND COUNSELING
(2024)