Journal of Communication in Healthcare最新文献

{"title":"Impact of e-learning and role play-based training on psychology students' communication skills: a feasibility study.","authors":"Manon Goosse,&nbsp;Fanny Kreusch,&nbsp;Henk T Van der Molen,&nbsp;Sylvie Willems","doi":"10.1080/17538068.2023.2193493","DOIUrl":"10.1080/17538068.2023.2193493","url":null,"abstract":"<p><strong>Background: </strong>Given the importance of communication skills in the psychologist-patient relationship, several training programs have been proposed. Cumulative microtraining (CMT) has shown positive impacts on communication skills in previous studies.</p><p><strong>Methods: </strong>The aim of this naturalistic pre-post study was to test the feasibility of a hybrid CMT program and obtain preliminary data on its impact on communication skills in French-speaking third-year psychology students. The training included an e-learning curriculum and role plays. Pre-post measures included recorded peer-to-peer role plays and self-assessments by participants themselves using the Calgary Cambridge Grid (<i>n</i> = 38) and assessed by an independent rater (<i>n</i> = 29) with a checklist focused on objective behaviors and the CARE questionnaire measuring perceived empathy.</p><p><strong>Results: </strong>The results showed increases in most communication skills at different levels. Summarizing, paraphrasing, and structuring skills were significantly increased after training (all P ≤ 0.001), as were self-reported measurements (all P < 0.001), and empathy and confidence assessed by an independent rater (all <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>This study provides new evidence on the impact of CMT, including e-learning and role plays, on both self-rated assessments and assessments by an independent rater who measured communication and empathy in a population of French-speaking students. These findings highlight the importance of implementing such instruction in initial training despite the cost involved. It demonstrates the feasibility of its inclusion in university curriculum, facilitated by the adaptation of theoretical aspects of teaching in e-learning.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"287-297"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9275178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embracing cultural humility in clinical and public health settings: a prescription to bridge inequities.","authors":"Renata Schiavo","doi":"10.1080/17538068.2023.2221556","DOIUrl":"https://doi.org/10.1080/17538068.2023.2221556","url":null,"abstract":"Culture matters. This is not a new concept and not even something that is debatable. In fact, ‘traditional expressions of any culture influence everyday decisions, both big and small. They are reflected in the choice of the cake people make for their children’s birthdays, and also in major decisions related to child rearing. They influence the slang children and doctors and handymen use to address their peers or others. They are recalled when grandparents come to visit through the stories they transmit to the next generation. They are verbal and nonverbal cues that affect how information on any topic is received, accepted, and elaborated’. They live through performing and visual arts, through stories and narratives, and are key to providing comfort at times of crisis. The importance of such cultural expressions has been long integrated in public agendas and policies, both formally and informally. For example, the American Folklife Preservation Act (P.L. 94–201) passed by the United States Congress in 1976 recognizes the importance of preserving cultural diversity, as ‘a resource worthy of protection’, and defines ‘folklife’ as following: ‘American folklife means the traditional expressive culture shared within the various groups in the United States: familial, ethnic, occupational, religious, regional; expressive culture includes a wide range of creative and symbolic forms such as custom, belief, technical skill, language, literature, art, architecture, music, play, dance, drama, ritual, pageantry, handicraft; these expressions are mainly learned orally, by imitation, or in performance, and are generally maintained without benefit of formal instruction or institutional direction’. Similarly, in establishing a dedicated department, the Department of Canadian Heritage Act of 1995 pledges to promote multiculturalism and ‘a greater understanding of human rights, fundamental freedoms and related values’. While these and other national and global policies are essential tools for progress, we all know that policies are merely a starting point for sustainable interventions to promote and embrace cultural preservation and humility within government agencies, public and private institutions, our communities and networks. In clinical and public health settings, understanding the cultural values of the people with whom we interact and communicate – and embracing cultural humility – are essential to improving a general feeling of belonging, reducing bias and inequities in the healthcare system, building trust and encouraging adherence to clinical and public health recommendations, and contributing to positive patient experiences and health outcomes. In fact, cultural ‘traditions, habits and beliefs... influence ideas of health and illness’, as well as the way people should be treated at vulnerable times as patients, caregivers, concerned citizens, or members of any group interacting with their health and social systems. Ultimately, ‘culture mediates both care","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"123-125"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitudes, and practices towards COVID-19 among the population of the state of São Paulo, Brazil.","authors":"Miriane Lucindo Zucoloto,&nbsp;Andréa Cristina Meneghini,&nbsp;Edson Zangiacomi Martinez","doi":"10.1080/17538068.2023.2193494","DOIUrl":"https://doi.org/10.1080/17538068.2023.2193494","url":null,"abstract":"<p><strong>Background: </strong>The population's adherence to COVID-19 preventive measures is influenced by their knowledge, attitudes, and practices (KAP) towards the disease, making research into people's awareness of the disease essential. The present survey was designed to assess KAP towards COVID-19 among the population of the state of São Paulo, Brazil.</p><p><strong>Methods: </strong>An online questionnaire was disseminated via social media between September 14 and October 5, 2020. The intended population was Brazilians over the age of 18, living in the state of São Paulo.</p><p><strong>Results: </strong>A total of 1,111 individuals completed the questionnaire. The majority were women (71.6%), 31.6% were aged 31-40 years old, and 82.8% had higher education. Among the participants, 17.5% reported that they had taken some medication without a medical prescription to prevent COVID-19. The participants showed good knowledge about the transmission and prevention of the disease. The knowledge mean score was lower among participants with complete high school or less, with poor self-perception of their health status, who almost never seek information about COVID-19, and those who are not sure to belong to a risk group for the disease. Only 51.3% of the participants believed that COVID-19 would finally be successfully controlled, and 56.6% were confident that Brazil could win the battle against the virus.</p><p><strong>Conclusions: </strong>Participants demonstrated good knowledge of COVID-19 but were pessimistic about the pandemic's future. The findings of this study can help in the development of effective health communication strategies to promote better knowledge and a positive attitude about prevention measures.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"128-138"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9779912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodology of an approach for modifying pictograms showing medication side effects or indication.","authors":"Ros Dowse,&nbsp;Sam Okeyo,&nbsp;Simise Sikhondze,&nbsp;Nosihle Khumalo","doi":"10.1080/17538068.2022.2056292","DOIUrl":"https://doi.org/10.1080/17538068.2022.2056292","url":null,"abstract":"<p><strong>Background: </strong>Pictograms may improve user-friendliness and comprehension of written or verbal health information. This paper describes a method to modify pictograms to improve their visual clarity, appeal and overall interpretive complexity in order to reduce the cognitive load on the viewer during comprehension.</p><p><strong>Methodology: </strong>Nine pictograms previously tested for comprehension were selected for modification. In phase 1, two participatory design workshops were conducted with (a) three limited literacy, first-language isiXhosa-speaking participants and (b) four university students. Opinions and ideas for improving interpretation were discussed. In phase 2, revised visuals were generated by the graphic artist and subsequently modified in an intensive, multistage, iterative process.</p><p><strong>Results: </strong>As no guidelines for pictogram modification exist, a modification schema was developed based on the process described in this study. Adopting a participatory approach combined with a systematic, intensive modification process enabled the opinions and preferences of the end-users to be heard, ensuring cultural relevance and contextual familiarity of the final product. Careful scrutiny of all individual visual elements of each pictogram, considerations of space, and thickness of lines all contributed to improving the legibility of visuals.</p><p><strong>Conclusions: </strong>The methodology for designing and modifying existing pictograms using a participatory process resulted in nine final pictograms that were approved by all design team members and considered good candidates for subsequent comprehension testing. The methodological schema presented in this paper provides guidance to researchers intending to design or modify pictograms.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"147-157"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of stigma and spirituality on mental health help-Seeking behavior: an experimental approach.","authors":"Elyria Kemp,&nbsp;McDowell Porter,&nbsp;Jane S Cromartie,&nbsp;Kristi M Williams","doi":"10.1080/17538068.2022.2105109","DOIUrl":"https://doi.org/10.1080/17538068.2022.2105109","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this research is to examine how social marketing messages can be developed to reduce the stigma associated with seeking help for mental health conditions. It also explores the role that spirituality plays in an individual's propensity to pursue help for mental health challenges.</p><p><strong>Methods: </strong>A two-factor between-subjects experiment (ad message: destigmatizing and control × spirituality: high and low) between-subjects design was conducted with 275 participants from the millennial generational cohort in the United States. Responses were collected using an online consumer panel.</p><p><strong>Results: </strong>Findings indicate that when presented with an advertisement that reduces the stigma associated with mental illness, individuals have a more favorable emotional reaction toward seeking help for a mental health condition. In addition, spirituality moderates the effect of advertising on mental health help-seeking behavior. Individuals with more intrinsic spirituality are more likely to seek care for a mental health issue, whereas those who report less intrinsic spirituality may need the help of destigmatizing messages. Specifically, individuals who report less intrinsic spirituality have more favorable attitudes toward an advertisement that destigmatizes mental illness, and as a result express greater intentions to seek care for a mental health condition.</p><p><strong>Conclusions: </strong>This research contributes to discussions centered on better understanding how to break down barriers to seeking aid for mental illness. Messaging which destigmatizes mental illness might start by targeting those who are less inclined to believe in transcendence. Moreover, since spirituality also includes a search for meaning, connectedness, and growth, such messaging might also be beneficial to those who are less likely to engage in activities which link the mind, body and spirit, such as meditation, mindfulness and yoga.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"197-204"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of local language in healthcare: naming and defining dysmenorrhea.","authors":"Melitah Molatelo Rasweswe,&nbsp;Mmapheko Doriccah Peu,&nbsp;Fhumulani Mavis Mulaudzi","doi":"10.1080/17538068.2022.2094690","DOIUrl":"https://doi.org/10.1080/17538068.2022.2094690","url":null,"abstract":"<p><strong>Introduction: </strong>Using local language improves the quality of healthcare and patient safety but little has been done to understand and use local language in naming and defining conditions such as dysmenorrhea. Many indigenous African women value their language especially when communicating about women's health.</p><p><strong>Method: </strong>In this exploratory study, we wanted to understand the local language used to construct and conceptualize dysmenorrhea and highlight the importance of local language when healthcare practitioners engage with women experiencing dysmenorrhea guided by Africana Womanism Theory. Data were collected from 15 Black indigenous women using a Lekgotla discussion group and in-depth interviews. Data were thematically analyzed.</p><p><strong>Results: </strong>Participants described how local language is important in naming and seeking healthcare. Drawing from their descriptions three themes emerged: (1) Self-naming and self-defining dysmenorrhea using a local language; (2) Types of local words, phrases, and terms used to name and define dysmenorrhea; (3) The importance of self-naming and self-defining dysmenorrhea in a local language.</p><p><strong>Conclusions: </strong>Communication between healthcare seekers and healthcare providers is at the heart of effective healthcare provision. Poor communication due to language barriers contributes to misunderstanding, misdiagnoses, poor or incomplete patient assessment, and delayed treatment. Therefore, communicating healthcare issues in a local language would promote culturally sensitive care.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"205-214"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing the effectiveness of narrative messages using critical health communication.","authors":"Mi Zhou, A Susana Ramírez, Deepti Chittamuru, Dean Schillinger, Sandie Ha","doi":"10.1080/17538068.2023.2189363","DOIUrl":"10.1080/17538068.2023.2189363","url":null,"abstract":"<p><strong>Background: </strong>Latinos suffer from health disparities associated with excessive consumption of sugar-sweetened beverages. This study aimed to test the effectiveness of messaging using critical health communication approaches and delivered by two narrative modalities (video and comic book) with similar content that aims to empower Latinos to advocate for social change and to make individual behavior change related to sugary beverage consumption.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 129 Mexican American women between 18 and 29 years) completed an online survey before and after exposure to an embedded stimulus. Participants were randomly assigned to a stimulus, a narrative message in video or comic book format, both developed using critical health communication approaches that focused on individual harms and social causes of sugary beverage consumption.</p><p><strong>Results: </strong>Paired sample t-test results showed that both narrative messages increased intentions to reduce sugary beverage consumption (Video: <i>P</i> < 0.01; d = 0.43; Comic: <i>P</i> = 0.03; d = 0.28). Both groups also demonstrated significant improvements in sugary beverage-related media literacy (Video: <i>P</i> = 0.01, d = 0.34; Comic: <i>P</i> = 0.05, d = 0.25), public health literacy (Video: <i>P</i> = 0.05, d = 0.24; Comic: <i>P</i> = 0.01, d = 0.32), and empowerment to engage in sugary beverage-related community movements (Video: <i>P</i> = 0.003, d = 0.38; Comic: <i>P</i> = 0.034, d = 0.27).</p><p><strong>Conclusions: </strong>This study provides initial evidence indicating the effectiveness of narrative messages in two modalities using critical health communication for promoting individual behavioral intention and social activation in reducing sugary beverage consumption.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"139-146"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare providers in Nigerian hospitals and HIV-related stigma: a systematic review.","authors":"Nelson C Okpua,&nbsp;Awo Godwin C","doi":"10.1080/17538068.2022.2121596","DOIUrl":"https://doi.org/10.1080/17538068.2022.2121596","url":null,"abstract":"<p><strong>Background: </strong>Elimination of barriers to identification of new HIV infections, treatment adherence and retention in care of people living with HIV/AIDS is vital to the attainment of WHO's ambitious vision 2030 of 90:90:90 for HIV/AIDS. However, HIV-related stigma, especially among health workers, has been widely documented as a serious threat to this project. This study explored the factors associated with the stigmatization of people living with HIV among healthcare workers in Nigerian hospitals.</p><p><strong>Method: </strong>Electronic literature search was conducted on eight databases using keywords and MeSH guidelines. Using the PRISMA protocol, studies published from 2003 to 2022 were retrieved and analyzed.</p><p><strong>Result: </strong>Of the 1481 articles identified, 9 met the inclusion criteria. All the included studies were conducted across 10 of the 36 states in Nigeria, with every geo-political zone in Nigeria represented by at least two studies. The overarching themes identified were attitude and beliefs (<i>n</i> = 7), knowledge of HIV/AIDS (<i>n</i> = 3), quality of care (<i>n</i> = 4), education and in-service training (<i>n</i> = 4), and health facility policies and procedures (<i>n</i> = 3). Factors associated with HIV-related stigma among healthcare workers varied by gender, healthcare settings, specialties of health workers, and the presence of institutional stigma reinforcements. Healthcare workers without recent in-service training on HIV/AIDS and those who work in hospitals without anti-HIV/AIDS stigma policies exhibited more HIV-related stigmatizing attitudes.</p><p><strong>Conclusion: </strong>Continuous in-service training of healthcare workers and the development of comprehensive stigma reduction interventions that will be reinforced with anti-HIV stigma policies in clinical settings may facilitate the attainment of national HIV prevention goals.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"170-179"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity counseling during and following stem cell transplantation - patients' versus advisors' perspectives.","authors":"C Meyer-Schwickerath,&nbsp;M Köppel,&nbsp;R Kühl,&nbsp;G Huber,&nbsp;J Wiskemann","doi":"10.1080/17538068.2022.2117529","DOIUrl":"https://doi.org/10.1080/17538068.2022.2117529","url":null,"abstract":"<p><strong>Background: </strong>People receiving hematopoietic stem cell transplantation (HSCT) endure long phases of therapy and immobility, which diminish their physical activity (PA) level leading to physical deconditioning. One of the reasons is a lack of clarity on the part of those who work in oncology clinical settings of their role in assessing, advising, and referring patients to exercise. Therefore, our study investigates reported physical activity counseling behavior of health care professionals (HCPs) and the patient perspective on this topic.</p><p><strong>Methods: </strong>Physicians (<i>N</i> = 52), nurses (<i>N</i> = 52) physical therapists (<i>N</i> = 26), and patients receiving HSCT (<i>N</i> = 62) participated in a nationwide cross-sectional online-survey. Patients' preferred source of information concerning PA was determined. We examined HCPs self-assessed PA counseling behavior and patients' PA recall by assessing the use of the 5As (Ask, Advice, Agree, Assist, Arrange). Analysis of survey responses was descriptive. Univariate multinomial logistic regression examined whether sociodemographic factors and patient characteristics influence the response behavior.</p><p><strong>Results: </strong>Physicians and PA specialists were patients' preferred source of information regarding PA. A large discrepancy between HCPs' perception and the degree to which HSCT patients recall advice became apparent; profound counseling steps like making referrals were less often recalled in our patient sample. Inactive patients reported to receive less basic PA counseling by physicians.</p><p><strong>Conclusion: </strong>Future research should identify the requirements to increase patients' recall concerning PA counseling in the setting of HSCT. Important messages about PA need to be made more salient to those who are less active and less engaged.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"158-169"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How culture influences patient preferences for patient-centered care with their doctors.","authors":"Nicola Sheeran,&nbsp;Liz Jones,&nbsp;Rachyl Pines,&nbsp;Blair Jin,&nbsp;Aron Pamoso,&nbsp;Jessica Eigeland,&nbsp;Maria Benedetti","doi":"10.1080/17538068.2022.2095098","DOIUrl":"https://doi.org/10.1080/17538068.2022.2095098","url":null,"abstract":"<p><strong>Background: </strong>Patient-centered care (PCC) is the prevailing model of care globally. However, most research on PCC has been conducted in Westernized countries or has focused on only two facets of PCC: decision-making and information exchange. Our study examined how culture influences patients' preferences for five facets of PCC, including communication, decision-making, empathy, individualized focus, and relationship.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 2071) from Hong Kong, the Philippines, Australia, and the U.S.A. completed an online survey assessing their preferences for exchange of information, autonomy in decision-making, expression and validation of their emotions, focus on them as an individual, and the doctor-patient relationship.</p><p><strong>Results: </strong>Participants from all four countries had similar preferences for empathy and shared decision-making. For other facets of PCC, participants in the Philippines and Australia expressed somewhat similar preferences, as did those in the U.S.A. and Hong Kong, challenging East-West stereotypes. Participants in the Philippines placed greater value on relationships, whereas Australians valued more autonomy. Participants in Hong Kong more commonly preferred doctor-directed care, with less importance placed on the relationship. Responses from U.S.A. participants were surprising, as they ranked the need for individualized care and two-way flow of information as least important.</p><p><strong>Conclusions: </strong>Empathy, information exchange, and shared decision-making are values shared across countries, while preferences for how the information is shared, and the importance of the doctor-patient relationship differ.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 2","pages":"186-196"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}