Patient Education and Counseling最新文献

{"title":"Use of metaphor in provider-patient communication in medical settings: A systematic review","authors":"Xingbing Liu (刘兴兵)","doi":"10.1016/j.pec.2025.109184","DOIUrl":"10.1016/j.pec.2025.109184","url":null,"abstract":"<div><h3>Background</h3><div>Metaphors are extensively utilized by those studying and practicing medicine. Those metaphors employed in provider-patient communication in medical settings are particularly significant due to their dynamic and interactive nature, and their direct contribution to the completion of core medical tasks and the quality of provider-patient interaction and relationship.</div></div><div><h3>Objective</h3><div>We aim to: (1) to identify and summarize existing literature on the use of metaphors in patient-provider communication in medical settings; (2) discuss the implications of these studies for medical research and practice; and (3) provide recommendations for future research in this area.</div></div><div><h3>Methods</h3><div>The Chinese National Knowledge Infrastructure and the Web of Science Core Collections were systematically searched, and the obtained literature was combined with the online resource \"Metaphor in Health Discourse and Communication\". The resultant literature was then screened according to preset inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>Of 265 articles identified, 16 studies were found to completely meet our purpose and inclusion criteria. Analysis revealed 7 major themes, including the metaphor’s facilitating functions, harmful effects, differences between providers and patients etc. Metaphors were found to enhance provider-patient relationship and communication and promote shared understanding and decision-making.</div></div><div><h3>Conclusion</h3><div>Metaphors play a significant role in provider-patient communication in medical settings, offering both benefits and challenges. Future research can further explore other aspects of metaphor use in medical settings, and update the research methodology and approaches by collecting larger, balanced samples of metaphor, conducting quantitative analyses of metaphor efficacy, and doing multimodal analysis of metaphor use.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 109184"},"PeriodicalIF":2.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a framework for clinical conversations using a qualitative analysis of the patient experience of SIMPLIFY","authors":"Jill Maggs ,&nbsp;Liam Sweeney ,&nbsp;Austin Pucci ,&nbsp;Emma McWilliams ,&nbsp;Dana Yablon ,&nbsp;Benjamin Ertman ,&nbsp;Jennifer L. Butcher ,&nbsp;Robin S. Everhart ,&nbsp;Christopher Siracusa ,&nbsp;Alex H. Gifford ,&nbsp;Nicole Mayer-Hamblett ,&nbsp;Callie Bacon ,&nbsp;Andrea Goodman ,&nbsp;Tia Woo ,&nbsp;Kristin A. Riekert ,&nbsp;Gregory S. Sawicki ,&nbsp;Michelle Prickett","doi":"10.1016/j.pec.2025.109183","DOIUrl":"10.1016/j.pec.2025.109183","url":null,"abstract":"<div><h3>Objectives</h3><div>We explored the impact of taking part in a medication discontinuation study for people with cystic fibrosis (CF) on subsequent clinical conversations and what interviewees valued as characteristics of these conversations.</div></div><div><h3>Methods</h3><div>This analysis is part of the Qualitative Understanding of the Experience of SIMPLIFY Trial (QUEST), a qualitative companion study to a discontinuation trial of two commonly prescribed medications for people with CF. We interviewed 109 total individuals (87 people with CF and 22 caregivers). The interviews were analyzed to explore the influence of participation in a discontinuation study on clinical conversations.</div></div><div><h3>Results</h3><div>Respect emerged as an overarching theme of these interviews: how much the interviewees respected their clinicians and how they appreciated having their autonomy respected too. Other desirable attributes of clinical conversations surfaced including the importance of reciprocity, empowerment, sensitivity, partnership, empathy, consideration and transparency; (R.E.S.P.E.C.T).</div></div><div><h3>Conclusions</h3><div>Communication is a fundamental aspect of chronic disease management. This population study focused on patient perspectives of clinical conversations after sharing the experience of being in a novel discontinuation study. Since the acronym R.E.S.P.E.C.T. emerged from the data, we believe it has value as a framework for clinical conversations with people who have chronic conditions that require active selfmanagement.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"138 ","pages":"Article 109183"},"PeriodicalIF":2.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Priorities in Health Care Communication Education Research","authors":"Yvonne Finn ,&nbsp;Alexia Papageorgiou ,&nbsp;Anca-Cristina Sterie ,&nbsp;Anita Laidlaw ,&nbsp;Anne C. Browne ,&nbsp;Carlos Campos","doi":"10.1016/j.pec.2025.109185","DOIUrl":"10.1016/j.pec.2025.109185","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 109185"},"PeriodicalIF":2.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a real-world implemented web-based patient education tool for dyspeptic patients: a longitudinal survey study","authors":"Daniëlle Kroon ,&nbsp;Simone A. van Dulmen ,&nbsp;Marten A. Lantinga ,&nbsp;Judith J. de Jong ,&nbsp;Gert P. Westert ,&nbsp;Patrick P.T. Jeurissen ,&nbsp;Inger L. Abma ,&nbsp;Rudolf B. Kool","doi":"10.1016/j.pec.2025.109181","DOIUrl":"10.1016/j.pec.2025.109181","url":null,"abstract":"<div><h3>Objective</h3><div>To explore if a real-world web-based patient education tool has the potential to support self-management and informed decision making in patients with functional dyspepsia.</div></div><div><h3>Methods</h3><div>The study was performed in the Netherlands between July 2022 and October 2023. It consisted of two web-based questionnaires: the first was filled out directly after participants had finished the tool and the second three months thereafter. The validated PAGI-SYM (Patient Assessment of Gastrointestinal Disorders Symptom Severity Index) was translated to Dutch using the forward-backward method.</div></div><div><h3>Results</h3><div>Ninety participants were included. Sixty percent of the participants felt (partly) reassured after finishing the tool and a minority changed their intentions of medical care seeking. The recommendations most frequently provided by the tool were dietary changes (83 %), reducing stress or anxiety (70 %) and increasing physical activity (62 %). For each advised lifestyle change, 50 %-77 % of participants stated they were (extremely) likely to try it. The self-reported success rate after three months varied from 38 % to 100 % (n = 59).</div></div><div><h3>Conclusion</h3><div>Informing patients via the web-based patient education tool has the potential to reassure patients, and support lifestyle changes and informed decision-making regarding medical care seeking.</div></div><div><h3>Practice Implications</h3><div>The education tool is publicly available, allowing many patients to benefit. Moreover, it is inexpensive and requires minimal maintenance. Therefore, implementing patient education in a real-world setting should be encouraged. Moreover, the translated PAGI-SYM can be used to assess the symptom severity of upper gastrointestinal disorders in Dutch-speaking populations.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"138 ","pages":"Article 109181"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144154744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating patient voices in digital health research design: The ProPacient Decalogue","authors":"Oriol Yuguero ,&nbsp;Irene Lapuente ,&nbsp;Jordi Pacheco ,&nbsp;Gloria Gálvez ,&nbsp;Marc de San Pedro ,&nbsp;Marta Aymerich","doi":"10.1016/j.pec.2025.109180","DOIUrl":"10.1016/j.pec.2025.109180","url":null,"abstract":"<div><h3>Objectives</h3><div>To integrate patient perspectives into the design of digital health research through a participatory process and to develop a set of guiding principles for inclusive, ethical, and patient-centered digital research.</div></div><div><h3>Methods</h3><div>The Catalonia Patient Advisory Council (CCPC) coordinated a co-creation process involving 70 individuals representing ten diverse health conditions. Five sessions—four in person and one online—were conducted using design thinking and visual methodologies to facilitate inclusive dialogue. Participants identified needs and preferences related to digital health participation, which were synthesized into the ProPacient Decalogue.</div></div><div><h3>Results</h3><div>The participatory process revealed key factors that support meaningful patient engagement, including early involvement, trust-building, adaptive formats, and recognition of lived experience. Participants highlighted the importance of clear communication, digital accessibility, and inclusive design. The resulting ProPacient Decalogue provides ten actionable principles to guide future digital health research.</div></div><div><h3>Conclusions</h3><div>Patient involvement enhances the quality, relevance, and equity of digital health research. The ProPacient approach offers a replicable model for integrating patient voices and fostering participatory research.</div></div><div><h3>Practice implications</h3><div>Researchers and policymakers can use the ProPacient Decalogue to improve patient engagement across all phases of digital health research. Applying its principles may reduce the digital divide, strengthen user-centered innovation, and increase trust in digital health interventions</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"138 ","pages":"Article 109180"},"PeriodicalIF":2.9,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast cancer patient experiences with and preferences for time alone with their cancer care team","authors":"Elizabeth Broadbridge ,&nbsp;Maria K. Venetis ,&nbsp;Katie A. Devine ,&nbsp;Lauren E. Lee ,&nbsp;Kathryn Greene","doi":"10.1016/j.pec.2025.109178","DOIUrl":"10.1016/j.pec.2025.109178","url":null,"abstract":"<div><h3>Objective</h3><div>Clinicians often suggest that breast cancer patients bring a companion with them to cancer-related appointments. However, a companion's presence shifts the interaction at a minimum from dyadic to triadic, with potential consequences for effective communication. It is not well documented how often breast cancer patients have time alone with their cancer team, how long any time alone lasts, and if patients are satisfied with the amount of time alone.</div></div><div><h3>Methods</h3><div>Current (undergoing treatment; <em>n</em> = 150) and former patients (treatment completed; <em>n</em> = 202) breast cancer patients who regularly bring a companion with them to their cancer care visits completed an online questionnaire about the time they spend alone with their oncology team.</div></div><div><h3>Results</h3><div>Current patients reported fewer instances of time alone with their care team than former patients. Overall, most patients reported that the frequency of time alone was about right and that they rarely brought up questions or topics that they would not want to raise with their companion present. Of the patients who reported having no time alone (<em>n</em> = 38), the primary reported reason was that they did not want time alone with their cancer care team.</div></div><div><h3>Conclusions</h3><div>Approximately 1 in 3-4 patients reported that there were questions or topics that they feel more comfortable raising when they have time alone with their healthcare team, representing an important need for these patients. Most patients reported wanting time alone with their cancer care team and reported being satisfied with the amount they do have.</div></div><div><h3>Practice implications</h3><div>Results are a positive reflection on the amount and frequency of time alone that breast cancer patients desire throughout the cancer care trajectory. To support patient communication needs, clinicians should provide at least some time alone with their patients, particularly when the patient regularly attends visits with a companion and may otherwise not have the opportunity to be alone with their cancer care team.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"138 ","pages":"Article 109178"},"PeriodicalIF":2.9,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming patient education in cardiac rehabilitation: A vision for the future","authors":"Gabriela Lima de Melo Ghisi","doi":"10.1016/j.pec.2025.109176","DOIUrl":"10.1016/j.pec.2025.109176","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"138 ","pages":"Article 109176"},"PeriodicalIF":2.9,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Merging the curriculum with the clinic: An intervention to foster deliberate practice of communication skills","authors":"Richard Koubek ,&nbsp;Jodi L.T. Jarecke ,&nbsp;Paul Haidet","doi":"10.1016/j.pec.2025.108824","DOIUrl":"10.1016/j.pec.2025.108824","url":null,"abstract":"<div><h3>Objective</h3><div>While communication skills training is a core competency for residency education and relies on practice as a key element to achieve proficiency, most residency curricula focus mainly on lessons, rather than on learners’ sustained and deliberate practice. We report on a program aimed to foster deliberate practice of communication skills in real world clinical environments.</div></div><div><h3>Methods</h3><div>We introduced three discrete, evidence-based skills that could be immediately practiced with real patients in clinical settings, and a system to log and track practice of the skills. Nine residents participated, including two third-year, four second-year, and three first-year residents. We evaluated the program by performing open-ended, semi-structured interviews with all participating residents. Interview data were analyzed through an iterative series of close readings and discussions among authors, who then developed a codebook for final analysis and categorization of themes.</div></div><div><h3>Results</h3><div>Interviews revealed five themes that described a process of skill development that included barriers, but also positive evolution in residents’ perceptions of the skills, once greater comfort and proficiency were achieved.</div></div><div><h3>Conclusion</h3><div>Our data suggest that, for communication skills acquisition, sustained and deliberate practice in real-world clinical environments is a key element. The experiences of residents in our program outline a model of practice that builds upon previous educational theory and research, and provides a guide for future communication skills curricula.</div></div><div><h3>Practice implications</h3><div>The use of our model can help to enhance communications skills training in clinical environments.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"138 ","pages":"Article 108824"},"PeriodicalIF":2.9,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adopting innovative approaches to advance understanding of ‘cultural competence’ in clinical practice and communication","authors":"Sanaa Hyder,&nbsp;Sarah Peters,&nbsp;Dawn Edge,&nbsp;Susan Speer","doi":"10.1016/j.pec.2025.109179","DOIUrl":"10.1016/j.pec.2025.109179","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"138 ","pages":"Article 109179"},"PeriodicalIF":2.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the potential of learners as teachers in communication skills – Insights from a student-led international symposium","authors":"Christopher L. Klasson ,&nbsp;Luca Skarica ,&nbsp;Inês da Cruz Bastos ,&nbsp;David Lerma","doi":"10.1016/j.pec.2025.109174","DOIUrl":"10.1016/j.pec.2025.109174","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the role of medical students in teaching communication skills while discussing benefits, limitations, barriers to implementation, and future directions.</div></div><div><h3>Methods</h3><div>Four medical students from the USA, Germany, Portugal, and Spain led a symposium at the 2024 International Conference on Communication in Healthcare (ICCH) in Zaragoza, Spain. The symposium was structured in an interactive format to garner opinions from both learners and faculty-level educators regarding student-led teaching of communication skills. The results were derived from the interactive discussions and voting outcomes.</div></div><div><h3>Results</h3><div>The symposium attracted approximately 30–40 international attendees and generated engaging, thought-provoking discussions. The findings indicated strong support for student-led communication skills teaching from both panelists and attendees. Key themes included the benefits of peer teaching, such as reduced power dynamics, increased comfort, and better understanding of barriers to success. The discussions highlighted the potential of student passion projects to expand curricula and the importance of the appropriate placement of student-led teaching within the curriculum.</div></div><div><h3>Conclusion</h3><div>Student-led teaching of communication skills is a promising approach to enhance medical students teaching abilities and offers unique benefits to learners. The symposium underscored the need for thoughtful integration of student-led teaching within medical curricula and highlighted the potential for student teachers to alleviate faculty workload. Further research is needed to explore the long-term impacts of student-led communication teaching on both student teachers and learners.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 109174"},"PeriodicalIF":2.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}