Patient Education and Counseling最新文献

{"title":"Accompaniment across languages: The power of a doctor’s note","authors":"MiJin Cho , Rose L. Molina","doi":"10.1016/j.pec.2025.108817","DOIUrl":"10.1016/j.pec.2025.108817","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108817"},"PeriodicalIF":2.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931490","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":"Corrigendum to “Applications in human-centered design: Shared-Decision Making for mental health treatment in primary care” [Patient Educ Couns 136 (2025) 108745]","authors":"Katie Tirtanadi , Kathryn A. Johnson , Amee J. Epler , Jessica A. Chen","doi":"10.1016/j.pec.2025.108818","DOIUrl":"10.1016/j.pec.2025.108818","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108818"},"PeriodicalIF":2.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918268","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":"Behavioral health providers’ perspectives on supporting patient decisions in sharing treatment information in substance use and mental health settings: a qualitative study","authors":"Emily Leung ,&nbsp;Michael Graziano ,&nbsp;Monica Coleman ,&nbsp;Kathryn J. Wanner ,&nbsp;Jodi Scharf ,&nbsp;Madelynn Bovasso ,&nbsp;Scott Wells ,&nbsp;Dawn Middleton","doi":"10.1016/j.pec.2025.108829","DOIUrl":"10.1016/j.pec.2025.108829","url":null,"abstract":"<div><h3>Objective</h3><div>Privacy and confidentiality are particularly important for individuals receiving care for behavioral health (BH) conditions. This study aims to explore BH service providers’ experiences when they introduce and discuss consent to share BH treatment information with patients.</div></div><div><h3>Methods</h3><div>BH providers participated in virtual focus groups (FGs). 100–120 min discussions were recorded, transcribed, coded using both a priori and open coding and analyzed for themes.</div></div><div><h3>Results</h3><div>Participants (n = 12) from 9 U.S. states participated in the FGs. Participants emphasized that discussing consent is an educational process and highlighted stigma, mistrust, and confusion as common patient experiences. Participants indicated difficulty with keeping up with changing laws, time constraints, and have concerns that discussions can feel coercive. Participants recommended that well-trained staff should facilitate patient-centered conversations and requested skills-based trainings, resources, and job aids, particularly for complex cases.</div></div><div><h3>Conclusions</h3><div>This study elucidates BH service providers’ experiences and recommendations with navigating conversations about consent, an important first step in fostering patient trust.</div></div><div><h3>Practice Implications</h3><div>There is a need to couple existing training focused on health privacy laws with how to practically apply that knowledge during the clinical encounter, ensure providers can seek guidance, and understand that consent is an ongoing, educational, and patient-centered process.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108829"},"PeriodicalIF":2.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071366","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":"Associations between acceptance of illness, psychological resilience, and patient activation among young and middle-aged patients with lung cancer","authors":"Ning Ma,&nbsp;Ruirui Jia ,&nbsp;Yanhua Teng,&nbsp;Yaxin Fu,&nbsp;Xuanyue Yan","doi":"10.1016/j.pec.2025.108821","DOIUrl":"10.1016/j.pec.2025.108821","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the relationships between acceptance of illness, psychological resilience, and patient activation (PA) in young and middle-aged patients with lung cancer in China.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted between January and April 2024. Patients with lung cancer completed a survey that included the Patient Activation Measure (PAM), the Acceptance of Illness Scale (AIS), and the Summary of the Psychological Resilience Scale brief version (CD-RISC10). Descriptive statistics, independent sample <em>t</em>-test, one-way analysis of variance (ANOVA), and multivariate regression analysis were used to identify factors influencing PA.</div></div><div><h3>Results</h3><div>A total of 292 patients participated in the study. The mean PAM score was 66.77 (SD=13.25). Higher levels of PA were positively associated with acceptance of illness (<em>β</em>=0.475, 95 % CI: 1.073–1.437, <em>P</em> &lt; 0.001) and psychological resilience (<em>β</em>=0.503, <em>95 %</em> CI: 1.073–1.426, <em>P</em> &lt; 0.001), collectively explaining 78.4 % of the variance after controlling for age, education, and duration of discharge in the multiple linear regression analysis.</div></div><div><h3>Conclusion</h3><div>Age, education, duration of discharge, acceptance of illness, and psychological resilience each influenced PA distinctly, with acceptance of illness and psychological resilience emerging as the most significant predictors.</div></div><div><h3>Practice implications</h3><div>Professionals should implement targeted interventions for young and middle-aged lung cancer patients, focusing on enhancing illness acceptance and psychological resilience to improve self-care capabilities and promote long-term self-management.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108821"},"PeriodicalIF":2.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143934832","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 website to help women aged 55 + incorporate risk in decision-making about breast cancer screening and prevention medications","authors":"Mara A. Schonberg,&nbsp;Jessica Jushchyshyn,&nbsp;Ria Shah,&nbsp;Long Ngo,&nbsp;Emily A. Wolfson","doi":"10.1016/j.pec.2025.108819","DOIUrl":"10.1016/j.pec.2025.108819","url":null,"abstract":"<div><h3>Objectives</h3><div>Guidelines recommend women consider their breast cancer risk and life expectancy when deciding on breast cancer screening (e.g., intervals, when to stop) and prevention medication. We previously developed a competing-risk model to predict 10-year breast cancer risk and non-breast cancer death in women <u>&gt;</u> 55 years to support decision-making. Here, we aimed to develop a decision aid (DA) website incorporating our model’s risk estimates.</div></div><div><h3>Methods</h3><div>We designed the DA based on international standards using the free R package Shiny. We included a risk-assessment page, risk estimates, and decision support on breast cancer screening and prevention medications. We recruited national experts, Boston-area primary care practitioners (PCPs), and female patients <u>&gt;</u> 55 years without breast cancer history to provide feedback on the DA via questionnaire or personal interview. We used thematic analysis to identify themes in participants’ open-ended comments until reaching thematic saturation. Study questionnaires assessed DA helpfulness and ease-of-use.</div></div><div><h3>Results</h3><div>Forty-five (53.6 %) of 84 eligible patients approached participated. Their mean age was 65.9 years (SD 7.9), 31 (68.9 %) were non-Hispanic White, and 31 (68.9 %) graduated college. Of 52 experts/PCPs contacted, 30 participated. Participants found the DA helpful (35/44 patients [79.5 %] and 28/29 [96.6 %] experts/PCPs) and easy-to-use (39/45 patients [86.7 %] and 28/29 PCPs/experts, [96.6 %]). They described the DA as “informative” and liked the “tailored-risk information.” They suggested changes to simplify the DA and to better individualize the decision-support. We iteratively revised the website. We could not program some recommended changes using the free R application.</div></div><div><h3>Conclusions</h3><div>We developed an informative and easy-to-use breast cancer screening and prevention medication DA website (<span><span>https://bcrisk55plus.shinyapps.io/risktool/</span><svg><path></path></svg></span>) for women <u>&gt;</u> 55 using free software. Next, we will program the website using HTML code and test its effects prospectively.</div></div><div><h3>Practice Implications</h3><div>We anticipate that use of the DA will help women <u>&gt;</u> 55 with breast cancer screening and prevention decisions.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108819"},"PeriodicalIF":2.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918266","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":"Education in foot care using dialogic learning or conversation maps for people with diabetes","authors":"Erika Karina Quishpe Narváez ,&nbsp;Hugo Pereira Olmos ,&nbsp;Laercio Joel Franco ,&nbsp;Antonio Ruffino-Netto ,&nbsp;Iván Guillermo Dueñas Espín","doi":"10.1016/j.pec.2025.108823","DOIUrl":"10.1016/j.pec.2025.108823","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the efficacy of two educational strategies for improving knowledge, attitudes, and practices regarding foot care among individuals with diabetes: traditional education with dialogic learning and conversation maps.</div></div><div><h3>Methods</h3><div>A controlled pre- and post-test quasi-experimental design was employed. Group 1 received education with dialogic learning, while Group 2 received education with conversation maps. All participants completed a questionnaire on their knowledge, attitudes, and practices before and after the educational intervention. The statistical test measured the difference in means.</div></div><div><h3>Results</h3><div>A total of 140 individuals participated, with 42 (30 %) in Group 1 and 98 (70 %) in Group 2. Both groups had significantly more correct answers after than before the intervention (mean: 14.2–26.6, Wilcoxon paired test, p = 0.01).</div><div>The increase in correct answers after the intervention was more pronounced in the group using dialogic learning than in the group using conversation maps (mean difference in correct answers of Group 1 vs. Group 2: 14.6 vs. 11.5; Wilcoxon paired test, p = 0.005).</div></div><div><h3>Conclusions</h3><div>Improved results were observed for both educational strategies after the intervention. Dialogic learning was more effective than conversation maps in improving knowledge, attitudes, and practices related to foot care.</div></div><div><h3>Practical implications</h3><div>Structured, community-based education using dialogic learning or conversation maps may enhance self-care and prevent foot complications in people with diabetes.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108823"},"PeriodicalIF":2.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947173","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":"Let’s keep an eye on it: An experiment examining healthcare provider use of figurative language on perceptions of provider and accommodation","authors":"Grace M. Hildenbrand,&nbsp;Michelle L. Ammon","doi":"10.1016/j.pec.2025.108814","DOIUrl":"10.1016/j.pec.2025.108814","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the influence of function and number of provider figurative language expressions on perceptions of accommodation, overaccommodation, and underaccommodation, the provider (liking, satisfaction, affective communication, approachability, and quality of medical care), and likelihood of making another appointment.</div></div><div><h3>Methods</h3><div>A 3 (function: direct/explain/rapport) x 2 (number: 2/4) online experiment surveyed U.S. adults (<em>N</em> = 590), imagining they were patients by watching a provider video. Open-ended survey data was analyzed to determine why participants believe providers should (not) use figurative language, and which figurative language functions providers could use.</div></div><div><h3>Results</h3><div>Two-way (M)ANOVAs indicated rapport expressions resulted in lower perceived accommodation, satisfaction, affective communication, approachability, and likelihood of making another appointment when more expressions were used (<em>p</em> &lt; .05). Direct expressions resulted in lower quality of medical care and more overaccommodation when fewer expressions were used (<em>p</em> ≦ .05). Participants indicated providers could use figurative language to facilitate rapport (51.1 %) and to explain information (43.9 %).</div></div><div><h3>Conclusion</h3><div>The rapport function was beneficial when used less while the direct function was beneficial when used more. However, more research is needed to understand the influence of provider figurative language on patient outcomes.</div></div><div><h3>Practice implications</h3><div>Providers could consider the function and amount of figurative language expressions when interacting with patients.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108814"},"PeriodicalIF":2.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942431","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":"An evaluation of Human Papillomavirus vaccination resources available to Aboriginal and Torres Strait Islander adolescents and parents and caregivers in Australia","authors":"Tamara L. Butler ,&nbsp;Ami Morseu-Diop ,&nbsp;Julia M.L. Brotherton ,&nbsp;Leticia Peart ,&nbsp;Inosha Jayasekara ,&nbsp;Amelia Peart ,&nbsp;Maya Morton Ninomiya ,&nbsp;Kate Anderson ,&nbsp;Joan Cunningham ,&nbsp;Gail Garvey ,&nbsp;Allison Jaure ,&nbsp;Lisa J. Whop","doi":"10.1016/j.pec.2025.108820","DOIUrl":"10.1016/j.pec.2025.108820","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the availability, understandability, actionability, readability and cultural relevance of HPV vaccination resources available online for Aboriginal and Torres Strait Islander adolescents and parents/caregivers.</div></div><div><h3>Methods</h3><div>HPV vaccination resources were collected via Google and website searches. Resources were assessed for readability, understandability, actionability, and cultural relevance.</div></div><div><h3>Results</h3><div>We found eight resources, most of which were easy to read, understandable and actionable. While several resources met some criteria for cultural relevance, many lacked reporting on consultation and leadership and did not have a specific Aboriginal and Torres Strait Islander contact for further support. Three of four reported up-to-date information about the HPV vaccine schedule. On balance, a short video performed best across all assessment items.</div></div><div><h3>Conclusions</h3><div>The evaluation highlights the need for HPV vaccination resources that are culturally safe, accurate, and easy for a consumer to understand and act upon.</div></div><div><h3>Practice implications</h3><div>Further work is required to ensure that resources are developed in partnership with Aboriginal and Torres Strait Islander communities, are sustainable and can be rapidly updated to align with evolving policies. This will support Aboriginal and Torres Strait Islander adolescents and parents/caregivers to make informed decisions about HPV vaccination.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108820"},"PeriodicalIF":2.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143934872","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":"Personal narratives to support learning about lung transplant for people with cystic fibrosis","authors":"Dave Young ,&nbsp;Lauren E. Bartlett ,&nbsp;Nick Reid ,&nbsp;Andrea L. Hartzler ,&nbsp;Miranda C. Bradford ,&nbsp;Christopher H. Goss ,&nbsp;Joseph M. Pilewski ,&nbsp;Jordan M. Dunitz ,&nbsp;Milene Saavedra ,&nbsp;Donna L. Berry ,&nbsp;Siddhartha G. Kapnadak ,&nbsp;Mara R. Hobler ,&nbsp;Kathleen J. Ramos","doi":"10.1016/j.pec.2025.108822","DOIUrl":"10.1016/j.pec.2025.108822","url":null,"abstract":"<div><h3>Objectives</h3><div>Cystic fibrosis (CF) causes progressive respiratory disease and premature death. Lung transplantation (LTx) is an important treatment consideration for people with CF (PwCF). Among PwCF, does preparedness for LTx and knowledge about LTx improve by reading personal narratives from CF LTx recipients (“CF Stories”)?</div></div><div><h3>Methods</h3><div>Adults with CF were recruited and presented with online CF Stories. Pre- and post-intervention questionnaires assessed LTx preparedness, knowledge, and decisional conflict. Deductive thematic analysis of study visits was conducted.</div></div><div><h3>Results</h3><div>Twenty-five participants were included. Pre-intervention, 24 % (6/25) reported feeling “very prepared” to discuss LTx. Among the remaining 19, preparedness improved post-intervention for 74 % (n = 14, 95 % CI: 51–88 %), with 42 % (n = 8, 95 % CI: 23–64 %) transitioning to feeling “very prepared.” Baseline transplant knowledge was high (100 % questions correct) among 48 % (12/25) of participants; among the remaining 13, 92 % (n = 12, 95 % CI: 67–99 %) scored 100 % post-intervention. Decisional conflict improved for 67 % of participants (16/24), with a mean individual Decisional Conflict Scale change of −9.4 (95 % CI: −2.8, −15.9; p = 0.01). Thematic analysis revealed that participants valued practical LTx insights and relatable stories, identifying key medical information for LTx discussions.</div></div><div><h3>Conclusions</h3><div>CF Stories improved knowledge and preparedness for LTx discussions.</div></div><div><h3>Practice Implications</h3><div>Personal narratives could enhance preparedness for LTx discussions and decision-making for PwCF.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108822"},"PeriodicalIF":2.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928283","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":"Understanding the impact of figurative language in medical discourse: Toward a dialogic approach in healthcare communication","authors":"Maria Grazia Rossi","doi":"10.1016/j.pec.2025.108811","DOIUrl":"10.1016/j.pec.2025.108811","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108811"},"PeriodicalIF":2.9,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918267","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}