Patient Education and Counseling最新文献_第4页

Perspectives of family physician educators on shared decision making in preventive health care: A Qualitative Descriptive Inquiry 家庭医生教育者对预防保健共同决策的看法：定性描述调查。

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-25 DOI: 10.1016/j.pec.2025.108681

Roland Grad , Amrita Sandhu , Dorsa Majdpour , Sarah Kitner , Charo Rodriguez , Glyn Elwyn

{"title":"Perspectives of family physician educators on shared decision making in preventive health care: A Qualitative Descriptive Inquiry","authors":"Roland Grad , Amrita Sandhu , Dorsa Majdpour , Sarah Kitner , Charo Rodriguez , Glyn Elwyn","doi":"10.1016/j.pec.2025.108681","DOIUrl":"10.1016/j.pec.2025.108681","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the views of family physician (FP) educators on shared decision making (SDM).</div></div><div><h3>Methods</h3><div>Qualitative descriptive study. Individual interviews were recorded with FPs in active practice who were also educators of Family Medicine residents. Data were analyzed following the phases of practical thematic analysis.</div></div><div><h3>Results</h3><div>15 practicing FP educators in a clinic setting were interviewed; nine female and six male FPs with practice experience averaging 19 years. We identified five themes, which we then grouped in two major categories: (i) Conceptual ideas about SDM and (ii) Challenges in putting SDM into practice. In the conceptual idea category: (1) Participants held different understandings of SDM and did not have consensus about when SDM should be achieved in clinical practice <em>(difficulty conceptualizing what SDM is, understanding of SDM changes over time, SDM requires clinical equipoise)</em>. (2) Participants identified why SDM is important <em>(patient-centred care)</em>. Themes in the putting SDM into practice category (ii) were: (3) When to engage in SDM is influenced by multiple factors <em>(system factors, research-based evidence)</em> as well as (4) patient factors <em>(social or contextual factors, discordance or misalignment between doctor and patient on a specific decision, patient safety)</em>. (5) Resources and strategies are needed to put SDM into action.</div></div><div><h3>Conclusion</h3><div>An inconsistent understanding of SDM among FP educators, as well as several other challenges, helps explain why SDM has been difficult to implement in practice.</div></div><div><h3>Practice implications</h3><div>Physician educators will appreciate how this study unveils challenges to enhancing resident training for the use of SDM in primary care.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108681"},"PeriodicalIF":2.9,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Individual difference factors that predict evaluations and acceptance of authorized concealment for the reduction of nocebo side effects

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-22 DOI: 10.1016/j.pec.2025.108676

Emily K. Spotts , Franklin G. Miller , Andrew L. Geers

{"title":"Individual difference factors that predict evaluations and acceptance of authorized concealment for the reduction of nocebo side effects","authors":"Emily K. Spotts , Franklin G. Miller , Andrew L. Geers","doi":"10.1016/j.pec.2025.108676","DOIUrl":"10.1016/j.pec.2025.108676","url":null,"abstract":"<div><h3>Objectives</h3><div>Authorized concealment is a shared decision-making technique in which a clinician asks a patient if they would prefer not to be informed about all possible treatment side effects, so as to minimize nocebo effects. The present research assessed individual difference variables that predict evaluations and receptivity of authorized concealment.</div></div><div><h3>Methods</h3><div>A demographically diverse national community US sample of 1012 adults (ages ranging from 18 to 94; <em>M</em>=43.2) learned about nocebo effects and then evaluated and estimated their likelihood of consenting to four possible methods of authorized concealment. A range of self-reported psychological, health, and demographic variables were tested as predictor variables.</div></div><div><h3>Results</h3><div>The strongest and most reliable outcomes were that greater trust in doctors and a greater desire to avoid side effect knowledge predicted positive evaluations of authorized concealment and estimated personal use of authorized concealment. There was some evidence that women, those of older age, reporting better health, and using medicine more regularly, had a more positive response to authorized concealment, but these effects were dependent upon the specific method of authorized concealment described.</div></div><div><h3>Conclusions</h3><div>Individual difference variables can predict openness to authorized concealment.</div></div><div><h3>Practice Implications</h3><div>This knowledge may benefit clinicians who consider employing this shared decision-making technique with patients.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108676"},"PeriodicalIF":2.9,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of tailored interventions on quality of life in cancer survivors: A systematic review

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-22 DOI: 10.1016/j.pec.2025.108674

Ye Sol Lee , Gi Won Choi , Bohye Kim

{"title":"Effectiveness of tailored interventions on quality of life in cancer survivors: A systematic review","authors":"Ye Sol Lee , Gi Won Choi , Bohye Kim","doi":"10.1016/j.pec.2025.108674","DOIUrl":"10.1016/j.pec.2025.108674","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to identify effective components and assess the statistical, practical, and clinical significance of tailored interventions for enhancing cancer survivors’ quality of life.</div></div><div><h3>Methods</h3><div>Twenty-four clinical trials were selected based on search results from five databases. Study quality was assessed using the Cochrane Risk of Bias Tool 2.0, and data were synthesized through qualitative analysis.</div></div><div><h3>Results</h3><div>Most trials focused on post-treatment cancer survivors with a single type of cancer. Tailored interventions included physical activity, nutrition, psychosocial change, and symptom management, utilizing education, counseling, feedback, and monitoring. These interventions improved social and physical aspects of quality of life, as well as overall health status. Remote, iterative tailored interventions positively impacted the social aspects of quality of life for cancer survivors. Interventions incorporating theoretical determinants such as readiness to change and self-efficacy were notably effective in enhancing quality of life.</div></div><div><h3>Conclusions</h3><div>This review indicates that tailored interventions leveraging theoretical determinants to boost motivation and using remote, interactive modes can improve quality of life among cancer survivors. Additional rigorous studies with longer follow-ups are needed to confirm the long-term effects of these interventions.</div></div><div><h3>Practice implications</h3><div>The findings provide insights into essential intervention components and research approaches for planning tailored interventions to improve quality of life for cancer survivors. Notably, this review identified minimal clinically important differences for a range of quality of life measures specific to cancer survivors.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108674"},"PeriodicalIF":2.9,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069143","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}

引用次数: 0

Corrigendum to “Instruments evaluating the duration and pace of clinical encounters: A scoping review” [Patient Educ Couns 131 (2025) 108591]

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-21 DOI: 10.1016/j.pec.2025.108655

Cristian Soto Jacome , Nataly R. Espinoza Suarez , Elizabeth H. Golembiewski , Derek Gravholt , Aidan Crowley , Meritxell Urtecho , Montserrat León-García , Dron Mandhana , Dawna Ballard , Marleen Kunneman , Larry Prokop , Victor M. Montori

引用次数: 0

Are AI chatbots concordant with evidence-based cancer screening recommendations?

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-21 DOI: 10.1016/j.pec.2025.108677

Brooke Nickel , Julie Ayre , M Luke Marinovich , David P. Smith , Karen Chiam , Christoph I. Lee , Timothy J. Wilt , Melody Taba , Kirsten McCaffery , Nehmat Houssami

{"title":"Are AI chatbots concordant with evidence-based cancer screening recommendations?","authors":"Brooke Nickel , Julie Ayre , M Luke Marinovich , David P. Smith , Karen Chiam , Christoph I. Lee , Timothy J. Wilt , Melody Taba , Kirsten McCaffery , Nehmat Houssami","doi":"10.1016/j.pec.2025.108677","DOIUrl":"10.1016/j.pec.2025.108677","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess whether information from AI chatbots on benefits and harms of breast and prostate cancer screening were concordant with evidence-based cancer screening recommendations.</div></div><div><h3>Methods</h3><div>Seven unique prompts (four breast cancer; three prostate cancer) were presented to ChatGPT in March 2024. A total of 60 criteria (30 breast; 30 prostate) were used to assess the concordance of information. Concordance was scored between 0 and 2 against the United States Preventive Services Task Force (USPSTF) breast and prostate cancer screening recommendations independently by international cancer screening experts.</div></div><div><h3>Results</h3><div>43 of 60 (71.7 %) criteria were completely concordant, 3 (5 %) were moderately concordant and 14 (23.3 %) were not concordant or not present, with most of the non-concordant criteria (9 of 14, 64.3 %) being from prompts for the oldest age groups. ChatGPT hallucinations (i.e., completely made up, non-sensical or irrelevant information) were found in 9 of 60 criteria (15 %).</div></div><div><h3>Conclusions</h3><div>ChatGPT provided information mostly concordant with USPSTF breast and prostate cancer screening recommendations, however, important gaps exist. These findings provide insights into the role of AI to communicate cancer screening benefits and harms and hold increased relevance for periods of guideline change.</div></div><div><h3>Practice implications</h3><div>AI generated information on cancer screening should be taken in conjunction with official screening recommendations and/or information from clinicians.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108677"},"PeriodicalIF":2.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Websites parents' access for information regarding their child's chronic lower limb pain: A qualitative study

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-21 DOI: 10.1016/j.pec.2025.108670

Luke M. Davies , Jeremy Lai , Louise Tofts , Daphne Nguyen , Sacha McCulloch , Cylie M. Williams , Verity Pacey

{"title":"Websites parents' access for information regarding their child's chronic lower limb pain: A qualitative study","authors":"Luke M. Davies , Jeremy Lai , Louise Tofts , Daphne Nguyen , Sacha McCulloch , Cylie M. Williams , Verity Pacey","doi":"10.1016/j.pec.2025.108670","DOIUrl":"10.1016/j.pec.2025.108670","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the parent experience of finding information on websites to support their child with chronic lower limb pain and explore the quality of information available on those websites.</div></div><div><h3>Methods</h3><div>Parents of children with chronic lower limb pain conducted real-time searching of websites followed by semi-structured interviews via Zoom. Interviews were recorded, transcribed verbatim, and analysed thematically using an inductive approach. Websites were evaluated by two reviewers across seven domains using the Health Information Website Evaluation Tool.</div></div><div><h3>Results</h3><div>Fourteen parents of children impacted by chronic lower limb pain searched and viewed 34 websites. Four themes were identified: (i) aesthetics matter; (ii) trust builds trust; (iii) something is better than nothing, but it’s never enough; (iv) improving accessibility. Nine websites (26 %) were considered ‘good’ quality and 25 (74 %) were considered ‘moderate’ quality. The Readability domain achieved maximum scores across 88 % of websites, and the Accuracy domain, reflecting referencing and evidence search processes, scored the most minimum scores on 74 % of websites.</div></div><div><h3>Conclusion</h3><div>Parents accessing online resources for their child's chronic lower limb pain seek accessible and in-depth information. While parents find easy to understand quality websites, there is a need for more paediatric-specific resources that reflect current evidence.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108670"},"PeriodicalIF":2.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stage-based analysis of an adaptive worksite intervention trial for diabetes prevention

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-20 DOI: 10.1016/j.pec.2025.108671

Carla K. Miller , Danielle King , Kentaro Fujita , Jennifer Cheavens

{"title":"Stage-based analysis of an adaptive worksite intervention trial for diabetes prevention","authors":"Carla K. Miller , Danielle King , Kentaro Fujita , Jennifer Cheavens","doi":"10.1016/j.pec.2025.108671","DOIUrl":"10.1016/j.pec.2025.108671","url":null,"abstract":"<div><h3>Objective</h3><div>Stage-based models of change posit stage specific factors to promote motivation and intention formation for those not ready to change and volitional action strategies for others. The impact of two interventions on energy restriction and weight change among adults with prediabetes (n = 190) was examined by baseline stage.</div></div><div><h3>Methods</h3><div>Stage classification included: Pre-intenders had no intention to change; Intenders set an intention but were not acting; and Actors reported eating a low-fat diet at baseline. Intervention impact on intention formation, planning, self-efficacy, energy intake, and weight change was evaluated. Structural equation modeling identified mechanisms of change.</div></div><div><h3>Results</h3><div>At baseline, Pre-intenders (28.3 %) and Actors (41.7 %) significantly differed in action self-efficacy, planning, and energy intake. Post-intervention, 91.7 % of the sample remained Actors or progressed in stage placement; intention to consume a low-fat diet increased for Pre-intenders. An increase in action self-efficacy strengthened intention formation for Intenders/Actors. Model fit for post-intentional factors was unsatisfactory, but dietary planning may promote energy restriction.</div></div><div><h3>Conclusions</h3><div>The lifestyle interventions promoted stage progression. Whether post-intentional mechanisms of change differ for Pre-intenders compared to Intenders/Actors requires further research.</div></div><div><h3>Practice implications</h3><div>Classifying participants by intention and tailoring interventions to stage may promote greater intention formation and reduction in energy intake.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108671"},"PeriodicalIF":2.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030235","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}

引用次数: 0

Do people prefer AI-generated patient educational materials over traditional ones?

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-20 DOI: 10.1016/j.pec.2025.108672

Kathia E. Nitsch, Srinivas J. Ivatury

{"title":"Do people prefer AI-generated patient educational materials over traditional ones?","authors":"Kathia E. Nitsch, Srinivas J. Ivatury","doi":"10.1016/j.pec.2025.108672","DOIUrl":"10.1016/j.pec.2025.108672","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess people’s preference between traditional and Artificial Intelligence (AI)-generated colon cancer staging Patient Education Materials (PEMs).</div></div><div><h3>Methods</h3><div>We assessed preference among patients and companions being seen for a non-cancer diagnosis at the UT Health Austin Colon and Rectal Surgery Clinic. Participants were blinded to the study concept of AI and generation method of PEMs (Traditional: National Cancer Institute and the American Cancer Society; AI-generated: ChatGPT and Google Bard). Participants completed an anonymous demographic survey and ranked their PEM preference for randomized, de-identified materials. We hypothesized that there would be no difference in preference between the AI-generated and traditional PEMs. This study is IRB approved (STUDY00005203).</div></div><div><h3>Results</h3><div>35 participants were recruited, ages 27–79 years (mean 46; SD 14 years) and 57 % female. 54 % were four-year college graduates. Among the participants, 51 % ranked the traditional PEMs as most preferred, while 49 % ranked the AI-generated PEMs as most preferred (<em>p</em> = NS).</div></div><div><h3>Conclusion</h3><div>People do not have a dominant preference for AI-generated or traditional PEMs.</div></div><div><h3>Practice implications</h3><div>Further investigation on the use of AI for PEM generation is warranted. AI may be capable of generating PEMs that incorporate the strengths of traditional PEMs while also reducing the required resources for PEM generation.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108672"},"PeriodicalIF":2.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061333","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}

引用次数: 0

The effect of conflicting versus consistent messaging on older women’s support for breast cancer screening cessation

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-20 DOI: 10.1016/j.pec.2025.108675

Nancy L. Schoenborn , Sarah E. Gollust , Craig E. Pollack , Mara A. Schonberg , Cynthia M. Boyd , Qian-Li Xue , Rebekah H. Nagler

{"title":"The effect of conflicting versus consistent messaging on older women’s support for breast cancer screening cessation","authors":"Nancy L. Schoenborn , Sarah E. Gollust , Craig E. Pollack , Mara A. Schonberg , Cynthia M. Boyd , Qian-Li Xue , Rebekah H. Nagler","doi":"10.1016/j.pec.2025.108675","DOIUrl":"10.1016/j.pec.2025.108675","url":null,"abstract":"<div><h3>Objective</h3><div>Breast cancer over-screening is common in older women. Messaging about breast cancer screening cessation may reduce over-screening but the broader informational environment often emphasizes screening continuation. We aimed to examine the effect of receiving consistent messages about breast cancer screening cessation versus conflicting messages (i.e., receiving messages about screening cessation and screening continuation from different sources).</div></div><div><h3>Methods</h3><div>In a two-wave survey experiment with 3809 women 65 + years from a U.S. population-based online panel, we randomized participants to a) no messages, b) consistent messages promoting screening cessation, or c) conflicting messages – a message promoting screening continuation followed by a message promoting screening cessation.</div></div><div><h3>Results</h3><div>The conflicting message group had significantly lower support for screening cessation in a hypothetical older woman (mean 3.87 [SD 2.00] on 7-point scale, 95 % CI 3.76–3.97) compared with the consistent message group (mean 4.17 [SD 1.99], 95 % CI 4.08–4.28), but was still significantly higher than the control group (mean 2.68 [SD 1.87], 95 % CI 2.54–2.82, p’s < 0.001). Message effects on self-screening intentions were similar. Participants reported low rates of confusion, distrust or ambivalence.</div></div><div><h3>Conclusions</h3><div>Messaging about screening cessation can significantly increase older women’s support for screening cessation, with low rates of negative reactions, even if there are competing messages on continued screening.</div></div><div><h3>Practice implications</h3><div>Messaging about screening cessation can be incorporated into clinical discussions or used in conjunction with other interventions aimed at reducing over-screening.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108675"},"PeriodicalIF":2.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061340","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}

引用次数: 0

Hierarchies of knowledge in responses to messages of newbies in online health support groups

IF 2.9 2区医学

Patient Education and Counseling Pub Date : 2025-01-18 DOI: 10.1016/j.pec.2025.108661

Carolina Figueras Bates , Barbara De Cock

{"title":"Hierarchies of knowledge in responses to messages of newbies in online health support groups","authors":"Carolina Figueras Bates , Barbara De Cock","doi":"10.1016/j.pec.2025.108661","DOIUrl":"10.1016/j.pec.2025.108661","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine how hierarchies of knowledge are established in two online health forums: one for recovery from eating disorders and the other for diabetes.</div></div><div><h3>Methods</h3><div>28 threads, with a total of 55,462 words were collected from the eating disorders (ED) forum. From the diabetes (D) forum, 18 threads were extracted, with a total of 51,397 words.</div><div>We performed a quantitative and a qualitative analysis of the structures and mechanisms to convey experiential knowledge and to deliver advice.</div></div><div><h3>Results</h3><div>The frequency of strategies such as providing facts about the illness, sharing personal stories and using medical terminology was higher in the diabetes forum than in the eating disorder forum. In the category of providing advice, ED and D responders behaved as experts and formulated advice in an authoritative way by resorting to imperatives and deontics of obligation.</div></div><div><h3>Conclusion</h3><div>In both fora, epistemic and emotional experiences are presented. The goal in each site is the creation of shared understanding among their members. Experiential knowledge is highly personal, and it is never depicted as antagonistic to medical expertise.</div></div><div><h3>Practice Implications</h3><div>Experiential knowledge is complex and rich and can complement medical expertise in the treatment of long-term and/or chronic health conditions.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108661"},"PeriodicalIF":2.9,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143331501","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}

引用次数: 0