Patient Education and Counseling最新文献

{"title":"Barriers and facilitators in access to reproductive health services for sexual and gender minority populations in the United States: A focus group study","authors":"Elaine G. Avshman ,&nbsp;Dona Jalili ,&nbsp;Christina Penfield ,&nbsp;Jason Domogauer ,&nbsp;Jacquelyn Shaw ,&nbsp;Anna-Grace Lilly ,&nbsp;Shadin Zayyad ,&nbsp;Amani Sampson ,&nbsp;Katie Margolies ,&nbsp;Gwendolyn P. Quinn","doi":"10.1016/j.pec.2025.108793","DOIUrl":"10.1016/j.pec.2025.108793","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify facilitators and barriers among sexual and gender minority <strong>(SGM</strong>) individuals in receiving reproductive healthcare.</div></div><div><h3>Methods</h3><div>Participants were recruited through social media and university groups across the US. Inclusion criteria consisted of self-identified SGM community members; aged 18–40. This included: cisgender women whose sexual orientation included gay, lesbian, bisexual, and/or queer and / or individuals whose gender identity does not align with their sex assigned at birth; transgender men, non-binary people with a uterus, cisgender queen woman, and transgender woman. An initial codebook was developed utilizing inductive coding to identify key themes.</div></div><div><h3>Results</h3><div>A total of 9 focus groups were held with 67 people,5–10 people per group. Six themes were identified: 1) Barriers to high quality reproductive care, 2) Facilitators to high quality reproductive care, 3) Negative prior experiences, 4) Physical/logistical access to adequate care, 5) Emotions/trust in disclosing SGM status, and 6) Knowledge levels on SGM reproductive healthcare.</div></div><div><h3>Conclusion</h3><div>Quality reproductive health care for SGM individuals is hindered by individual, clinician, and institutional factors. The factors include individual barriers of knowledge, distrust, and dysphoria; clinician barriers knowledge gaps or discomfort; and institutional factors of false advertising of LGBTQ+ friendly practices.</div></div><div><h3>Practice implications</h3><div>This study impacts clinical practice through providing focused areas to better improve training and education for healthcare providers. Findings support improving clinical training on cultural humility, creating a welcoming environment, maintaining trust, and utilizing sensitive terminology.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108793"},"PeriodicalIF":2.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918251","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":"Effects of an eLearning course for patients on osteoarthritis knowledge and pain self-efficacy in people with hip and/or knee osteoarthritis: A randomised controlled trial","authors":"Rachel K. Nelligan ,&nbsp;Rana S. Hinman ,&nbsp;Fiona McManus ,&nbsp;Anurika P. De Silva ,&nbsp;Maya Gregory ,&nbsp;Neil Bidgood ,&nbsp;Kim L. Bennell","doi":"10.1016/j.pec.2025.108792","DOIUrl":"10.1016/j.pec.2025.108792","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate a knee/hip osteoarthritis eLearning course for patients.</div></div><div><h3>Methods</h3><div>Randomised controlled trial. 124 community volunteers with knee/hip osteoarthritis were randomised to either i) a 4-week self-directed eLearning or ii) an electronic osteoarthritis pamphlet (control). Primary outcomes: change in knowledge (Osteoarthritis Knowledge Scale (OAKS)) and pain self-efficacy (Arthritis Self-Efficacy Scale (ASES pain subscale)) over 5 weeks. Secondary outcomes: fear of movement, exercise self-efficacy, osteoarthritis illness perceptions, physical activity levels, and use of physical activity/exercise, weight loss, pain medication, and health professional care seeking to manage joint symptoms.</div></div><div><h3>Results</h3><div>117(94 %) participants (mean (SD) age, 67.1(8.8) years; 91(77.8 %) female) provided 5-week primary outcomes. At 5-weeks, eLearning group showed greater improvements in osteoarthritis knowledge (mean difference 5.3(95 % CI 2.5,8.2), &lt; 0.001), which was sustained at 13-weeks (4.6(2.1,7.0), &lt; 0.001). There were no between-group differences in pain self-efficacy. Between-group differences for exercise self-efficacy and osteoarthritis illness perceptions at 5-weeks, and fear of movement and use of weight loss to manage joint symptoms at 13-weeks, favoured eLearning group.</div></div><div><h3>Conclusions</h3><div>eLearning produced immediate and sustained improvements in osteoarthritis knowledge but not pain self-efficacy compared to a typical osteoarthritis education intervention (information pamphlet).</div></div><div><h3>Practice implications</h3><div>Self-directed interactive eLearning is an effective method to educate patients about hip/knee osteoarthritis and its management.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108792"},"PeriodicalIF":2.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879048","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":"Effective communication in pediatric palliative care: Evaluation of two educational videos","authors":"Annika Lisakowski ,&nbsp;Johanna Frenkert ,&nbsp;Almut Hartenstein-Pinter ,&nbsp;Larissa Kubek ,&nbsp;Boris Zernikow ,&nbsp;Julia Wager","doi":"10.1016/j.pec.2025.108790","DOIUrl":"10.1016/j.pec.2025.108790","url":null,"abstract":"<div><h3>Objectives</h3><div>In pediatric palliative care, effective communication is one of the most important skills. However, physicians often lack proper training. This study examines how to enhance medical students’ ability to deliver a life-limiting diagnosis to parents. For this, we evaluated the effectiveness of two educational videos.</div></div><div><h3>Methods</h3><div>We randomly assigned 114 medical students to two intervention groups and one control group. The intervention consisted of two different educational videos. We used self-assessment instruments and objective measures. Group-specific differences were analyzed using (repeated measures) Analysis of Variance, accounting for the effects of covariates, and t-tests.</div></div><div><h3>Results</h3><div>Analysis of self-assessed communication skills identified a positive effect of the ‘time x group’ interaction (F (2) = 3.25, p = 0.042, <span><math><msubsup><mrow><mi>n</mi></mrow><mrow><mi>p</mi></mrow><mrow><mn>2</mn><mspace></mspace></mrow></msubsup></math></span>= 0.055), indicating a statistically significant increase in both intervention groups. A positive effect of both videos on performance was observed for one item.</div></div><div><h3>Conclusion</h3><div>An acting or animated video can have a small but significant impact on self-assessed communication skills and objectively assessed behaviour for medical students with varying levels of experience in delivering bad news to parents.</div></div><div><h3>Practice implications</h3><div>Further research is required to investigate the long-term impact of educational videos on the communication behaviour of providers interacting with parents.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108790"},"PeriodicalIF":2.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876665","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":"Physiotherapist-targeted strategies and tools for recognising patients with limited health literacy and adapting physiotherapeutic communication: A scoping review","authors":"Nicole Bruin ,&nbsp;Harriet Wittink ,&nbsp;Janke Oosterhaven ,&nbsp;Arlette Hesselink ,&nbsp;Hans Hobbelen ,&nbsp;Sandra Lakke","doi":"10.1016/j.pec.2025.108784","DOIUrl":"10.1016/j.pec.2025.108784","url":null,"abstract":"<div><h3>Objective</h3><div>To provide an overview of available strategies and tools that support physiotherapists to recognise patients with LHL and to adapt the physiotherapeutic communication during the diagnostic phase.</div></div><div><h3>Methods</h3><div>PubMed, Embase, CINAHL and PsycINFO were searched for publications appearing between 2000 and June 2024. Additional grey literature was searched up till October 2022. Studies were included if they described strategies and tools aimed at supporting communication with patients with Limited Health Literacy in physiotherapy. Exclusion criteria focusing on general health literacy prevalence, behavioural interventions, or basic communication training.</div></div><div><h3>Results</h3><div>Out of the 9960 unique studies identified by our literature searches, 314 full-text studies were assessed and 98 met the inclusion criteria. The data on strategies and tools were extracted into the following six categories: verbal communication (n = 3), written communication (n = 34), digital device (n = 9), questionnaire (n=19), interpreter (n = 22), and other media (n = 2). Within these categories, tools and strategies were further classified based on the communication aims. Some tools and strategies were uncategorisable.</div></div><div><h3>Conclusion</h3><div>While various strategies and tools exist for recognising patients with limited Health Literacy, they are often generic and not tailored to the physiotherapeutic context. This scoping review identifies a gab in physiotherapeutic approaches, particularly on those that go beyond information provision.</div></div><div><h3>Practice implications</h3><div>To improve communication in physiotherapy practice, there is a need for the development of tailored strategies and tools that reflect the specific dynamic of the physiotherapeutic process. We recommend engaging in design-based research that involves both patient and physiotherapist to co-create tools and strategies. In the meantime, physiotherapists are advised to use general communication strategies and tools and refer to our resources to select tools that best align with their specific goals.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108784"},"PeriodicalIF":2.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859988","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":"Patient assertiveness and visit outcome in primary care: An observational study","authors":"Liselore Cariot ,&nbsp;Janneke Noordman ,&nbsp;Chantal Leemrijse ,&nbsp;Mette van Ginkel ,&nbsp;Sandra van Dulmen","doi":"10.1016/j.pec.2025.108789","DOIUrl":"10.1016/j.pec.2025.108789","url":null,"abstract":"<div><h3>Objectives</h3><div>In recent years, there has been growing attention to patient assertiveness in interactions with healthcare providers. This observational study examines patient assertiveness and visit outcomes during routine general practitioner (GP) visits in the Netherlands.</div></div><div><h3>Methods</h3><div>Video-recorded visits (n = 189) were analysed using a systematic coding protocol.</div></div><div><h3>Results</h3><div>Patients expressed a median of 2 assertive behaviours per visit (IQR, 1–3), with the majority being self-initiated. Around one in eight patients did not express any assertive behaviour during the visit. Assertiveness was most commonly demonstrated through introducing new topics, with disagreements and direct requests being less frequent. Patients whose visit outcome involved treatment or a referral had behaved assertively more often than those receiving advice or reassurance.</div></div><div><h3>Conclusions</h3><div>This study could serve as a starting point for assessing patient assertiveness in primary care.</div></div><div><h3>Implications</h3><div>These findings suggest that patient assertiveness influences the visit outcome, highlighting the need for future research to assess whether this leads to variations in care and care outcomes.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108789"},"PeriodicalIF":2.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850343","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":"Clinician use of ‘worry’ statements during surrogate decision making in the hospital","authors":"Kristen E. Pecanac ,&nbsp;Blair P. Golden","doi":"10.1016/j.pec.2025.108788","DOIUrl":"10.1016/j.pec.2025.108788","url":null,"abstract":"<div><h3>Objective</h3><div>Current guidance of how to share a prognosis with patients or surrogate decision makers suggests the use of “I worry” statements. Despite this guidance, there is little known about how “worry” or “concern” statements are used in clinical settings. The purpose of this analysis was to examine the function of “worry” statements in clinician-surrogate decision-making conversations with life-or-death implications.</div></div><div><h3>Methods</h3><div>We audio recorded 27 clinician-surrogate conversations in two hospitals in one Midwest city in the USA. We used conversation analysis, a qualitative method, to analyze clinicians’ use of “worry” statements throughout the corpus and what course of action they were “doing” in the interaction.</div></div><div><h3>Results</h3><div>There were two distinct uses of “worry” statements<strong>.</strong> Clinicians’ use of “worry” statements to convey the gravity of the patient's situation of a poor prognosis seemed to forecast an introduction to limiting treatment as a potential option. When discussing treatment, “worry” statements seemed to have a persuasive function against pursuing treatment. Surrogates often resisted “worry” statements in the discussion of treatment, as these statements conveyed restricting choices that surrogates have the authority to make.</div></div><div><h3>Conclusion</h3><div>The balance of the clinician’s epistemic authority of the medical understanding of the patient’s situation with the surrogate’s authority in making a decision is worthy of further exploration.</div></div><div><h3>Practice Implications</h3><div>Surrogate resistance to “worry” statements in the discussion of treatment may be more a function of the persuasion to limit treatment than the “worry” statements themselves. Further research is necessary to determine best practice language during treatment deliberation.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108788"},"PeriodicalIF":2.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850342","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":"Mapping the translation and psychometric characteristics of the Patient-Practitioner Oriented Scale: A scoping review","authors":"Perla Werner ,&nbsp;Ester Eliyahu ,&nbsp;Edward Krupat","doi":"10.1016/j.pec.2025.108787","DOIUrl":"10.1016/j.pec.2025.108787","url":null,"abstract":"<div><h3>Background</h3><div>The Patient-Practitioner Orientation Scale (PPOS) is the most widely used instrument to assess attitudes towards patient-centered care (PCC).</div></div><div><h3>Objective</h3><div>To map and synthesize the psychometric characteristics of available translations of the PPOS.</div></div><div><h3>Methods</h3><div>We conducted a scoping review guided by the requirements of the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews. The search was conducted in PubMed, PsycInfo, Cochane, and CINHAL, and included studies published in English.</div></div><div><h3>Results</h3><div>Nine studies, describing the translation and validation process of the PPOS into Italian, French, Chinese, Sinhala, Turkish, German, Portuguese, and Spanish were included. The quality of the translation process was adequate in all studies. Internal reliability was better for the full scale than for its subscales.</div></div><div><h3>Conclusion</h3><div>This review attests to the importance of conducting a standardized and transparent translation and validation process. We showed that although these requirements are met in the majority of the studies included, differences exist in the number of items included in the scale and its dimensionality.</div></div><div><h3>Practice Implications</h3><div>Having a clear description of the translation and validation processes will assist researchers and clinicians when implementing and evaluating PCC. It will also advance and improve cross-cultural knowledge in the area.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108787"},"PeriodicalIF":2.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850434","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 empathy and patient-centered communication behaviors of third-year medical students during a clinical skills examination","authors":"Pamela A. Saunders ,&nbsp;Lou Clark ,&nbsp;Thomas Matthews ,&nbsp;Katherine T. Berg ,&nbsp;Emaan Baqai ,&nbsp;Ariel Ozbeki-Kimmel ,&nbsp;J. Corey Williams ,&nbsp;Charlotte Archuleta ,&nbsp;Larrie Greenberg ,&nbsp;Benjamin Blatt","doi":"10.1016/j.pec.2025.108786","DOIUrl":"10.1016/j.pec.2025.108786","url":null,"abstract":"<div><div>A previous study of third-year medical students’ empathy during a clinical skills assessment found that SPs rated female students higher than males, and male Black/African-Americans received the lowest empathy scores. Our objective was to analyze students’ patient-centered communication behaviors (PCCBs) to better understand those reported gender and racial/ethnic differences in empathy scores.</div></div><div><h3>Methods</h3><div>We examined 63 videos from the parent study, using discourse and content analysis to identify PCCBs during standardized patient (SP) encounters. Then, we determined which PCCBs significantly correlated with SP empathy ratings. Finally, we examined whether those significant PCCBs differed across third-year medical students' gender and race/ethnicity.</div></div><div><h3>Results</h3><div>We identified 18 PCCBs, six of which significantly correlated with SP empathy ratings. Generally, women tended to use patient-centered communication than men, while Black/African American men used less than Asian/Pacific Islander or white men.</div></div><div><h3>Conclusion</h3><div>In this exploratory, multiple methods study, we analyzed student discourse to better understand the reported gender and racial/ethnic differences in SP empathy scores. We found suggestions of gender and racial differences in behaviors related to patient-centered communication that need to be confirmed in larger, better-powered studies.</div></div><div><h3>Practice Implications</h3><div>If our findings are corroborated, understanding gender and race/ethnicity differences in PCCBs may help medical educators teach students patient-centered communication (PCC) in a more diverse, culturally situated way. Beneficial actions would include developing faculty to teach PCC with a multi-cultural emphasis and recruiting more minority faculty in our medical schools to model effective communication and empathy skills.</div><div>In addition, the PCCBs we identified through discourse analysis in this study can provide educators with a tool for teaching doctor-patient communication. Educators can review students' video encounters to provide specific and actionable feedback to promote PCC and empathy.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"137 ","pages":"Article 108786"},"PeriodicalIF":2.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870380","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 ‘A virtual assistant for primary care’s food and nutrition surveillance system: Development and validation study in Brazil’ [Patient Educ Couns 130 (2025) 108461]","authors":"Eliza Sella Battisti ,&nbsp;Mateus Klein Roman ,&nbsp;Ericles Andrei Bellei ,&nbsp;Vanessa Ramos Kirsten ,&nbsp;Ana Carolina Bertoletti De Marchi ,&nbsp;Greisse Viero Da Silva Leal","doi":"10.1016/j.pec.2025.108783","DOIUrl":"10.1016/j.pec.2025.108783","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"136 ","pages":"Article 108783"},"PeriodicalIF":2.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820674","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":"Facilitators of COVID-19 vaccination among pregnant and lactating refugee women: A qualitative study using a community-based approach","authors":"Ehiremen Adesua Azugbene ,&nbsp;Alexis M. Koskan ,&nbsp;Elisabeth Williams ,&nbsp;Tatiana Patton ,&nbsp;Li Liu ,&nbsp;Jeanne Nizigiyimana ,&nbsp;Crista E. Johnson-Agbakwu","doi":"10.1016/j.pec.2025.108778","DOIUrl":"10.1016/j.pec.2025.108778","url":null,"abstract":"<div><h3>Introduction</h3><div>The coronavirus disease of 2019 (COVID-19) vaccination has reduced the severity of illness and hospitalization rates associated with the virus. However, pregnant and lactating refugee women often have lower vaccination rates, which are influenced by limited access to healthcare, cultural barriers, and misinformation. This study, guided by the Positive Deviance Framework, examines the factors that promoted COVID-19 vaccination among pregnant and lactating refugee women.</div></div><div><h3>Methods</h3><div>Cultural Health Navigators conducted in-depth interviews with pregnant and lactating refugee women recruited from a large federally qualified health center who received COVID-19 vaccines.</div></div><div><h3>Results</h3><div>This qualitative study included 30 participants, stratified by language groups and representing diverse educational backgrounds and lengths of residence in the United States. Thematic analysis of the interviews revealed factors such as fear of COVID-19, emotional relief following vaccination, trust in healthcare providers and scientific evidence, and support from family and Cultural Health Navigators.</div></div><div><h3>Discussion</h3><div>The findings highlight the importance of culturally sensitive communication and trust-building in promoting vaccination rates among pregnant and lactating refugee women. Trust in healthcare providers, scientific evidence, and support from family and Cultural Health Navigators played a key role in overcoming vaccination barriers. Tailored strategies and supportive interventions can enhance COVID-19 vaccination uptake in this population. Further research in larger, diverse populations is needed to identify additional strategies for improving vaccination rates among refugee women.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"136 ","pages":"Article 108778"},"PeriodicalIF":2.9,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825527","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}