Patient Education and Counseling最新文献

{"title":"COVID-19 misinformation and healthcare workers: A scoping review","authors":"Hannah Holzer ,&nbsp;Nicola Diviani ,&nbsp;Sara Rubinelli","doi":"10.1016/j.pec.2025.109309","DOIUrl":"10.1016/j.pec.2025.109309","url":null,"abstract":"<div><h3>Objective</h3><div>The Covid-19 pandemic was accompanied by an infodemic characterised by widespread misinformation and disinformation, particularly concerning the virus's origin, treatments, and vaccines. Healthcare workers (HCWs) were uniquely positioned at the intersection of clinical care and public communication. This scoping review aims to map and synthesise the existing literature on HCWs' experiences and engagement with Covid-19-related misinformation, identifying recurring themes across qualitative and quantitative studies.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following PRISMA-ScR guidelines. Four scientific databases (PubMed, Science Direct, Web of Science, and Wiley Online Library) were searched for studies published between 1 January 2020 and 31 August 2024, yielding 55 eligible publications that included surveys and interviews with HCWs, employing both qualitative and quantitative approaches. The analysis focused on identifying common themes related to HCWs' experiences with misinformation.</div></div><div><h3>Results</h3><div>Five key themes emerged: (1) belief in misinformation, shaped by trust and uncertainty; (2) frustration with inconsistent and overwhelming official communication; (3) strained patient–provider relationships due to eroded trust; (4) social media as both a source of misinformation and professional support; and (5) mental health impacts, including anxiety and exhaustion.</div></div><div><h3>Conclusion</h3><div>The review highlights the significant burden that Covid-19 misinformation placed on HCWs, contributing to professional dissatisfaction, strained patient relationships, and emotional distress. Despite their lower susceptibility to misinformation, HCWs expressed a need for reliable information channels and training to manage misinformation in clinical interactions.</div></div><div><h3>Practice implications</h3><div>To enhance pandemic preparedness, targeted infodemic management training for HCWs is crucial, focusing on misinformation detection, effective communication strategies, and patient education. Strengthening public health communication efforts can help alleviate the burden on HCWs by reducing the spread of misinformation, thereby supporting their well-being and professional efficacy during future public health crises.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"141 ","pages":"Article 109309"},"PeriodicalIF":3.1,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864987","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":"Identifying needs for a decision aid to support communication with low-language-proficient migrant patients","authors":"Brittany M.C. Chan ,&nbsp;Julia C.M. van Weert ,&nbsp;Yating Fang ,&nbsp;Jiyuan Song ,&nbsp;Jeanine Suurmond ,&nbsp;Barbara C. Schouten","doi":"10.1016/j.pec.2025.109307","DOIUrl":"10.1016/j.pec.2025.109307","url":null,"abstract":"<div><h3>Objectives</h3><div>To conduct a needs assessment for the development of a decision aid pertaining to decision-making about mitigating language barriers in consultations with low-language-proficient (LLP) migrant patients in the Netherlands.</div></div><div><h3>Methods</h3><div>The needs assessment was conducted using the <em>Extended Technology Acceptance Model</em> as a guiding framework. A heterogeneous sample of healthcare providers, LLP migrant patients, and informal caregivers was interviewed (<em>n</em> = 78).</div></div><div><h3>Results</h3><div>Six key needs emerged, with no fundamental differences among the three groups. We identified three key recommendations on the decision aid’s <em>usefulness</em>: 1) Supporting pre-consultation preparation, 2) Assisting in consultations, and 3) Providing post-consultation support. We also identified three key recommendations on <em>ease of use</em>: 1) Multilingual options, 2) Clear multimedia information, and 3) User-friendly and accessible design.</div></div><div><h3>Conclusion</h3><div>Participants expressed a willingness to adopt a user-friendly digital decision aid that is available in multiple languages and supports communication before, during, and after consultations.</div></div><div><h3>Practice implications</h3><div>The results of the needs assessment can be utilised to develop a working decision aid and enhance the communication process with LLP migrant patients.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"141 ","pages":"Article 109307"},"PeriodicalIF":3.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880015","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":"Self-management support interventions for socioeconomically disadvantaged older adults with chronic conditions: A systematic review","authors":"Michael T. Lawless ,&nbsp;Candice Oster ,&nbsp;Heather Block ,&nbsp;Belinda Cash ,&nbsp;Lemma N. Bulto ,&nbsp;Maria Alejandra Pinero de Plaza ,&nbsp;Stacey George ,&nbsp;Rachel Ambagtsheer ,&nbsp;Mandy Archibald ,&nbsp;Malcolm Battersby ,&nbsp;Alison Kitson","doi":"10.1016/j.pec.2025.109305","DOIUrl":"10.1016/j.pec.2025.109305","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify and describe the theories, components, and effectiveness of self-management support interventions for socially disadvantaged older adults (≥60 years) with chronic conditions and multimorbidity.</div></div><div><h3>Methods</h3><div>Six electronic databases were searched in November 2023. Randomised controlled trials (RCTs) focused on self-management support interventions for socioeconomically disadvantaged community-dwelling older adults with chronic conditions and multimorbidity were included. Data extraction was guided by the Practical Reviews in Self-Management Support taxonomy, and study appraisal used the Revised Cochrane Risk of Bias tool. A critical narrative synthesis was conducted.</div></div><div><h3>Results</h3><div>Eighteen trials (N = 6269) were included. Interventions varied in their theoretical foundations, components, and delivery methods, showing promise in improving health-related quality of life, mental health, self-management behaviours, and self-efficacy outcomes, while reducing healthcare utilisation. Tailored, multi-component interventions may be effective in improving outcomes for socioeconomically disadvantaged older adults.</div></div><div><h3>Conclusions</h3><div>Future research should prioritise the development of accessible, culturally appropriate self-management support interventions tailored to disadvantaged populations. These interventions should be evaluated in primary care and community settings for their effectiveness, scalability, and sustainability.</div></div><div><h3>Practice implications</h3><div>Healthcare providers should integrate multi-component, theory-based support into routine care. Policymakers should create flexible funding and policies to support long-term implementation, addressing health disparities in disadvantaged communities.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"141 ","pages":"Article 109305"},"PeriodicalIF":3.1,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880014","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":"Guided Self-Determination – What does “guided” mean in connection with self-determination?","authors":"Vibeke Zoffmann ,&nbsp;Jeanette Finderup ,&nbsp;Rikke Jørgensen ,&nbsp;Emilie Marqvorsen ,&nbsp;Anne Sophie Mathiesen ,&nbsp;Mette Juul Rothmann ,&nbsp;Bodil Rasmussen ,&nbsp;Jeanette Knox","doi":"10.1016/j.pec.2025.109306","DOIUrl":"10.1016/j.pec.2025.109306","url":null,"abstract":"<div><h3>Objectives</h3><div>Persistent challenges in realizing empowerment for healthcare users prompted the development of an empowerment-based decision-making and problem-solving method, Guided Self-Determination (GSD). Its effectiveness and fidelity have been demonstrated across long-term conditions. However, discussion about the apparently paradoxical combination of “guided”and “self-determination”in the method’s name call for a scientific discussion to provide clarity and resolve possible misunderstandings.</div></div><div><h3>Methods</h3><div>Discussion conducted by researchers with expertise in translational empowerment, self-determination theory and the GSD method</div></div><div><h3>Results</h3><div>Self-determination theory (SDT) comprises many strong qualities, eg, empirical development and thorough conceptualization. However, like other theories, SDT appears to suffer from limitations related to practicality because its realization in clinical practice is not convincingly supported. The GSD method remedies these limitations through the use of reflection sheets, which users complete before discussions with healthcare professionals (HCPs), preparing them to take an active role. In GSD, HCPs do not ‘guide’ healthcare users to do as they recommend based on their general professional knowledge and expertise. Rather, GSD supports users in gaining self-insight through values clarification, thereby discovering their personal potential for change. Guided by reflection sheets, users and HCPs manage disagreement constructively and make shared decisions based on person-specific evidence about each user’s challenges in daily life. A relational capacity for change is mobilized.</div></div><div><h3>Conclusions</h3><div>Guidance that respects and fosters autonomy can lead to true self-determination. Thus, guidance and self-determination are not contradictory; they are companions.</div></div><div><h3>Practice implications</h3><div>Decision-making and problem solving in clinical practice can better support users in becoming self-determined when guided by empowerment-based methods.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"141 ","pages":"Article 109306"},"PeriodicalIF":3.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864391","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":"Attitudinal barriers to psychological support-seeking among carers of people with a chronic physical health condition: A qualitative meta-synthesis","authors":"Hannah Banks ,&nbsp;Rebekah Laidsaar-Powell ,&nbsp;Sarah Giunta ,&nbsp;Kyra Webb ,&nbsp;Haryana Dhillon ,&nbsp;Helen M. Haydon ,&nbsp;Joanne Shaw","doi":"10.1016/j.pec.2025.109304","DOIUrl":"10.1016/j.pec.2025.109304","url":null,"abstract":"<div><h3>Objectives</h3><div>Family/friend carers are the “invisible backbone” of our healthcare systems, providing essential support to people with chronic physical health conditions. Yet many face significant unmet needs, burdens and psychosocial concerns. Psychological interventions can help carers to manage these impacts, however, carers often demonstrate low engagement with psychological support services. This systematic review aimed to provide a meta-synthesis of qualitative studies to determine the attitudinal barriers to seeking formal psychological support services among carers of people with a chronic physical health condition.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, we systematically searched PsycINFO, MEDLINE, CINAHL and EMBASE for qualitative peer-reviewed articles published in English from 2005 to 2025 reporting on adult carers of people with a chronic physical health condition seeking psychological support for themselves. We conducted an inductive qualitative meta-synthesis and assessed study quality using the Critical Appraisal Skills Programme (CASP) qualitative checklist and Mixed Methods Appraisal Tool (MMAT).</div></div><div><h3>Results</h3><div>Twenty-six qualitative and five mixed methods studies were included for analysis. Attitudinal barriers were synthesised into three interrelated themes. We found that carers held pre-existing beliefs about the validity of accessing support for themselves, often devaluing their personal needs to prioritise the patient. Stigmatised mental health beliefs meant that psychological support was not only seen as a luxury by some, but also contradictory to carers’ perceived role as pillars of emotional stability and strength. These beliefs were shaped and reinforced in patient-centric healthcare systems where there was a perceived lack of carer recognition and carer-informed support and services.</div></div><div><h3>Conclusions</h3><div>This review emphasises the importance of acknowledging carers, validating their needs and facilitating access to timely and appropriate psychological support.</div></div><div><h3>Practice implications</h3><div>Our results suggest a two-pronged approach is necessary to increase carer engagement with psychological support services, where attitudinal barriers are addressed at both an individual and health system/service level.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109304"},"PeriodicalIF":3.1,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830445","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":"How epilepsy risks might be introduced and discussed in clinical consultations","authors":"Cordet Smart ,&nbsp;Hannah Cock ,&nbsp;Phil Tittensor ,&nbsp;Luke Devereux ,&nbsp;Samantha Ashby ,&nbsp;Louise Gates ,&nbsp;Rohit Shankar ,&nbsp;Craig Newman","doi":"10.1016/j.pec.2025.109288","DOIUrl":"10.1016/j.pec.2025.109288","url":null,"abstract":"<div><div>Adverse impacts of epilepsy (e.g., injury, depression, and Sudden Unexpected Death from Epilepsy (SUDEP) can be mitigated by factors that patients may control, such as medication adherence, improved sleep and diet, reduced alcohol and taking care around pregnancy. New guidelines state that risk should be discussed at the time of diagnosis but some clinicians express concern about not wanting to raise anxiety.</div></div><div><h3>Objective</h3><div>To explicate practices by which epilepsy expert clinicians broach discussions of risk in specialist epilepsy clinics.</div></div><div><h3>Methods</h3><div>24 recordings of initial telephone appointments at specialist clinics where epilepsy is diagnosed from two specialist outpatient epilepsy services in England were subjected to Conversation Analysis. Data in British English. A single case study, identified as largely typical of the data set but also highlighting points of interest, is included to illustrate the findings.</div><div>We also present reflections from analysis of 12 extracts examined in joint-analysis sessions with clinicians, researchers and patients.</div></div><div><h3>Results</h3><div>The analysis revealed that broaching risk was sensitive and challenging. Conversations involved confronting confusion about risk and negotiation between clinician and patient. Clinicians employ questions to establish the patient’s knowledge. They were ‘repair implicative’ that is including lots of changes of sentence direction to achieve mutual understanding (intersubjectivity). Further, the Joint-Analysis highlighted the significance of epistemic matters - who knows what and how.</div></div><div><h3>Conclusion</h3><div>Clinicians invite patients to share what they know about risk as a springboard for discussing behaviour change, enabling them to avoid naming specific risks (such as death). However, this often led to interactional trouble, and patients expressed a preference for more direct conversations.</div></div><div><h3>Practice Implications</h3><div>Clinicians can carefully calibrate risk information according to what the patient with epilepsy already knows, sensitively broaching risk of death. However, caution is needed to maximise patient engagement in risk management discussions.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109288"},"PeriodicalIF":3.1,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907989","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":"Communicating anaphylaxis risk in pediatric allergy consultations: A conversation analytic study","authors":"Laura Jenkins ,&nbsp;Jonathan Potter ,&nbsp;Alexa Hepburn ,&nbsp;Colin Macdougall","doi":"10.1016/j.pec.2025.109284","DOIUrl":"10.1016/j.pec.2025.109284","url":null,"abstract":"<div><div>Allergy in children is increasing. Reactions vary, with severe cases involving potentially fatal anaphylaxis which is treated with adrenaline. At-risk patients are prescribed adrenaline auto-injectors. However, due to limited specialist UK allergy clinics, risk discussions often take place with non-specialists (e.g., General Practitioners in primary care and general paediatricians in secondary care) who may lack confidence discussing risk and determining treatment suitability. Systematic examination of strategies for discussing risk is needed.</div></div><div><h3>Objectives</h3><div>To identify, for the first time, strategies for communicating risk and negotiating adrenaline auto-injector prescribing decisions in actual paediatric allergy consultations.</div></div><div><h3>Methods</h3><div>We examined 23 video-recorded consultations in the U.K., involving one consultant paediatric allergy specialist, 23 patients (age 2–10) and caregivers. We identified 11 risk discussions, applying the rigorous method of conversation analysis to explicate practices for communicating risk of anaphylaxis and reaching adrenaline auto-injector prescription decisions. Data in British English.</div></div><div><h3>Results</h3><div>Our novel and detailed findings demonstrate risk communication via categories such as low, moderate, and high risk, animated with gestures, explained with reassuring and worrying factors, and with reference to caregiver anxiety. However, risk assessments were tempered by raising uncertainty - concerns around the quality of the medical evidence. Further, severity of risk was carefully modified, individually tailored to each interactional context.</div></div><div><h3>Conclusions</h3><div>Our findings offer significant and new insights into how expert knowledge can be made available to patients/caregivers. Reasoning around risk was made explicit when adrenaline auto-injectors were proposed but not “pushed.” This practice levelled each party’s access to knowledge, flattening the epistemic gradient between doctor and patient/caregiver. As such patient/caregiver input in collaborative decision-making is facilitated.</div></div><div><h3>Practice Implications</h3><div>Our findings offer specific, nuanced, and contextualised communication practices for conveying risk from an experienced specialist. These are available to significantly contribute to practice/education toolkits aimed at nonspecialists and those practising infrequently in this area.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109284"},"PeriodicalIF":3.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144852463","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":"Do patients with HER2+ MBC and their HCPs speak the same language? Perceptions and uses of chronic disease and metastatic treatment arising from the EtnobreastHER2 study","authors":"Joaquín Gavilá ,&nbsp;Álvaro Rodríguez-Lescure ,&nbsp;Silvia Antolín ,&nbsp;Blanca Cantos ,&nbsp;Miguel Ángel Seguí ,&nbsp;María Antonia Gimón ,&nbsp;Raül Rubio Renau ,&nbsp;Carlota Solà Marsiñach ,&nbsp;Jesús Martín Illán ,&nbsp;Rocío Fonseca Vallejo ,&nbsp;Yaiza Gimeno Guadalupe ,&nbsp;Noelia Alfaro Oliver ,&nbsp;José Ángel García-Sáenz","doi":"10.1016/j.pec.2025.109289","DOIUrl":"10.1016/j.pec.2025.109289","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Qualitative evidence on how patients with human epidermal growth factor receptor 2 metastatic breast cancer (HER2 + MBC) and healthcare professionals (HCPs) understand the concepts of “chronicity” and “palliative” terms is scarce. This study explored the meanings and perceptions of chronic disease and metastatic treatments.</div></div><div><h3>Methods</h3><div>qualitative, observational, multicenter and cross-sectional study with HER2 + MBC patients. Qualitative data collected through remote semi-structured interviews with patients (n = 14) and HCPs (n = 10). Themes were identified using a phenomenological approach.</div></div><div><h3>Results</h3><div>Regarding the views and preferences of the term chronic in relation to HER2 + MBC, four different perspectives emerged: 1) the realistic, 2) the optimistic, 3) the critical, and 4) the episodic. For HCPs, there were two differing points of view: 1) advocates for the presentation of HER2 + MBC as chronic, and 2) against presenting the disease as chronic. Regarding the views and impacts of metastatic treatments, it was found that there was miscommunication on the use of the term palliative, leading patients to understand their condition at end of life, and not curative as all oncologists and half of the nurses intended.</div></div><div><h3>Conclusions</h3><div>Results emphasize the need for a shared understanding of the meaning of chronic disease and palliative treatment for effective patient-doctor communication. To optimize communication, it is essential to understand patients’ perspective of chronic diseases, preferences in terminology uses, and the impact throughout patients’ journeys.</div></div><div><h3>Practice implications</h3><div>“chronicity” and “palliative” in treatment options explanation and medical follow-up should be used more effectively by HCPs. This will be achieved if patients’ needs are placed at the center, to adapt to different patient profiles and expectations.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109289"},"PeriodicalIF":3.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144779561","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":"Relationships between genetic counseling students’ screensharing, nonverbal and verbal communication, and satisfaction in simulated telehealth visits","authors":"Emily Stearns ,&nbsp;Melissa Scherkoske ,&nbsp;Debra Roter ,&nbsp;Susan Persky ,&nbsp;Lori Erby ,&nbsp;Chenery Lowe","doi":"10.1016/j.pec.2025.109269","DOIUrl":"10.1016/j.pec.2025.109269","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the relationships between genetic counseling students’ use of screensharing and nonverbal communication with verbal communication and standardized patient satisfaction during simulated telehealth visits.</div></div><div><h3>Methods</h3><div>From 2021–2022, 59 genetic counseling students from the U.S. and Canada conducted video-recorded standardized patient sessions via Zoom. Session recordings were coded using the Roter Interaction Analysis System (RIAS) and the standardized patients completed post-session satisfaction questionnaires. All instances and the total duration of screensharing during each session were recorded by watching the video recordings in full. Nonverbal communication behaviors (nodding, smiling, hand gesturing, eye gaze, forward lean, distance from the camera, and camera angle) were coded from systematic “thin slice” samples of between 15 and 30 s segments from throughout each session. Multiple linear regression models assessed relationships between the students’ nonverbal behaviors, use of screensharing, verbal communication, and standardized patients’ satisfaction with session communication.</div></div><div><h3>Results</h3><div>Increased screensharing was associated with decreased use of facilitating statements (p &lt; 0.05), decreased patient-centeredness (p &lt; 0.01), and increased verbal dominance (p &lt; 0.05). Nodding was negatively correlated with verbal dominance (p &lt; 0.05). Forward lean was positively correlated with standardized patient satisfaction with session communication (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Screensharing, nodding, and forward lean may affect patient-provider communication via telehealth in ways that are analogous to in-person clinical interactions.</div></div><div><h3>Practice implications</h3><div>The possible negative consequences of screensharing suggest a need for additional research to inform best practices for providing patient-centered care in the telehealth setting.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109269"},"PeriodicalIF":3.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830383","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 patient trust in GPs based on information-seeking methods during primary care consultations","authors":"Nicolas Follet ,&nbsp;Sabine Bayen ,&nbsp;Marc Bayen ,&nbsp;Sophie Claeys ,&nbsp;Maurice Ponchant ,&nbsp;Charles Cauet","doi":"10.1016/j.pec.2025.109296","DOIUrl":"10.1016/j.pec.2025.109296","url":null,"abstract":"<div><h3>Objectives</h3><div>The evolution of medical practice and access to novel technologies, has precipitated a paradigm shift in the way general practitioners access information during consultations. The patient-GP relationship, predicated on trust, may be influenced by the methods used to seek information. The aim of this study was to assess the impact of the general practitioner's information-seeking methods during the consultation on patients' level of trust.</div></div><div><h3>Methodology</h3><div>A quantitative, cross-sectional, observational study was conducted among adult patients in the North of France. A standardized and anonymized questionnaire was disseminated online using Lime Survey® and through social networks and flyers that incorporated a QR code. The study assessed patients' level of trust in their general practitioners and the various methods by which they sought information.</div></div><div><h3>Limitations</h3><div>The study reports on selection and desirability biases linked to recruitment via social networks and the relationship of trust, privileged, longitudinal, and specific to primary care.</div></div><div><h3>Results</h3><div>Most patients trust their general practitioner. A positive correlation was identified between trust and the frequency of information seeking, the information provided to patients, and the sharing of results with them. The level of trust exhibited a negative correlation with the educational attainment of patients, which, in turn, exhibited a negative correlation with the level of trust.</div></div><div><h3>Conclusion</h3><div>The GP's transparency and the patient's involvement in the information-seeking process appear to be pivotal factors in enhancing the relationship of trust.</div></div><div><h3>Practice implications</h3><div>In the context of information seeking, patients are more inclined to place trust in the information provided by a colleague, a trainee, a book, and finally, a computer.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109296"},"PeriodicalIF":3.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771216","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}