Patient Education and Counseling最新文献

{"title":"“Safer than driving”: Risk communication about surgery with racially diverse families in pediatric urology visits","authors":"Francesca A. Williamson ,&nbsp;Jessica Nina Lester ,&nbsp;Jennifer K. Mattei ,&nbsp;Marium Asghar ,&nbsp;Koya Ferrell ,&nbsp;Georgiana Estrella ,&nbsp;Pankaj Dangle","doi":"10.1016/j.pec.2025.109286","DOIUrl":"10.1016/j.pec.2025.109286","url":null,"abstract":"<div><h3>Objective</h3><div>To examine how pediatric urologists and families invoke and manage surgery-related risk discussions during face-to-face visits.</div></div><div><h3>Methods</h3><div>We used Reflective Interventionist Conversation Analysis to examine a dataset of 19 risk discussion sequences across 11 video-recorded visits with a racially and ethnically diverse sample of pediatric urology patients and families. All data are United States English.</div></div><div><h3>Results</h3><div>Our analysis identified three patterns. Risk discussions 1) usually took place late within the general structure of visits, 2) most often occurred during or after gathering and discussing diagnostic evidence and treatment options, and 3) sometimes occurred in response to interactional difficulties (e.g., disagreement with treatment recommendations). Urologist-initiated risk discussions were formulated as information or as resources to respond to interactional problems. Notably, caregivers rarely initiated conversations about risks, but they often disclosed concerns after urologists implied or introduced notions of risk.</div></div><div><h3>Conclusions</h3><div>The practices urologists used reveal how urologists and families negotiated and treated risks as sensitive yet salient matters in real-time encounters. More research on risk communication in pediatric surgical specialties with racially diverse populations is needed to bridge knowledge and health equity gaps.</div></div><div><h3>Practical implications</h3><div>This study’s findings have implications for creating pediatric risk communication training informed by evidence from real-time encounters, developing strategies for involving children in surgery-related risk discussions, and enhancing surgery-related risk communication with structural competency training.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109286"},"PeriodicalIF":3.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144810041","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, communicating, and de-escalating risk in high-stakes settings: How conversation analysis research can underpin communication training","authors":"Charlotte Albury ,&nbsp;Rose McCabe ,&nbsp;Dipti Patel ,&nbsp;Elizabeth Stokoe","doi":"10.1016/j.pec.2025.109281","DOIUrl":"10.1016/j.pec.2025.109281","url":null,"abstract":"<div><h3>Objective</h3><div>Communicating risk in high-stakes settings can prevent avoidable deaths. Communicating, assessing and managing risk is a critical part of many healthcare and related professionals’ roles. However, there is a dearth of empirical research on risk communication in practice. Training is seldom based on empirical evidence, meaning professionals communicating in some of the most urgent circumstances may have little formal knowledge of how to communicate about risk in practice. Focusing on high-stakes settings, we describe three projects involving work with diverse professionals to improve how they communicate to identify, mitigate, and manage risk. We integrate insights for others considering similar projects.</div></div><div><h3>Methods</h3><div>We present three projects where communication training about current or future threat to life in high-stakes settings was developed based on conversation analysis (CA) and its findings. Projects focused on (1) communicating the risks of emergency medical evacuation during infectious disease outbreaks (2) risk communication about suicidality and self-harm (3) crisis negotiation in the context of suicide threats</div></div><div><h3>Results</h3><div>In each project, researchers collaborated with practitioners to understand communication about risk moment-by-moment. They used CA to identify key challenges and develop empirical evidence of (in)effective communication practices. The evidence was used to develop resources for practitioner training. Integrated insights showed that: training is well received, core risk communication practices were often absent from extant training; collaboration with partners is crucial; and resources/funding constraints limited formal evaluation.</div></div><div><h3>Conclusion</h3><div>Conversation analytic research can generate insights on how risk is assessed and managed moment-by-moment in practice. These insights can underpin training based on evidence from real communication.</div></div><div><h3>Practice implications</h3><div>Developing training from empirical CA can equip professionals working in urgent and high-stakes circumstances to meet and address challenges in practice. Future work is likely to include systematic evaluation of the impact on interactions and patient outcomes.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109281"},"PeriodicalIF":3.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771217","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":"Tailoring chemoradiotherapy treatment information to the evolving, individual needs of adult brain cancer patients throughout the treatment trajectory: A scoping review","authors":"Sharon Fernandez ,&nbsp;Rosemary Godbold","doi":"10.1016/j.pec.2025.109273","DOIUrl":"10.1016/j.pec.2025.109273","url":null,"abstract":"<div><h3>Objective</h3><div>Brain tumour patients' needs evolve throughout the chemoradiotherapy pathway, thus requiring individualised information and support. Providing tailored information that is adaptable based on individual needs and preferences, is essential for eradicating the <em>‘one size fits all ethos’</em> and instigates a truly person-centred pathway.</div></div><div><h3>Methods</h3><div>A comprehensive search for articles published between 2003 and 2023 across Ovid MEDLINE, Embase, Emcare, EBSCO CINAHL and Google Scholar using pre-defined inclusion criteria, was conducted to identify studies that reported on the provision of tailored information and support to individual need in adult brain tumour patients. Data extraction tables were created to facilitate a narrative synthesis of the results. Inductive content analysis was used to determine refined codes to tailor the findings and discussion.</div></div><div><h3>Results</h3><div>In total, nine articles met the pre-defined inclusion criteria. Five refined codes emerged from the analysis: 1) <em>targeting information, 2) improving patient preparedness by meeting unmet needs, 3) timely information using adaptable methods of delivery, 4) improving relationships between healthcare professional (HCP)</em> and <em>patient and 5) a question of timing across the disease trajectory</em>.</div></div><div><h3>Conclusion</h3><div>Findings indicate that there are many gaps to be further explored. Developing a richer understanding of personalised pathways, improving communication, strengthening HCP training, and adapting information delivery methods are some of the key recommendations highlighted. Overarching systemic challenges need to be addressed before current person-centred care pathways can be improved.</div></div><div><h3>Practice implications</h3><div>To introduce adaptable delivery methods for information, including expansion into telehealth platforms to collect real-time patient insight. To strengthen HCP training to deliver more tailored information at varying timepoints. To advocate for policy change regarding workforce capacity and patient waiting times.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109273"},"PeriodicalIF":3.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771215","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":"Why do Chinese patients avoid health information? The role of caregiver burden perception and self-stigma","authors":"Jiangtao Han ,&nbsp;Runhua Tang ,&nbsp;Zheng Zhang","doi":"10.1016/j.pec.2025.109275","DOIUrl":"10.1016/j.pec.2025.109275","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to investigate the roles of perceived caregiver burden, personal income, and self-stigma in health information avoidance behavior.</div></div><div><h3>Methods</h3><div>A total of 876 eligible Chinese patients were recruited using cross-sectional data collection. Relevant variables were measured with the Caregiver Burden Scale, Self-Stigma Scales, and Health Information Avoidance Scale. Data analysis included descriptive statistics, correlation analysis, and mediation model testing.</div></div><div><h3>Results</h3><div>The research findings revealed significant correlations between perceived caregiver burden, self-stigma, and health information avoidance (<em>p</em> &lt; 0.001). Mediation analysis demonstrated that perceived caregiver burden indirectly influenced health information avoidance through self-stigma (<em>β</em>=0.5, accounting for 80.6 %), with self-stigma cognition (<em>β</em>=0.21, <em>p</em> &lt; 0<em>.</em>001) and self-stigma behavior (<em>β</em>=0.44, <em>p</em> &lt; 0.001) significantly contributing to the tendency to avoid health information. The direct effect of income on health information avoidance was not significant (<em>β</em>=-0.06, <em>p</em> = 0.34), and its indirect effect through self-stigma was also not significant.</div></div><div><h3>Conclusion</h3><div>Heavy caregiver burden and high self-stigma are significant factors influencing health information avoidance, whereas income level has no significant direct effect. Therefore, reducing caregiver burden and self-stigma may be more effective than merely increasing income. It is recommended to enhance social support, improve caregiver environments, and strengthen welfare policies to mitigate health information avoidance.</div></div><div><h3>Practice Implications</h3><div>Reducing caregiver burden and cognitive-behavioral self-stigma through culturally sensitive support may curb health information avoidance among Chinese patients.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109275"},"PeriodicalIF":2.9,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144716168","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":"Asking about drug allergies: Managing antimicrobial medicines-related risks in primary care in England and Sweden","authors":"Rebecca K. Barnes ,&nbsp;Anna Lindström","doi":"10.1016/j.pec.2025.109287","DOIUrl":"10.1016/j.pec.2025.109287","url":null,"abstract":"<div><h3>Objective</h3><div>Penicillins are the most common cause of drug-induced anaphylaxis worldwide, yet penicillin allergy status is seldom clinically tested and therefore reliant on patient report. Managing risk of harm is fraught with uncertainties: patients may not always be truly allergic and medical records may not be accurate. The aim of this study was to investigate how conversations about drug allergy risks unfold when prescribing for common infections.</div></div><div><h3>Method</h3><div>We screened 156 acute primary care consultations for adult patients presenting with upper respiratory concerns in England and Sweden to identify all cases where drug allergies were raised. Data are in British English and Swedish. We used conversation-analytic methods to make systematic observations on how the topic was initiated; the activity context; the patient’s response and any subsequent mention of drug allergy; identifying recurrent patterns within and across the two datasets.</div></div><div><h3>Results</h3><div>In both datasets, drug allergies were raised in just over one third of consultations most often via questions conveying a bias towards a ‘no allergy’ outcome. When asked during information-gathering, the question was sometimes misunderstood as asking about allergies in general. In the majority of cases, no allergies were reported, yet patients often qualified their ‘no allergy’ answers displaying uncertainty. Patients who did report allergies were seldom questioned about the nature of their symptoms. Where patient allergy status was contested or neglected by doctors and brought to the interactional surface, work was done by both parties to maintain neutrality or display cautiousness around different territories of knowledge.</div></div><div><h3>Conclusion</h3><div>Our analysis reveals common interactional problems faced by prescribing professionals when managing the risk of patient harm from drug allergies when recommending antimicrobials.</div></div><div><h3>Practice Implications</h3><div>This study has provided pre-intervention evidence for how drug allergy checking can be improved. Other simple changes may help to identify low-risk individuals for future testing.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109287"},"PeriodicalIF":3.1,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749467","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":"“To reach the new generation… TikTok:” Applying behavioral economics to adolescent and young adult HIV pre-exposure prophylaxis education","authors":"Carly E. Guss ,&nbsp;Brittany Gluskin ,&nbsp;Danielle DeMaio ,&nbsp;Lauren Wisk ,&nbsp;Douglas Krakower","doi":"10.1016/j.pec.2025.109277","DOIUrl":"10.1016/j.pec.2025.109277","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate how adolescents and young adults (AYA) would respond to the framing of health messages for HIV pre-exposure prophylaxis (PrEP) using principles of psychology and economics (behavioral economics). Our hypothesis was that gain-frame messaging (focused on benefits) would be better received than loss-frame messaging (focused on risks).</div></div><div><h3>Methods</h3><div>Focus groups were held to determine AYA preferences for messaging around PrEP to design a social media video. Two videos were developed using either gain-frame (emphasized positive effects of PrEP) or loss-frame messaging (emphasized negative consequences of non-use). Thirty AYA were shown the videos and interviewed about their impressions, message framing preferences, and impact.</div></div><div><h3>Results</h3><div>Interviews were held May – October 2023. Participants ranged in age from 15 to 25 years (mean 21.5 years) and the majority identified as White (70.0 %). Most (80.0 %) identified as cisgender. A third (33.3 %) had ever tested for HIV, none had an HIV diagnosis, and 36.7 % did not feel that PrEP applied to them personally. Thematic findings included: generally positive views of PrEP, AYA would like to see the video in a doctor’s office as this would make it more trustworthy (20 %), and the video would lead them to do additional research. Gain-framed messaging was preferred over the loss-framed video messaging (53.3 %). PrEP efficacy was the most important medical fact presented. AYA disliked advertisement-like or “staged” video elements and favored genuineness and relatability.</div></div><div><h3>Conclusion</h3><div>AYA preferred gain-framed over loss-frame PrEP messaging, and information on PrEP efficacy delivered by authentic messengers is likely to resonate. Our study generalizability may be limited due to a primarily cisgender and White sample<strong>.</strong> These findings offer novel insights into AYA perspectives around PrEP messaging for brief videos that could be disseminated through social media for PrEP education.</div></div><div><h3>Practice implications</h3><div>Health care professionals should consider using social media and gain-framed messages for health education.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109277"},"PeriodicalIF":3.1,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749466","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":"Reproductive healthcare professionals’ comfort to treat postpartum patients with substance use disorders","authors":"Leah Holcomb ,&nbsp;Rachel Mayo ,&nbsp;Jennifer Barkin ,&nbsp;Kathleen Cartmell ,&nbsp;Lior Rennert ,&nbsp;Lori Dickes ,&nbsp;Kacey Eichelberger","doi":"10.1016/j.pec.2025.109276","DOIUrl":"10.1016/j.pec.2025.109276","url":null,"abstract":"<div><h3>Objective</h3><div>Despite the increasing prevalence of substance use disorders (SUD) in pregnant and postpartum people (PPP), little is known about reproductive healthcare professionals' (RHPs) comfort with SUD counseling, including screening, brief intervention, and referral to treatment (SBIRT). Understanding these factors is essential to improving early identification of SUD and improved care delivery. This study employed a novel Likert-scale survey to assess RHPs’ self-reported comfort with the SBIRT approach for PPP. Qualitative data was collected via open ended questions to explore perceptions of necessary training and resources to enhance support for PPPs with SUDs.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional survey with a national sample of RHPs (n = 117). The survey captured comfort in the SBIRT approach in postpartum patient care delivery via two vignettes and associated Likert scales measuring overall comfort. The survey was assessed for validity and reliability. Analysis of free text responses within the survey explored perceptions of necessary training and resources to improve care delivery.</div></div><div><h3>Results</h3><div>Participants were mostly White (77.8 %) and female (93.2 %), and ages ranged 22–55 years. The opioid, methamphetamine, and overall comfort scales demonstrated strong internal reliability (Cronbach’s α =.83,.81, and.90, respectively). The mean comfort score was 61.35 (SD=10.83). Profession type (p &lt; 0.001), prior SUD-specific training (p = 0.002), and higher SUD patient volume (p &lt; 0.001) were significantly associated with increased comfort. Qualitative themes emphasized the need for expanded perinatal SUD education, stigma reduction, and integrated, trauma-informed care to reduce resource gaps in postpartum screening, mental health services, and peer support programs.</div></div><div><h3>Conclusion</h3><div>Health professionals report a need for expanded access to postpartum-specific SUD training and increased referral options to assist patients.</div></div><div><h3>Practice implications</h3><div>Future interventions to increase the comfort and capacity of RHPs for screening, briefly intervening, and referring postpartum patients with SUD are necessary to improve care delivery for this high-risk population.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109276"},"PeriodicalIF":3.1,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the validity of US Pharmacopeia pictograms among young Spanish citizens who have completed secondary education","authors":"Francisco Javier Ferreira-Alfaya ,&nbsp;Yasmin Cura ,&nbsp;María José Zarzuelo-Romero","doi":"10.1016/j.pec.2025.109274","DOIUrl":"10.1016/j.pec.2025.109274","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the validity of US Pharmacopeia pictograms among young Spanish citizens who have completed secondary education.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study was conducted in Melilla, Spain, with young citizens who completed secondary education in 2021–2022, recruited through convenience sampling. A random selection of US Pharmacopeia pictograms was assessed to examine comprehension results and their relationship with relevant sociodemographic variables and Health Literacy measured using the validated questionnaire (HLS-EU-Q16). Only pictograms meeting the ISO comprehensibility threshold of 66.70 % upon initial presentation were considered valid. Simple linear regression analyzed user factors affecting pictogram comprehension, and significant variables (p &lt; 0.05) were included in a multiple regression to evaluate their combined effect.</div></div><div><h3>Results</h3><div>Of the 20 pictograms evaluated, 12 met the minimum comprehensibility threshold. Some safety-related pictograms showed particularly low results. For instance, the pictogram intended to convey “flammable” had a notably low comprehensibility rate (29.33 %). Health literacy was the strongest predictor of comprehension, with higher scores among individuals with high Health literacy (67.77 %) compared to those with low Health literacy (61.79 %). The multivariate model confirmed that Health literacy (p = 10⁻⁴), male gender (p = 0.029), non-European origin (p = 0.034), and age (p = 0.037) were associated with lower comprehension.</div></div><div><h3>Conclusions</h3><div>US Pharmacopeia pictograms do not achieve sufficient comprehensibility to ensure the safe and appropriate use of medications in this population. New pictograms will need to be developed or existing ones reconceptualized to ensure valid use within this population.</div></div><div><h3>Practice implications</h3><div>Enhancing Health Literacy education in schools is crucial for improving the comprehension of pharmaceutical pictograms, ensuring their effective application in health communication strategies.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109274"},"PeriodicalIF":3.1,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724762","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":"Artificial intelligence and language discordant healthcare encounters: Challenges, opportunities, and recommendations","authors":"Jenny Ruiz ,&nbsp;Rose L. Molina ,&nbsp;Antoon Cox ,&nbsp;Lisa C. Diamond ,&nbsp;Leah Karliner ,&nbsp;Raquel Lazaro Gutierrez ,&nbsp;Shuangyu Li ,&nbsp;Roukayya Oueslati ,&nbsp;Carmen Pena Diaz ,&nbsp;Barbara Schouten","doi":"10.1016/j.pec.2025.109272","DOIUrl":"10.1016/j.pec.2025.109272","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"139 ","pages":"Article 109272"},"PeriodicalIF":2.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714063","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 and contextual variables contribute to patients’ perception of general practitioners’ empathy","authors":"Sophie Lelorain ,&nbsp;Axel Descamps ,&nbsp;Nicola Grignoli ,&nbsp;Thomas Pruvost ,&nbsp;Antoine Dhelft ,&nbsp;Marie-Anne Rouhier ,&nbsp;Elise Lallemant ,&nbsp;Alissa Sebbah ,&nbsp;Claire Pinçon","doi":"10.1016/j.pec.2025.109268","DOIUrl":"10.1016/j.pec.2025.109268","url":null,"abstract":"<div><h3>Objectives</h3><div>Patient-Perceived Physician Empathy (PPPE) is associated with positive outcomes for patients, quality of care and health expenditure. Research has often focused on physician-related predictors of PPPE, but barriers to empathy in general practice may also be contextual, such as lack of time, or patient-related, such as multimorbidity. Consequently, our aim was to explore the effect of these variables on PPPE.</div></div><div><h3>Methods</h3><div>In a cross-sectional design, 50 randomly recruited physicians included 20 consecutive adult patients with one or more chronic disease(s). Physician characteristics and work environment data were collected (e.g., gender, age, practice setting, caseload). Physicians filled in patients’ diseases, and patients filled in validated self-reported questionnaires on their health, emotional skills (i.e their ability to identify, express and regulate emotions) and their perception of ten physician empathic behaviours (CARE scale). Multilevel linear regressions were performed using SAS.</div></div><div><h3>Results</h3><div>The median PPPE score was 45 [possible range: 10—50] (n = 762), with higher rates in patients who had seven or more consultations with the physician in the last 12 months and lower in patients with genitourinary and upper gastrointestinal diseases. In consultations ≤ 20 min, the positive effect of longer consultations on PPPE was stronger in patients with low self-reported emotional skills, whereas patients with high self-reported emotional skills gave high ratings on the CARE scale, even in very short consultations of 5–10 min. Among the 11 physician-related candidate variables, only physician age slightly decreased PPPE.</div></div><div><h3>Conclusions</h3><div>Patient-related and contextual variables were associated with PPPE.</div></div><div><h3>Practice implications</h3><div>Consultations with infrequently seen patients and patients with low self-reported emotional skills should ideally last at least 20 min to allow the empathic process to unfold. Patients with genitourinary and upper-gastrointestinal diseases should be given special consideration, as they may encounter intimate issues or specific needs requiring more attention.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"140 ","pages":"Article 109268"},"PeriodicalIF":2.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704087","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}