Perceived Advantages and Disadvantages of Oral Anticoagulants, and the Trade-offs Patients Make in Choosing Anticoagulant Therapy and Adhering to Their Drug Regimen
Oral anticoagulant therapy (OAT) is proven to be highly effective for stroke prevention in patients suffering from atrial fibrillation (AF) [1,2]. Vitamin K antagonists (VKAs), particularly warfarin, which is the most commonly used VKA, have long been the standard of care to prevent AF-related stroke [3]. However, in recent years the European Medicines Agency has approved a number of direct oral anticoagulants (DOACs) as (possible) alternatives to VKAs. The perceived benefits of DOACs include their high efficacy and low risk of bleeding, the rapid onset/offset of action, fewer food and drug interactions, and predictable ph...
Source: Patient Education and Counseling - July 2, 2018 Category: International Medicine & Public Health Authors: Melissa C.W. Vaanholt, Marieke G.M. Weernink, Clemens von Birgelen, Catharina G.M. Groothuis-Oudshoorn, Maarten J. Ijzerman, Janine A. van Til Source Type: research
Accelerating Implementation of Shared Decision-Making in the Netherlands: An Exploratory Investigation
Shared decision-making (SDM) combines patient-centered communication skills with evidence-based medicine to achieve high-quality patient care [1]. It facilitates a process of collaboration and deliberation, based on “team talk,” “option talk,” and “decision talk” [2]. Professionals may use several steps and accompanying communication strategies to implement SDM [3]. While there is convincing evidence for the use of patient decision aids to support SDM [4], most of these aids have not subsequently be en implemented in the complexity of clinical practice. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - July 2, 2018 Category: International Medicine & Public Health Authors: Haske van Veenendaal, Trudy van der Weijden, Dirk T. Ubbink, Anne M. Stiggelbout, Linda A. van Mierlo, Carina G.J.M. Hilders Source Type: research
The Evaluation of a Brief Motivational Intervention to Promote Intention to Participate in Cardiac Rehabilitation: A Randomized Controlled Trial
Cardiovascular disease (CVD), to which acute coronary syndrome (ACS; myocardial infarction, unstable angina) is a major contributor [1], represents the leading cause of global mortality [2]. CVD is also responsible for reduced quality of life and substantial annual healthcare costs [3,4]. Cardiac rehabilitation (CR) is an empirically supported treatment to address risk factors and reduce mortality associated with CVD, and ACS in particular [5,6]. There is clear evidence of improved morbidity, survival, psychological distress, and cost-effectiveness resulting from CR [7 –10], but its therapeutic benefits and full populati...
Source: Patient Education and Counseling - June 26, 2018 Category: International Medicine & Public Health Authors: Codie R. Rouleau, Kathryn M. King-Shier, Lianne M. Tomfohr-Madsen, Simon L. Bacon, Sandeep Aggarwal, Ross Arena, Tavis S. Campbell Source Type: research
Fertility patients demonstrate an unmet need for the provision of psychological information: a cross sectional study
Infertility, defined as the inability to conceive after 12 months of unprotected sexual intercourse, affects approximately 11 to 16 % of Canadian couples [1]. The psychological consequences of infertility, such as increased stress, anxiety, depressive symptomatology, and stigma have been well documented [2 –4]. In addition to being distressed because of involuntary childlessness, a fertility patient may also experience stress because of the physically arduous and time-consuming nature of their treatment [5,6]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 25, 2018 Category: International Medicine & Public Health Authors: Shrinkhala Dawadi, Janet Takefman, Phyllis Zelkowitz Source Type: research
Should patients still be copied into their letters? A rapid review
The World Health Organisation (WHO) framework identifies five overarching strategies to encourage health services across the globe to become better integrated and more people-centred (Box 1). The first strategy describes the need to engage and empower people and communities in decision-making about their health [1]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 25, 2018 Category: International Medicine & Public Health Authors: Emma Harris, Priyanka Rob, Janet Underwood, Peter Knapp, Felicity Astin Tags: Review article Source Type: research
On how to define and measure SDM
In their paper in this issue of PEC, Callon et al. introduce an expanded framework to define and measure shared decision making (SDM) between clinicians and parents making decisions about elective otolaryngology surgery for their children [1]. They aim to allow for a more comprehensive understanding and analysis of SDM. Their endeavor to develop the coding scheme was based on their felt need to supplement the more theoretical ‘top-down’ approach through which existing coding schemes often were developed with a descriptive ‘bottom-up’ approach, based on observation of patient-clinician dialogue. (Source: Patient Edu...
Source: Patient Education and Counseling - June 22, 2018 Category: International Medicine & Public Health Authors: Arwen H. Pieterse, Hanna Bomhof-Roordink, Anne M. Stiggelbout Tags: Editorial Source Type: research
Editorial Board
(Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 22, 2018 Category: International Medicine & Public Health Source Type: research
Decision satisfaction among women choosing a method of pregnancy termination in the setting of fetal anomalies and other pregnancy complications: A qualitative study
Between 2% and 3% of all births are complicated by a major congenital anomaly [1]. When anomalies are diagnosed prenatally, many women will choose to terminate the pregnancy [2 –4]. Because prenatal diagnoses of fetal anomalies are most often made in the second trimester, terminations for these reasons typically occur between 14 and 24 weeks’ gestation. Other pregnancy complications such as maternal illness, preterm premature rupture of membranes prior to fetal viabili ty or fetal demise also may prompt a woman to seek termination services; these can occur at any time during pregnancy, including the second trimester. (...
Source: Patient Education and Counseling - June 22, 2018 Category: International Medicine & Public Health Authors: Jennifer L. Kerns, Alexis Light, Vanessa Dalton, Blair McNamara, Jody Steinauer, Miriam Kuppermann Source Type: research
Motivational interviewing training for medical students: a pilot pre-post feasibility study
Current ideas in medical ethics favour the promotion of greater patient autonomy, placing patients at the heart of the healthcare system [1]. Practitioners must seek to establish a therapeutic alliance with patients, encouraging them to accept care or adopt healthier behaviours. The practitioner ’s empathy towards the patient is a determining factor in therapeutic management [2–4]. The use of patient-centred communication by physicians and the training of medical students in communication skills are also associated with higher levels of satisfaction and lower levels of psychological dis tress in patients, especially in...
Source: Patient Education and Counseling - June 21, 2018 Category: International Medicine & Public Health Authors: Antoine Ch éret, Christine Durier, Nicolas Noël, Katia Bourdic, Chantal Legrand, Catherine D’Andréa, Evelyne Hem, Cécile Goujard, Patrick Berthiaume, Silla M. Consoli Source Type: research
Do Visual Aids Influenced Patients ’ Risk Perceptions for Rare and Very Rare Risks?
Patients with rheumatic diseases are being increasingly asked to participate in treatment decisions with their physicians. This is especially true for clinical scenarios in which multiple options exist, such as escalating care to treat-to-target in rheumatoid arthritis. In order to effectively participate in medical decisions, patients must be able to differentiate between competing risks. While informed decision making does not require patients to be able to recall specific verbatim numeric information, it does require patients to be able to distinguish between a rare and very rare (e.g., 1% versus a 0.1%) probability of ...
Source: Patient Education and Counseling - June 19, 2018 Category: International Medicine & Public Health Authors: Liana Fraenkel, Valerie Reyna, Raluca Cozmuta, Diana Cornell, Julia Nolte, Evan Wilhelms Source Type: research
Affective communication during bad news consultation. Effect on analogue patients ’ heart rate variability and recall
The communication of an incurable cancer diagnosis has many implications for patients. While experiencing an intense emotional involvement related to their future perspective, patients are often asked to take quick decisions about their health. As a consequence feelings of anxiety, apprehension and nervousness are frequently reported [1,2]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 18, 2018 Category: International Medicine & Public Health Authors: Olivia Purnima Danzi, Cinzia Perlini, Federico Tedeschi, Mimma Nardelli, Alberto Greco, Enzo Pasquale Scilingo, Gaetano Valenza, Lidia Del Piccolo Source Type: research
What adolescents living with long-term conditions say about being involved in decision-making about their healthcare: A systematic review and narrative synthesis of preferences and experiences
Adolescence is a critical period of psychosocial development in which people experience a change in interpersonal roles, responsibilities and identity [1,2]. Unsurprisingly, these years can be more complex for those living with a long-term health condition (LTC). Adolescents with LTCs increasingly take on self-management responsibility, sometimes doing the majority of self-care tasks by the age of 13 [3 –7]. However, self-management and health outcomes of patients with LTCs often decline during adolescence, which can lead to increased likelihood health complications and hospital admissions [7–9]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 18, 2018 Category: International Medicine & Public Health Authors: Amber Jordan, Fiona Wood, Adrian Edwards, Victoria Shepherd, Natalie Joseph-Williams Tags: Review article Source Type: research
Improving informed consent in cardiac surgery by enhancing preoperative education
‘Informed consent’ refers to the process of providing patients with sufficient information that allows them to make a voluntary and informed decision whether to undergo or forego a procedure, provided that the information given is capable of being understood by the patient [1]. They need to be w ell informed to be able to participate in decision making as patients who are actively involved in their own health care experience better health outcomes while incurring lower healthcare costs [2–4]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 18, 2018 Category: International Medicine & Public Health Authors: Claudia Villanueva, Arpit Talwar, Mathew Doyle Tags: Review article Source Type: research
Affective communication during bad news consultation: effect on analogue patients' heart rate variability and recall
The communication of an incurable cancer diagnosis has many implications for patients. While experiencing an intense emotional involvement related to their future perspective, patients are often asked to take quick decisions about their health. As a consequence feelings of anxiety, apprehension and nervousness are frequently reported [1 –2]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 18, 2018 Category: International Medicine & Public Health Authors: Olivia Purnima Danzi, Cinzia Perlini, Federico Tedeschi, Mimma Nardelli, Alberto Greco, Enzo Pasquale Scilingo, Gaetano Valenza, Lidia Del Piccolo Source Type: research
A path model linking health literacy, medication self-efficacy, medication adherence, and glycemic control
Diabetes was the 7th leading cause of death in the U.S in 2014, affecting at least 29.1 million people [1]. Diabetes care is so costly that approximately every $1 in $5 health care dollars in the U.S was spent on caring for patients with diagnosed diabetes [2]. Individuals with diabetes spend 2.3 times more in terms of health care expenditures than those without diabetes in the U.S[2]. Though the US Department of Health and Human Services has made much effort in preventing diabetes incidence and improving the prognosis of patients with diabetes, the cost of diabetes care has steadily risen over the past ten years[3]. (Sour...
Source: Patient Education and Counseling - June 17, 2018 Category: International Medicine & Public Health Authors: Yen-Ming Huang, Olayinka O. Shiyanbola, Hsun-Yu Chan Source Type: research
