Improving Medication Adherence in the Pediatric Population using Integrated Care of Companion Animals
Medication non-adherence occurs in more than half of children with chronic conditions. Unfortunately, most strategies for improving adherence have had limited success in the pediatric population highlighting the need for novel interventions that establish healthy self-management habits for children and adolescents. In this paper we discuss innovative strategies to improve adherence by embedding a medical regimen within a pet care routine, thereby capitalizing on the benefits of a structured habit while providing opportunities for development of autonomy in children and fostering collaborative parent interactions. (Source: ...
Source: Patient Education and Counseling - May 24, 2018 Category: International Medicine & Public Health Authors: Olga T. Gupta, Deborah J. Wiebe, Elizabeth A. Pyatak, Alan M. Beck Tags: Discussion Source Type: research

Evaluation of a structured pharmacist-led Inhalation Technique Assessment Service for patients with asthma and COPD in Norwegian pharmacies
Asthma and chronic obstructive pulmonary disease (COPD) patients rely on inhaled medications for disease management. Many patients risk sub-optimal effect of their medication due to incorrect use [1 –7]. Previous studies have shown that inhaler technique education leads to improved inhalation technique, and that community pharmacists are in a particularly good position to provide such education since they are easily accessible primary health care professionals [8–10]. Studies so far have ge nerally evaluated interventions conducted exclusively for specific studies or in limited geographical areas. (Source: Patient Educ...
Source: Patient Education and Counseling - May 22, 2018 Category: International Medicine & Public Health Authors: Karine Wab ø Ruud, Stine Wang Rønningen, Per Kristian Faksvåg, Hilde Ariansen, Ragnar Hovland Source Type: research

Beginning with High Value Care in Mind: A Scoping Review and Toolkit to Support the Content, Delivery, Measurement, and Sustainment of High Value Care
A core tenet of personal and system effectiveness is “beginning with the end in mind” [1]: starting with the outcomes you want to effect and charting the pathway to those outcomes. In healthcare, “beginning with the end in mind” has evolved to mean “beginning with high value care in mind” and would ideally include a shared understanding of the definition, pathway, and importance of high value care and the best ways to effect, measure, and sustain high value care and value. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 20, 2018 Category: International Medicine & Public Health Authors: Stacey L. Sheridan, Katrina E. Donahue, Alison R. Brenner Source Type: research

Patient perspectives on racial and ethnic implicit bias in clinical encounters: Implications for curriculum development
In North America, after several decades of focus on cultural competency instruction in medical education [1 –3], health disparities persist [4,5] and racial and ethnic minority respondents are still more likely to perceive bias when seeking medical treatment than Whites [6]. Implicit bias refers to the unconscious and unintentional assumptions people make about each other. Evidence demonstrates this bia s negatively impacts patient’s perceptions of the clinical encounter [7–9] treatment recommendations [10], and trust [11–14]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 20, 2018 Category: International Medicine & Public Health Authors: Cristina M. Gonzalez, Maria L. Deno, Emily Kintzer, Paul R. Marantz, Monica L. Lypson, M. Diane McKee Source Type: research

Validation of a combined health literacy and numeracy instrument for patients with type 2 diabetes
Health literacy is defined as “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions”[1]. Health numeracy is defined as “the degree to which individuals have the capacity to access, process, interpret, communica te, and act on numerical, quantitative, graphical, bio-statistical, and probabilistic health information needed to make effective health decisions”[2]. Both low health literacy and low health numeracy have been associated with poor health outcomes [3–5]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 20, 2018 Category: International Medicine & Public Health Authors: Huabin Luo, Shivajirao P. Patil, Qiang Wu, Ronny A. Bell, Doyle M. Cummings, Alyssa D. Adams, Bertha Hambidge, Kay Craven, Fei Gao Source Type: research

A Systematic Review of Medical Mistrust Measures
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 17, 2018 Category: International Medicine & Public Health Authors: Lillie D. Williamson, Cabral A. Bigman Tags: Review article Source Type: research

Determinants of physical activity promotion by smoking cessation advisors
While physical activity (PA) is considered effective in reducing tobacco withdrawal and cravings [1,2], evidence is lacking on the relationship between PA promotion and smoking cessation in a clinical setting. To date, only one study has investigated the extent to which smoking cessation advisors promote PA, finding that 56% of advisors engage in PA promotion (29-minute mean duration across a 6 –7-week intervention period) [3]. Understanding determinants of PA-related counseling behaviors by these advisors could be crucial in optimizing smoker-related care [4]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 17, 2018 Category: International Medicine & Public Health Authors: S ébastien Mas, Paquito Bernard, Mathieu Gourlan Tags: Short communication Source Type: research

Content Analysis of Antiretroviral Adherence Enhancing Interview Reports
Although there is no universally accepted definition of medication adherence, it is defined as the extent to which the patient follows a medication regimen as intended by the prescriber [1]. It has three phases; initiation, which marks the start of the treatment; implementation, which marks the extent to which the patient follows the dosing regimen, and finally discontinuation, which marks the interruption of treatment [1]. Nonadherence can occur in any of those phases such as non-initiation, premature interruption of treatment, defined as non-persistence, or suboptimal implementation [2]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 17, 2018 Category: International Medicine & Public Health Authors: Susan Kamal, Paul Nulty, Olivier Bugnon, Matthias Cavassini, Marie P. Schneider Source Type: research

Factors associated with physical activity promotion by allied and other non-medical health professionals: A systematic review
Physical inactivity continues to be a leading cause of the burden of disease and mortality globally [1]. Yet, one-third of adults do not reach the levels of physical activity (PA) recommended in public health guidelines [2]. Considering the magnitude of the problem of inactivity, optimising management of this important risk factor must be a priority concern for all health professionals. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 10, 2018 Category: International Medicine & Public Health Authors: Paul Crisford, Tania Winzenberg, Alison Venn, Martin Schultz, Dawn Aitken, Verity Cleland Tags: Review article Source Type: research

rEACH, research committee of EACH: Updates on activities
(Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 9, 2018 Category: International Medicine & Public Health Source Type: research

Editorial Board
(Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 9, 2018 Category: International Medicine & Public Health Source Type: research

Family involvement, patient engagement and benefits of patient education interventions
A major concern in patient education and in healthcare in general is to involve and engage patients and their relatives and significant others in prevention, treatment, rehabilitation and care. In today ’s healthcare scene, patients are not any more passive, individual recipients of care. In the current issue of PEC we publish a number of review articles which in different ways concern family involvement, patient engagement and interventions in the field of patient education. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 9, 2018 Category: International Medicine & Public Health Authors: Arnstein Finset Tags: From the Editor Source Type: research

How to support cancer genetics counselees in informing at-risk relatives? Lessons from a randomized controlled trial
In early-onset breast, ovarian or colorectal cancer or in families with multiple family members affected by these cancer types pedigree analysis and DNA testing can lead to a diagnosis of hereditary or familial cancer. This diagnosis implies a high or increased cancer risk for the index patient, i.e., the first in a family to request cancer genetic counseling, which then can lead to appropriate surveillance or preventive measures. In general, the diagnosis of an increased cancer risk also has implications for multiple at-risk relatives. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 8, 2018 Category: International Medicine & Public Health Authors: Willem Eijzenga, Eveline de Geus, Cora M. Aalfs, Fred H. Menko, Rolf H. Sijmons, Hanneke C.J.M. de Haes, Ellen M.A. Smets Source Type: research

Students ’ experiences with a longitudinal skills training program on breaking bad news: a follow-up study
Every doctor, some more than others, has to break bad news (BBN) to patients. Inadequately broken bad news is associated with increased stress and anxiety, poor adaptation to the bad news and reduced health outcomes in patients, but also affects the doctor-patient relationship [1 –3]. Additionally, poorly delivered bad news can also contribute to anxiety and burnout in doctors [4]. This stresses the relevance to include BBN skills in the teaching of all future doctors, and gain insight in how this influences students. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 7, 2018 Category: International Medicine & Public Health Authors: M.H. Brouwers, H. Bor, R. Laan, C. van Weel, E. van Weel-Baumgarten Source Type: research

How interpreters influence patient participation in medical consultations: The confluence of verbal and nonverbal dimensions of interpreter-mediated clinical communication
Patient participation is an essential aspect of patient-centered care [1]. Studies have associated patients ’ level of active participation with a variety of outcomes, such as improved psychological well-being [2] and treatment adherence [3]. Yet, a growing body of research on communication in which the patient’s companion (e.g. spouse) participates in the consultation has shown that patients particip ated less than they did in consultations where only they and the doctor were present [4]. In the presence of a companion, it is more likely for the patient to be presented with limited opportunities for participation in t...
Source: Patient Education and Counseling - May 4, 2018 Category: International Medicine & Public Health Authors: Demi Krystallidou, Peter Pype Source Type: research