The Effects of Persuasive Messages on Cancer Patients ’ Attitudes, Norms and Intention to Express Concerns
Expressing concerns during cancer consultations has been associated with various positive outcomes for patients, such as reduced levels of anxiety and better well-being [1,2]. Although this expression seems beneficial, cancer patients often do not voice their concerns during consultations [3,4]. Different interventions have been developed to support cancer patients in expressing their concerns [e.g., 3, 5 –9]. Most of these interventions consist of tools to prepare the consultation such as concern lists. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - November 1, 2018 Category: International Medicine & Public Health Authors: Kim Brandes, Annemiek J. Linn, Julia C.M. van Weert, Mathilde G.E. Verdam, Edith G. Smit Source Type: research

The time is now: Fostering relationship-centered discussions about patients ’ social determinants of health
Social determinants of health (SDOH) – “the conditions, in which people are born, grow, work, live and age” – are strong predictors of morbidity and mortality [1]. Up to 70% of the variance in preventable deaths are attributable to socioeconomic factors such as income and educational attainment, built environment conditions suc h as neighborhood walkability, and unhealthy behaviors such as poor dietary habits, substance use, and physical inactivity [2]. In contrast, medical care contributes to 10-20% of the variance in preventable deaths [2]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 29, 2018 Category: International Medicine & Public Health Authors: Antoinette Schoenthaler, Iman Hassan, Kevin Fiscella Source Type: research

Women ’s Preferences For and Experiences With Prenatal Genetic Testing Decision Making: Sociodemographic Disparities in Preference-Concordant Decision Making
Shared decision making has been advocated as an ideal approach to clinical encounters in which multiple, reasonable courses of action are available and the 'best' choice depends, in part, on patient values and preferences [1 –3]. However, numerous studies have demonstrated that patients differ in their preferences for participation in a variety of clinical decisions [4,5]. Investigations into the extent to which there is concordance between patients’ preferred approach to decision making and what actually occurs in the clinical encounter are limited [6,7]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 29, 2018 Category: International Medicine & Public Health Authors: Fabiola Molina, Christine Dehlendorf, Steven E. Gregorich, Miriam Kuppermann Source Type: research

Motivating People to Sustain Healthy Lifestyles using Persuasive Technology: A Pilot Study of Korean Americans with Prediabetes and Type 2 Diabetes
Over the past 12 years, the number of people with diabetes has steadily increased to pandemic levels [1]. In the U.S., among people age 30 years or older, the prevalence of type 2 diabetes (hereafter diabetes) rose from 8.5% in 1999 –2000 to 11.3% in 2013–2014, while prediabetes almost doubled (from 16.0% to 27.4%). The total number of prescription medications increased from 1.9 to 2.7 per person, and diabetes-specific medications increased from 1.3 to 1.8. Yet despite aggressive pharmacotherapy, the levels of diabetes-rela ted biomarkers (hemoglobin A1C, blood plasma insulin, and glucose) also rose, even though overal...
Source: Patient Education and Counseling - October 29, 2018 Category: International Medicine & Public Health Authors: Miyong T. Kim, Kim Byeng Kim, Tam H. Nguyen, Jisook Ko, Jim Zabora, Elizabeth Jacobs, David Levine Source Type: research

Smartphone-based prenatal education for parents with preterm birth risk factors
One in every ten infants in the U.S. is born prematurely at (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 29, 2018 Category: International Medicine & Public Health Authors: U. Olivia Kim, K. Barnekow, S.I. Ahamed, S. Dreier, C. Jones, M. Taylor, Md.K. Hasan, M.A. Basir Source Type: research

“Am I OK?” Using human centered design to empower rheumatoid arthritis patients through patient reported outcomes
Rheumatoid arthritis (RA) is the most common inflammatory arthritis affecting up to 1% of U.S. adults and causing significant disability, excess mortality and economic burden [1,2]. The disease is characterized by pain and swelling in the joints, fatigue, and profound joint stiffness. Over time, inflammation can cause joint deformities and impair physical functioning. RA is among the few chronic diseases that have an existing set of validated Patient Reported Outcomes (PROs, including disease activity and physical function) that show promise in improving outcomes when used as part of routine clinical care [3,4]. (Source: P...
Source: Patient Education and Counseling - October 27, 2018 Category: International Medicine & Public Health Authors: Dana Ragouzeos, Julie Gandrup, Beth Berrean, Jing Li, Marie Murphy, Laura Trupin, Jinoos Yazdany, Gabriela Schmajuk Source Type: research

Navigating uncertainty: Narrative Medicine in pregnancy options counseling education
The Association of Professors of Gynecology and Obstetrics (APGO), designates nondirective counseling of patients with unintended pregnancy, or “pregnancy options counseling” as a necessary competency in medical education [1]. The addition of this competency acknowledges that regardless of their chosen specialty, students will encounter patients grappling with decisions around unintended pregnancy. Such patients need clear counseling on their pregnancy options – to seek prenatal care, adoption or abortion – and students must learn to provide this information without judgment or coercion. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 27, 2018 Category: International Medicine & Public Health Authors: Katherine Rivlin, Carolyn L. Westhoff Source Type: research

Rejoinder to “Patient preferences for the delivery of cardiac rehabilitation”
We read with interest the recent article “Patient preferences for the delivery of cardiac rehabilitation” [1], which aimed to assess cardiac rehabilitation (CR) programme design preferences among a cohort who received treatment for coronary heart disease. This is important research as persistent sub-optimal utilisation continues to lim it the individual, clinical, and economic impacts of traditional centre-based CR. Indeed, centre-based CR uptake and completion rates in Queensland, Australia—where this research was conducted—have been reported to be as low as 13.66% and 9.70%, respectively [2]. (Source: Patient Edu...
Source: Patient Education and Counseling - October 24, 2018 Category: International Medicine & Public Health Authors: Jonathan Charles Rawstorn, Susie Cartledge, Sheikh Mohammed Shariful Islam, Ralph Maddison Tags: Correspondence Source Type: research

Rejoinder to “Patient preferences for the delivery of cardiac rehabilitation
We read with interest the recent article “Patient preferences for the delivery of cardiac rehabilitation”,[1] which aimed to assess cardiac rehabilitation (CR) programme design preferences among a cohort who received treatment for coronary heart disease. This is important research as persistent sub-optimal utilisation continues to limi t the individual, clinical, and economic impacts of traditional centre-based CR. Indeed, centre-based CR uptake and completion rates in Queensland—where this research was conducted—have been reported to be as low as 13.66% and 9.70%, respectively.[2] The centre-based delivery model d...
Source: Patient Education and Counseling - October 24, 2018 Category: International Medicine & Public Health Authors: Jonathan Charles Rawstorn, Susie Cartledge, Sheikh Mohammed Shariful Islam, Ralph Maddison Tags: Correspondence Source Type: research

Favourable understandability, but poor actionability: An Evaluation of Online Type 2 Diabetes Risk Calculators
Diabetes mellitus is predicted to be the seventh leading cause of death worldwide by 2030 [1]. The economic burden of type 2 diabetes mellitus is heavy, but costs are highly variable across and within countries [2]. Because the disease burden continues to increase, diabetes risk assessment is now a priority component in the prevention efforts included in at least three western national guidelines. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 23, 2018 Category: International Medicine & Public Health Authors: Michael Anthony Fajardo, Guy Balthazaar, Alexandra Zalum, Lyndal Trevena, Carissa Bonner Tags: Review article Source Type: research

Measuring shared decision-making in the pediatric outpatient setting: Psychometric performance of the SDM-Q-9 and CollaboRATE among English and Spanish speaking parents in the US Midwest
Known as the “pinnacle of patient-centered care”[1], shared decision-making (SDM) has become a widely-used standard for assessing quality of clinical care. SDM refers to the active participation of both patient and provider in exchanging information and perspectives, building consensus, and reaching an agree ment on a course of action [2–4]. The expanding demand to use SDM as a quality care metric reflects an outpouring of literature demonstrating its positive relationship with patient satisfaction, health outcomes, and cost-effectiveness [5–7]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 23, 2018 Category: International Medicine & Public Health Authors: Emily A. Hurley, Andrea Bradley-Ewing, Carey Bickford, Brian R. Lee, Angela L. Myers, Jason G. Newland, Kathy Goggin Source Type: research

Emotional labour in palliative and end-of-life care communication: a qualitative study with generalist palliative care providers
Palliative care seeks to improve quality of life by addressing the physical, psychological, social and spiritual needs of people facing life-threatening illness, and their families [1]. With a growing ageing population, most care for people with life-threatening illness and those nearing the end of life is provided by ‘generalist’ palliative care providers [2]. Although subject to multiple interpretations [3], we refer to ‘generalist staff’ as those delivering a ‘palliative care approach’ or ‘primary palliative care’ as part of their role when working with people with life-threatening illness and their fami...
Source: Patient Education and Counseling - October 17, 2018 Category: International Medicine & Public Health Authors: Lisa Jane Brighton, Lucy Ellen Selman, Katherine Bristowe, Beth Edwards, Jonathan Koffman, Catherine J. Evans Source Type: research

Could disease labelling have positive effects? An experimental study exploring the effect of the Chronic Fatigue Syndrome label on intended social support
Chronic fatigue syndrome (CFS) is characterised by persistent fatigue accompanied by other symptoms including post-exertional malaise, muscle pain, tender lymph nodes, headaches, sore throat and impaired memory [1], although there is a lack of consensus about the diagnostic criteria [2]. CFS is diagnosed through a process of elimination whereby patients experiencing symptoms for a minimum of 6 months are diagnosed with CFS if there is no indication of another condition. It is difficult to determine the prevalence of CFS due to the inconsistency in the definition used by clinicians and researchers [3]. (Source: Patient Educ...
Source: Patient Education and Counseling - October 15, 2018 Category: International Medicine & Public Health Authors: Samara Noble, Carissa Bonner, Jolyn Hersch, Jesse Jansen, Kevin McGeechan, Kirsten McCaffery Source Type: research

Better understanding the influence and complexity of beliefs on medication adherence in asthma
Adhering to medication is a complex health behaviour that involves a number of different factors.[1,2] An individual ’s beliefs about their medicines and their health informs the individual’s medication-taking behaviour.[3–5] Interventions that change an individual’s beliefs have been demonstrated to improve adherence[6] and health outcomes.[7,8] (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 13, 2018 Category: International Medicine & Public Health Authors: Holly Foot, Adam La Caze, Peter Baker, Neil Cottrell Source Type: research

Biomarker Feedback Intervention for Smoking Cessation among Alaska Native Pregnant Women: Randomized Pilot Study
Cigarette smoking during pregnancy is a major public health problem, with documented adverse effects on maternal, fetal, and infant health [1 –3]. Among U.S. women who delivered a live birth in 2010, 11% reported smoking during the last three months of pregnancy with the highest prevalence of 26% among American Indian/Alaska Native (AI/AN) females [4]. Recent nationally representative estimates of smoking in pregnancy (at 3 to 5 months gestation) are 14-26%, but prevalence was not reported for AI/AN women [5,6]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - October 12, 2018 Category: International Medicine & Public Health Authors: Christi A. Patten, Kathryn R. Koller, Christie A. Flanagan, Vanessa Y. Hiratsuka, Christine A. Hughes, Abbie W. Wolfe, Paul A. Decker, Kristin Fruth, Tabetha A. Brockman, Molly Korpela, Diana Gamez, Carrie Bronars, Neil J. Murphy, Dorothy Hatsukami, Neal Source Type: research