A randomized controlled trial of communication training with primary care providers to improve patient-centeredness and health risk communication
Patient Education and CounselingPublished 15 March 2010Open access
Deborah Helitzer, Marianna LaNoue, Bronwyn Wilson, Brisa Urquieta de Hernandez, Teddy D. Warner, Debra Roter
Citations140
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TL;DR
The results of this study suggest that primary care providers can be trained to achieve and maintain gains in patient-centered communication, communication skills and discussion of adverse childhood events as root causes of chronic disease.
Abstract
the results of this study suggest that primary care providers can be trained to achieve and maintain gains in patient-centered communication, communication skills and discussion of adverse childhood events as root causes of chronic disease.
Keywords
MedicineHealth Professions
American Journal of Preventive MedicineRelationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults
18,454 Citations1998Vincent J. Felitti, Robert F. Anda +6 more
A strong graded relationship was found between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults.
Child Abuse & NeglectChild abuse: Adolescent records vs. adult recall
8,846 Citations1990Donna Della Femina, Catherine A. Yeager +1 more
In a follow-up study of incarcerated Connecticut youth, 69 subjects interviewed during young adulthood, 26 gave histories of abuse discrepant with histories obtained from records and interviews conducted in adolescence, finding reasons for these discrepant data are discussed.
European Archives of Psychiatry and Clinical NeuroscienceThe enduring effects of abuse and related adverse experiences in childhood
4,237 Citations2005Robert F. Anda, Vincent J. Felitti +6 more
The graded relationship of the ACE score to 18 different outcomes in multiple domains theoretically parallels the cumulative exposure of the developing brain to the stress response with resulting impairment in multiple brain structures and functions.
Social Science & MedicineDoctor-patient communication: A review of the literature
2,419 Citations1995L.M.L. Ong, J.C.J.M. de Haes +2 more
Consequences of specific physician behaviors on certain patient outcomes, namely: satisfaction, compliance/adherence to treatment, recall and understanding of information, and health status/psychiatric morbidity are described.
Medical CareAssessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease
2,039 Citations1989Sherrie H. Kaplan, Sheldon Greenfield +1 more
It is concluded that the physician-patient relationship may be an important influence on patients' health outcomes and must be taken into account in light of current changes in the health care delivery system that may place this relationship at risk.
Journal of Clinical PsychologyForming a story: The health benefits of narrative
1,368 Citations1999James W. Pennebaker, Janel D. Seagal
Using a text-analysis computer program, it was discovered that those who benefit maximally from writing tend to use a high number of positive-emotion words, a moderate amount of negative-emotional words, and increase their use of cognitive words over the days of writing.
JAMAPhysician Gender Effects in Medical Communication
1,356 Citations2002Debra Roter, Judith A. Hall +1 more
Female primary care physicians engage in more communication that can be considered patient centered and have longer visits than their male colleagues, and gender-related practice patterns in some subspecialties may differ from those evident in primary care.
Biological PsychiatryClinical and health services relationships between major depression, depressive symptoms, and general medical illness
1,223 Citations2003Wayne Katon
Patients with chronic medical illness have a high prevalence of major depressive illness, and increasing evidence suggests that both depressive symptoms and major depression may be associated with increased morbidity and mortality from such illnesses as diabetes and heart disease.
Journal of General Internal MedicinePatients’ participation in medical care
1,112 Citations1988Sheldon Greenfield, Sherrie H. Kaplan +3 more
The authors conclude that the intervention is feasible and that it changes patient behavior, improves blood sugar control, and decreases functional limitations.
PubMedCrossing the quality chasm: implications for health services administration education.
974 Citations2004Bernard J. Horak, William E. Welton +1 more
A framework to base curriculum change, competency areas, and educational methods to impart quality improvement knowledge and skills to improve patient care is identified.
JAMACommunication Patterns of Primary Care Physicians
926 Citations1997Debra L. Roter
Primary care communication patterns range from narrowly biomedical to consumerist patterns and parallel the ideal forms of patient-physician relationships described in the literature.
Patient Education and CounselingThe Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions
893 Citations2002Debra Roter, Susan Larson
The purpose of this essay is to broadly overview the RIAS and to present key capabilities and coding conventions, and to address the extent to which theRIAS is consistent with, or complementary to, linguistic-based techniques of communication analysis.
BMJPreferences of patients for patient centred approach to consultation in primary care: observational study
777 Citations2001Paul Little, Hazel Everitt +6 more
Patients in primary care strongly want a patient centred approach, with communication, partnership, and health promotion—those vulnerable either psychosocially or because they are feeling unwell should be sensitive to patients who have a strong preference for patient centre.
Journal of the National Medical AssociationPatient Centeredness, Cultural Competence and Healthcare Quality
697 Citations2008Somnath Saha, Mary Catherine Beach +1 more
It is demonstrated that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole.
JAMAPatient-Centered Medicine
623 Citations1996Christine Lainé
The evolution to patient-centered care in many areas of medicine is described, including patient care, health-related law, medical education, research, and quality assessment.
Medical CareCommunication Interventions Make A Difference in Conversations Between Physicians and Patients
472 Citations2007Jaya K. Rao, Lynda A. Anderson +2 more
The interventions were associated with improved physician and patient communication behaviors and the challenge for future research is to design effective patient and physician interventions that can be integrated into practice.
Oral and Maxillofacial Surgery Clinics of North AmericaChild Maltreatment
462 Citations2012Bruce B. Horswell, Sharon Istfan
Medical CareRelations Between Physicians?? Behaviors and Analogue Patients?? Satisfaction, Recall, and Impressions
380 Citations1987Debra Roter, Judith A. Hall +1 more
Investigating associations between physicians' task-oriented and socioemotional behaviors, on the one hand, and analogue patients' satisfaction, recall of information, and global impressions, revealed that role-playing patients clearly distinguished task from socioem emotional behaviors of the physicians, and a consistent pattern of association emerged.
American PsychologistResearch participants telling the truth about their lives: The ethics of asking and not asking about abuse.
280 Citations2006Kathryn A. Becker‐Blease, Jennifer J. Freyd
The authors suggest that beliefs tend to overemphasize survivors' vulnerability and ignore the costs of avoiding asking about abuse, which may reinforce societal avoidance of abuse and ultimately harm abuse survivors.
PubMedThe communication of information from physician to patient: a method for increasing patient retention and satisfaction.
254 Citations1977Klea D. Bertakis
Patients are more satisfied with their physicians when they are given and retain more information about their illnesses and are able to restate what they had been told, followed by physician feedback.
Medical EducationUse of an innovative video feedback technique to enhance communication skills training
252 Citations2004Debra Roter, Susan Larson +5 more
This paper presents a meta-modelling study of experiential methods of instruction in medical communication by certification bodies and concludes that “significant methodological and logistic challenges” are evident in these methods.
Social Science & MedicineSociological dimensions of illness behavior
229 Citations1995David Mechanic
The paper focuses on self-appraisal and illness behavior and the way social movements help to define and redefine conceptions of illness and disability and the types of interventions that can be helpful in encouraging and reinforcing such developments.
Archives of Internal MedicineTreating Depressed Primary Care Patients Improves Their Physical, Mental, and Social Functioning
217 Citations1997John L. Coulehan
Primary care patients with major depressive disorder report substantial impairments in physical, psychological, and social functioning on initial assessment, but standardized depression-specific treatment is associated with greater improvement in more domains of functioning than is a physician's usual care.
JAMAPhysician Discontent
215 Citations2003David Mechanic
Although physicians are spending more time with patients than in earlier periods they feel themselves on a treadmill, strategies to ease pressures include increased use and enhanced scope of nonphysician clinicians, adoption of information technology and disease management programs, and thoughtful practice design.
Patient Education and CounselingPaternalism, participation and partnership—The evolution of patient centeredness in the consultation
202 Citations2008Keith O. Taylor
It is argued that precisely because of wider trends in society the consultation is now more important than ever as a point of access, communication, understanding and delivery of healthcare.
PubMedReflections on the doctor-patient relationship: from evidence and experience.
159 Citations2005Moira Stewart
As an epidemiologist/researcher in a Department of Family Medicine, I have been privileged to work beside GPs for 25 years, and has observed countless times how doctors help patients put the fragments of their lives back together into a whole.
Journal of Consulting and Clinical PsychologyVulnerability and resilience in women with arthritis: Test of a two-factor model.
152 Citations2008Bruce W. Smith, Alex Zautra
The Vulnerability factor interacted with pain to predict more future negative affect and the main implication is that both Vulnerability and Resilience should be considered in theory, research, and interventions.
Academic MedicineA strategy for improving patient satisfaction by the intensive training of residents in psychosocial medicine
122 Citations1995Robert C. Smith, Judith S. Lyles +6 more
The intensive psychosocial training program for residents improved their patients' satisfaction and the effect of training on patient satisfaction with patient disclosure and physician empathy was greater for female than for male residents.
Medical EducationThe effects of a continuing medical education programme in interpersonal communication skills on doctor practice and patient satisfaction in Trinidad and Tobago
110 Citations1998Debra Roter, Julia Rosenbaum +4 more
Communication differences, patient satisfaction tended to be higher in visits of trained doctors, and doctors trained in communication skills used significantly more target skills post‐training than their untrained colleagues.
Patient Education and CounselingExploring information-exchange in consultation: the patients' view of performance and outcomes
83 Citations1995Lesley G. Frederikson
It is concluded that attending to the concepts, perceptions and views of the patient offers a more effective strategy for consultation management than a focus on providing vast amounts of standardized information.
American Journal of Health PromotionFactors Underlying Variation in Receipt of Physician Advice on Diet and Exercise: Applications of the Behavioral Model of Health Care Utilization
82 Citations2004Keiko Honda
Effective strategies to increase receipt of physician advice should include efforts to improve access to regular source of care and patient-physician communication.
The Journal of the American Board of Family MedicineThe Communication Patterns of Internal Medicine and Family Practice Physicians
82 Citations2003Michael K. Paasche‐Orlow, Debra Roter
Insight is added into FP and IM differences in both physician-patient communication and predictors of patient satisfaction that were more closely linked to measures of rapport and patient-centeredness for patients of FP physicians than for Patients of internists.
American Journal of Public HealthHealth-Related Quality of Life, Health Risk Behaviors, and Disability Among Adults With Pain-Related Activity Difficulty
78 Citations2005Tara W. Strine, Jennifer M. Hootman +3 more
A general dose-response relationship was noted between increased days of PRAD and increased prevalence of impaired health-related quality of life, disability indices, and health risk behaviors, suggesting a critical need for the dissemination of targeted interventions to enhance recognition and treatment of pain among adult community-dwellers.
PubMedControl, compliance, and satisfaction in the family practice encounter.
65 Citations1997Cecil Dw, I Killeen
Patients showed assertive control patterns, and physicians manifested patterns of willingness to let patients take control of the conversation, which showed that when physicians exhibited less control dominance, there was an increase in patient compliance and satisfaction.
Patient Education and CounselingObservations on methodological and measurement challenges in the assessment of communication during medical exchanges
58 Citations2003Debra Roter
This essay explores methodological and design challenges related to broadening the study of medical communication through more creative and thoughtful study designs.
Social Science & MedicineThe shackles of misfortune: Social adversity assessment and representation in a chronic-disease epidemiological setting
54 Citations2006Paul G. Surtees, Nicholas W.J. Wainwright
Difficulties experienced in childhood, life events and difficulties in adulthood, event impact and adaptation were all associated with worse physical functional health, and slow adaptation to the effects of life events was associated with the largest decrement in physicalfunctional health.
American PsychologistIt's OK to ask about past abuse.
53 Citations2007Valerie J. Edwards, Shanta R. Dube +2 more
The current authors discuss the Adverse Childhood Experiences (ACE) study, which provides strong evidence of the association between early traumatic experiences and some of the major public health problems facing the authors' nation.
Psycho-OncologyDeveloping communication competency in the context of cancer: a critical interpretive analysis of provider training programs
47 Citations2005Lorna Butler, Lesley F. Degner +2 more
A critical interpretive analysis of 47 studies from the Cochrane Review of the communications training literature was conducted to capture the empirical indicators used to judge provider communication competency and to describe how the indicators were characterized in the context of a cancer care system.
The Annals of Family MedicineContinuity, Care, and Commitment: The Course of Patient-Clinician Relationships
43 Citations2004Moira Stewart
PubMedAssociations between depressed mood and clusters of health risk behaviors.
42 Citations2007Raheem J. Paxton, Robert F. Valois +3 more
Results suggest that adolescents engaging in multiple health-risk behaviors do so in the context of depressed mood, and African Americans in high-risk clusters appeared to be more vulnerable to depressed mood than other racial groups.
International Journal of Geriatric PsychiatryEarly‐life risk factors for late‐onset depression
38 Citations2006Joel R. Sneed, Stephanie Kasen +1 more
To assess differences between women with no history of depression, early‐onset depression (EOD), and late‐onsets depression (LOD), the aim was to assess psychosocial risk factors (marital conflict and lack of social support), neuroticism, and overall self‐rated health.
American Journal of Health BehaviorAssociations Between Depressed Mood and Clusters of Health Risk Behaviors
36 Citations2007Raheem J. Paxton, Robert F. Valois +3 more
Archives of Pediatrics and Adolescent MedicineMechanisms Behind the Failure of Residents' Longitudinal Primary Care to Promote Disclosure and Discussion of Psychosocial Issues
30 Citations2002Lawrence S. Wissow, Debra Roter +5 more
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30 Citations2009Eve‐Lynn Nelson, Edward Alan Miller +1 more
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21 Citations2004Gabriella Newes‐Adeyi, Deborah Helitzer +2 more
Study results suggest that counseling skills of non-physician health providers can change after a 1 day focused training: providers were more client-centered in their discussions.
American PsychologistTo ask, or not to ask, about abuse--New Zealand research.
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PubMedDialogue and collaboration: a path for progress.
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