Assessing delivery of the five 'As' for patient-centered counseling

Glasgow, Russell E.; Emont, Seth L.; Miller, Doriane

doi:10.1093/heapro/dal017

Cited by 197 publications

(155 citation statements)

References 30 publications

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“…61,[81][82][83][84][85][86][87][88] Similar lists can be derived from consideration of instruments used to assess communication skills. 89 It is possible to create an amalgam of these skills, which can be considered as a best practice for communication in medical encounters (T A B L E 3).…”

Section: Patient Views Of Physician-patient Communicationmentioning

confidence: 99%

“Best Practice” for Patient-Centered Communication: A Narrative Review

King¹,

Hoppe²

2013

Journal of Graduate Medical Education

399

310

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Background Communicating with patients has long been identified as an important physician competency. More recently, there is a growing consensus regarding the components that define physician-patient communication. There continues to be emphasis on both the need to teach and to assess the communication skills of physicians. Objective This narrative review aims to summarize the work that has been conducted in physician-patient communication that supports the efficacy of good communications skills. This work may also help to define the physician-patient communication skills that need to be taught and assessed. Results A review of the literature shows it contains impressive evidence supporting positive associations between physician communication behaviors and positive patient outcomes, such as patient recall, patient understanding, and patient adherence to therapy. There is a consensus about what constitutes “best practice” for physician communication in medical encounters: (1) fostering the relationship, (2) gathering information, (3) providing information, (4) making decisions, (5) responding to emotions, and (6) enabling disease- and treatment-related behavior. Conclusions Evidence supports the importance of communication skills as a dimension of physician competence. Effort to enhance teaching of communication skills to medical trainees likely will require significant changes in instruction at undergraduate and graduate levels, as well as changes in assessing the developing communication skills of physicians. An added critical dimension is faculty understanding of the importance of communication skills, and their commitment to helping trainees develop those skills.

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Section: Patient Views Of Physician-patient Communicationmentioning

confidence: 99%

“Best Practice” for Patient-Centered Communication: A Narrative Review

King¹,

Hoppe²

2013

Journal of Graduate Medical Education

399

310

View full text Add to dashboard Cite

show abstract

“…8,[17][18][19] The 5As counseling framework is an evidence-based way to teach physicians to counsel obese patients 19,20 and measure the quality of obesity counseling. 21 This framework guides providers to assess risk, current behavior, and readiness to change, advise change of specific behaviors, agree and collaboratively set goals, assist in addressing barriers and securing support, and arrange for follow-up. 20,22 Training physicians about this framework has been shown to improve patient outcomes in smoking cessation.…”

Section: Introductionmentioning

confidence: 99%

From the Patient’s Perspective: The Impact of Training on Resident Physician’s Obesity Counseling

et al. 2010

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“…My research aim was to carry out practice-based research, in line with this vision. Making a choice between the existing behaviour change models is problematic because each has different approaches; they all have also their limitations and tell only a part of the story (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40). Therefore, I incorporated the most important factors (e.g.…”

mentioning

confidence: 99%