Education in patient–physician communication: How to improve effectiveness?

Wouda, Jan; Wiel, H.B.M. van de

doi:10.1016/j.pec.2012.09.005

Cited by 47 publications

(31 citation statements)

References 95 publications

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“…In an extensive review of approaches to improve patient-physician communication, Woulda and van de Weil proposed using an adapted version of the reflective-impulsive model of social behaviour [22]. While Woulda and van de Wiel [22] acknowledge that the full implementation of the reflective impulsive model requires considerable effort, they recommended its use as a benchmark for improving patient-physician communication and identified five key learning objectives and teaching methods for communication education. Specific examples of how health professionals may use this approach when discussing PA with their cancer patients are highlighted in Table 1.…”

Section: Possible Ways To Improve the Physical Activity Promotion Pramentioning

confidence: 99%

“…The reflective impulsive model [22] also has major implications for training models used by universities and hospitals. It is recommended that universities and hospitals provide a series of educational experiences which progressively develop the clinical communication skills of their students, interns and staff [22,23].…”

Section: Possible Ways To Improve the Physical Activity Promotion Pramentioning

confidence: 99%

“…It is recommended that universities and hospitals provide a series of educational experiences which progressively develop the clinical communication skills of their students, interns and staff [22,23]. An overview of how this may be applied to improving PA promotion and counselling for cancer patients is provided in Table 2.…”

Section: Possible Ways To Improve the Physical Activity Promotion Pramentioning

confidence: 99%

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Benefits and Barriers of Cancer Practitioners Discussing Physical Activity with their Cancer Patients

et al. 2015

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Our aim was to synthesise the existing empirical literature and theoretical perspectives on the physical activity promotion practices and determinants of cancer clinicians and health professionals. We conducted a narrative review of theory and evidence to develop practice recommendations for improving the promotion of physical activity to cancer patients. Surveyed health professionals were aware of many benefits of physical activity for their cancer patients, although only ~40% promoted physical activity to selected cancer patients. Walking was most commonly promoted form of PA, with this promoted to assist patients control their weight and cardiovascular health risk. Barriers to promotion of physical activity included lack of time and knowledge of PA and behaviour change skills. Health professionals appear interested in promoting PA to their cancer patients, yet encounter several barriers. Further research is warranted to assist health professionals improve their PApromotion. An adapted reflective-impulsive model of social behaviour shows promise for assisting health professionals overcome barriers and provides an evidence-based theoretical framework for improving communication with patients. Universities, hospitals and/or healthcare accreditation organisations also have important roles to play in assisting health professionals improve their promotion of physical activity to patients.

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Section: Possible Ways To Improve the Physical Activity Promotion Pramentioning

confidence: 99%

Section: Possible Ways To Improve the Physical Activity Promotion Pramentioning

confidence: 99%

Section: Possible Ways To Improve the Physical Activity Promotion Pramentioning

confidence: 99%

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Benefits and Barriers of Cancer Practitioners Discussing Physical Activity with their Cancer Patients

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“…Para os profissionais de saúde que trabalham nesta área é fundamental conhecer melhor a pessoa com diabetes: os problemas, as necessidades, as dificuldades, as representações em relação aos vários aspectos do tratamento da diabetes, e construir uma relação terapêutica, indispensável à prestação de melhores cuidados na consulta individual e na educação em grupo, de acordo com as necessidades (Wouda & Wiel, 2013).…”

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Reflections About the Health of the Brazilian Adolescent

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et al. 2015

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_____________________________________________________________RESUMO -As mudanças sociais, ocupacionais, familiares e emocionais na vida dos jovens com diabetes tipo 1 podem afetar a adesão ao tratamento e a sua qualidade de vida. Uma das ferramentas mais úteis, e que poderá constituir uma importante mais-valia para ultrapassar estas dificuldades, é a educação para a saúde providenciada pela equipa multidisciplinar que acompanha os jovens.O objetivo deste artigo é avaliar os comportamentos, estilos de vida e suporte social dos jovens com diabetes tipo 1 e avaliar a satisfação em relação às atividades de educação que lhes são proporcionadas.Foram realizados estudos quantitativos com 91 adolescentes e 278 jovens adultos, um estudo qualitativo com41 adolescentes e estudos de avaliação de satisfação dos jovens. A média de "satisfação com a vida" nos adolescentes é 7,2 ± 1,7 e nos jovens adultos é 6,6 ± 1,7 (escala 0-10).A maior parte dos jovens evidencia hábitos alimentares saudáveis e adesão satisfatória à atividade física, insulinoterapia e vigilância glicemica. Contudo,a média de HbA1c é superior ao recomendado. Consideram ter bom suporte da equipa de saúde e referem os benefícios das atividades com outros jovens.Podemos concluir que os participantes têm estilos de vida satisfatórios, bom suporte social e satisfação com a vida, valorizam as atividades com os pares e têm razoável adesão ao tratamento da diabetes, mas um controlo metabólico inferior ao esperado. Recomenda-se a continuidade do investimento da equipa de saúde na motivação dos jovens para melhor adesão ao tratamento. Palavras-chave -jovens, diabetes tipo 1, comportamentos de saúde,estilos de vida,educação para a saúde _____________________________________________________________ HEALTH EDUCATION IN YOUTH WITH TYPE 1 DIABETESABSTRACT -The social, occupational, familiar and emotional changes during youth can affect adherence to diabetes management tasks and quality of life of youngsters with type 1 diabetes. Therapeutic Patient Education provided by the multidisciplinary team can be a very important tool to help young people to surpass difficulties. The objectives of this research consisted on the evaluation of health behaviours and lifestyles, social support and satisfaction about the educational activities of youngsters with type 1 diabetes. This research included quantitative studies with 91 adolescents and 278 young adults, a qualitative study with 41 adolescents and satisfaction studies' evaluation relating to educational  Associação Protectora dos Diabéticos de Portugal;

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“…For instance, expression of empathy is usually reduced to simply saying 'I'm sorry to hear that' or 'It must be difficult for you' and may not be offered at a contextually relevant moment in the conversation. This limits the understanding of what counts as effective communication and restricts the development of students' conversational approach to medical consultations (Mendick et al 2015, van den Eertwegh et al 2013, Wouda and van de Wiel 2013. Dahm and colleagues (2015) reveal that educators are able to rely on their tacit intuition to identify communication breakdowns in simulations and where medical students find it difficult to construct effective communication.…”

Section: Introductionmentioning

confidence: 99%