Effect of clinician-patient communication on compliance with flupentixol-melitracen in functional dyspepsia patients

Yan, Xiu-Juan; Li, Wenting; Chen, Xin; Wang, Er-Man; Liu, Qing; Qiu, Hong-Yi; Cao, Zhijun; Chen, Shengliang

doi:10.3748/wjg.v21.i15.4652

Cited by 10 publications

(11 citation statements)

References 29 publications

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“…The value of a positive patient‐provider interaction cannot be underestimated because a positive approach improves the likelihood of treatment response . Just as importantly, providers are often better versed in efficacy data.…”

Section: Discussionmentioning

confidence: 99%

Review article: an analysis of safety profiles of treatments for diarrhoea‐predominant irritable bowel syndrome

Lacy

2018

Aliment Pharmacol Ther

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Section: Discussionmentioning

confidence: 99%

Review article: an analysis of safety profiles of treatments for diarrhoea‐predominant irritable bowel syndrome

Lacy

2018

Aliment Pharmacol Ther

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“…In the constructivist framework, all knowledge is created by the learner and influenced by context (learner’s prior experiences, attitudes, and beliefs) and social interaction (learner’s peers and environment) ( 18 ). This theoretical framework is applicable when researchers are interested in ( 1 ) how people interpret their experiences, ( 2 ) how they construct their worlds, and ( 3 ) what meaning they attribute to their experiences ( 19 ).…”

Section: Methodsmentioning

confidence: 99%

“…For the purpose of this article, providers are defined as attending physicians. When carried out appropriately, communication with patients encourages compliance and improves clinical outcomes ( 1 – 3 ). Given patients’ preference for shared decision-making, it is crucial that physicians continually focus on a bidirectional flow of information in order to build strong therapeutic alliances with their patients.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Exploration to Understand Hospitalists’ Attitude Toward the Patient Experience Scoring System

Segon

Kumar³

et al. 2020

Journal of Patient Experience

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Patient’s perception of their inpatient experience is measured by the Center for Medical Services’ (CMS) administered Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) survey. There is scant existing literature on physicians’ perceptions toward the HCAHPS scoring system. Understanding hospitalist knowledge and attitude toward the HCAHPS survey can help guide efforts to impact HCAHPS survey scores by improving the patient’s perception of their hospital experience. The goal of this study is to explore hospitalists’ knowledge and perspective of the physician communication domain of the HCAHPS survey at an academic medical center. Seven hospitalists at an academic medical center were interviewed for this report using a semistructured interview. Thematic analysis approach was used to analyze data. Open, line-by-line coding was performed on all 7 transcripts. Categories were derived in an inductive fashion. Categories were refined using the techniques of constant comparison and axial coding. We generated themes reflecting hospitalists’ knowledge of the HCAHPS scoring system, their perception of the HCAHPS scoring system and the impact of the HCAHPS scoring system on their practice. While hospitalists acknowledged physician–patient communication is a challenging area to study, they are unlikely to embrace the feedback provided by HCAHPS surveys. There is a need to deploy tactics that provide timely and actionable feedback to providers on their bedside communication skills.

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“… 15 These phenomena are worse in the Chinese population because many Chinese patients do not accept psychological diagnoses and treatment. 16 , 17 The existence of communication gap could influence treatment adherence. 14 Furthermore, insufficient communication or the callous attitude of doctors could also result in complaints of dissatisfaction.…”

Section: Introductionmentioning

confidence: 99%

Improving Clinician-Patient Communication Alleviates Stigma in Patients With Functional Dyspepsia Receiving Antidepressant Treatment

Yan

Qiu

Luo

et al. 2022

J Neurogastroenterol Motil

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Background/AimsAntidepressants are effective in patients with functional dyspepsia (FD). However, stigma associated with FD and antidepressants may affect treatment adherence. This study aims to explore possible communication strategies to alleviate stigma and improve adherence in patients with FD. MethodsIn this randomized, single-center, and single-blind trial, 160 patients with FD initiating antidepressant treatment were recruited. Different communication strategies were performed when prescribing antidepressants. Participants in Group 1 were told that brain is the "headquarters" of gut, and that antidepressants could act as neuromodulators to relieve symptoms of FD through regulating the functions of gut and brain. Participants in Group 2 were told that antidepressants were empirically effective for FD. Stigma scores, medication-related stigma, treatment compliance, and efficacy were analyzed. ResultsAfter 8-week antidepressant treatment, the proportion of patients with FD with decreased stigma scores in Group 1 was significantly higher than in Group 2 (internalized stigma: 64.10% vs 12.00%; perceived stigma: 55.13% vs 13.33%; P < 0.01). Medication-related stigma was lower in Group 1 than in Group 2 (P < 0.05 for 3 of 4 questions). Concurrently, patients in Group 1 had better treatment compliance (0.71 ± 0.25 vs 0.60 ± 0.25, P < 0.01) and efficacy. In Group 1, participants with decreased post-treatment stigma scores showed better treatment compliance and efficacy than those with non-decreased scores. Decrease in stigma scores positively correlated with treatment compliance. ConclusionImproving knowledge of patients with FD of the disease and antidepressants via proper communication may be an effective way to alleviate stigma and promote adherence.

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Effect of clinician-patient communication on compliance with flupentixol-melitracen in functional dyspepsia patients

Abstract: Appropriate clinician-patient communication regarding the reasons for prescribing psychoactive drugs that emphasizes both the psychological and GI mechanisms might improve adherence to FM in patients with FD.

Cited by 10 publications

References 29 publications

Review article: an analysis of safety profiles of treatments for diarrhoea‐predominant irritable bowel syndrome

Review article: an analysis of safety profiles of treatments for diarrhoea‐predominant irritable bowel syndrome

A Qualitative Exploration to Understand Hospitalists’ Attitude Toward the Patient Experience Scoring System

Improving Clinician-Patient Communication Alleviates Stigma in Patients With Functional Dyspepsia Receiving Antidepressant Treatment

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