Effect of the evaluation of recall on the rate of information recalled by patients in Primary Care

Bravo, Beatriz Navarro; Postigo, José Miguel Latorre; Ros, Laura; Selva, Juan Pedro Serrano; Ricarte, Jorge Javier; Córcoles, María José Aguilar; López, Marta Nieto; Hidalgo, Jesús López-Torres

doi:10.1016/j.pec.2010.01.022

Cited by 30 publications

(29 citation statements)

References 9 publications

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“…Teng et al showed that the retention of information in an informed consent might vary over time with the presence of social support in a population of caregivers and patients with Parkinson's disease . Asking patients to repeat treatment recommendations may be effective in improving patients' recall of information . Our study did not assess if patients were asked to repeat triptan education, thus this variable was not controlled.…”

Section: Discussionmentioning

confidence: 94%

“…An association between inadequate functional health literacy and poor recall of medication information in university‐based outpatient pharmacy settings has been recently documented in a pilot study . Patient's health status and number of recommendations or instructions may also affect recall . There is an inverse relationship between the number of recommendations given to a patient and the proportion of recommendations they correctly recall .…”

Section: Discussionmentioning

confidence: 99%

“…Patient's health status and number of recommendations or instructions may also affect recall . There is an inverse relationship between the number of recommendations given to a patient and the proportion of recommendations they correctly recall . Social support and caregiving may play a role in patients' recall of information.…”

Section: Discussionmentioning

confidence: 99%

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Education and Decision Making at the Time of Triptan Prescribing: Patient Expectations vs Actual Practice

et al. 2014

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Background Optimizing patient satisfaction with their medical care and maximizing patient adherence with treatment plans requires an understanding of patient preferences regarding education and their role in decision making when treatments are prescribed. Objective To assess the congruence between patient expectations and actual practice regarding education and decision making at the time a triptan is prescribed. Methods This multicenter cross-sectional survey was performed by headache fellow members of the American Headache Society Headache Fellows Research Consortium at their respective tertiary care headache clinics. Migraine patients who were new patients to the headache clinic and who were current triptan users (use within prior 3 months and for ≥1 year) or past triptan users (no use within 6 months; prior use within 2 years) completed questionnaires that assessed the education they received and their role in decision making at the time a triptan was first prescribed as well as their desire for education and participation in decision making when a triptan is prescribed. Results Consistent with patient preference, most participants received the majority of their education about the triptan from the prescriber's office (70.2%). In descending rank order, participants most desired to be informed about how to decide if a triptan should be taken, when during the course of migraine a triptan should be taken, possible side effects, cost, and how to obtain refills. Regarding side effects, most participants preferred to receive education about the most common side effects of a triptan rather than addressing all possible side effects. Regarding triptan dosing, participants desired to be informed in descending order of importance about taking other medications with triptans, how many doses can be taken for each migraine, how many doses can be taken each week/month, what to do if the triptan does not work, and the triptan mechanism of action. The vast majority of participants (92%) preferred that the decision to prescribe a triptan be a joint decision between the patient and the provider. In actual practice, participants were not as involved in decision making as they would like to be, with patients reporting that the prescriber was the sole decision maker 55.1% of the time. Participants had confidence in their providers (87.7%) and generally felt they did a good job educating them about the triptan (71.1%). Conclusions Based on this study, it is clear that patients prefer the shared model approach to medical decision making in regards to the prescription of triptans. The majority of patients received education that was generally consistent with their desires. Patients preferred that the prescribing provider be the primary source of information. The most desired educational topics included when/if a triptan should be taken, the number of times a triptan can be taken for a single migraine, co-administration with other acute medications, and the most common side effects. Focusing on these topics should enhance pa...

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Education and Decision Making at the Time of Triptan Prescribing: Patient Expectations vs Actual Practice

et al. 2014

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“…Previous research reported an average patient recall range from 48-90%. 14,[19][20][21] Residents addressed a large number of topics during the observed clinical encounters, a practice that might have limited patient recall. 14 Even when a topic was covered briefly (e.g., your blood pressure today is 180), the overall quantity of information seemed to prohibit immediate patient recall.…”

Section: Discussionmentioning

confidence: 99%

“…For example, asking patients to restate recommendations from an encounter appeared to aid recall in primary care settings. 14 As part of a Behavioral Science/Family Systems Educator Fellowship project for the Society of Teachers of Family Medicine, this pilot study sought to identify residents' efforts to assess patient understanding and the degree to which patients recalled information and instructions provided in the medical encounter. Additionally, patient health literacy and patient assessment of physician communication were collected to investigate possible conditions that might affect understanding and recall.…”

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confidence: 99%

Examining Communication and Patient Recall in a Family Medicine Residency

Ebberwein

Woods²,

Terrell³

et al. 2013

kjm

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Background. Understanding key aspects of effective physician-patient communication could benefit residency education and improve patient comprehension of health information. Discrepancies between what physicians say and what patients understand can reduce quality of care (e.g., patient adherence and satisfaction), making it imperative to know when gaps in patient understanding exist. The objective of this study was to identify residents' efforts to assess patient understanding and the degree to which patients recalled information and instructions provided in the medical encounter. Methods. Residents and patients were observed in routine medical encounters in a Midwestern family medicine residency center. Patients were surveyed immediately following the encounter for recall of information and recommendations from the encounter, satisfaction with physician communication, and health literacy. Results. A total of 21 physician-patient encounters were observed. An inverse relationship was noted (Spearman's rho = -0.43, N = 21, p = 0.05) between number of topics discussed during the encounter and the percentage of information recalled. Conclusions. Patient recall was related inversely to the number of topics covered by resident physicians. These results challenge physicians and medical educators to study and employ further those elements of physician-patient communication that enhance patient recall and understanding. KS J Med 2013; 6(1):1-10.

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Doctor-Patient Communication and Increasing Patient Adherence

Gidron

2019

Behavioral Medicine

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Effect of the evaluation of recall on the rate of information recalled by patients in Primary Care

Cited by 30 publications

References 9 publications

Education and Decision Making at the Time of Triptan Prescribing: Patient Expectations vs Actual Practice

Education and Decision Making at the Time of Triptan Prescribing: Patient Expectations vs Actual Practice

Examining Communication and Patient Recall in a Family Medicine Residency

Doctor-Patient Communication and Increasing Patient Adherence

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