Who’s Afraid of the Empowered Patient?

Chiaramonte, Delia

doi:10.1001/jama.300.12.1393

Cited by 11 publications

(5 citation statements)

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“…The participants reported feeling empowered by the knowledge gained, and to share what they learned with others (patients, sisters, daughters). Empowering patients through education may motivate them to take a more active role in their health care (27, 28). Providing a culturally congruent tailored intervention in the selected language of the participant and incorporating Latino core cultural values in all patient interactions is vital when working with Latinos in a health context.…”

Section: Discussionmentioning

confidence: 99%

Educación de supervivencia para supervivientes de cáncer de mama latinas: empoderando a las supervivientes a través de la educación

Juárez¹,

Mayorga²,

Hurria³

et al. 2013

Psicooncología

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Objectives Nueva Luz is an English and Spanish quality of life (QOL) intervention developed to address the educational needs of Latina breast cancer survivors and provide strategies to assist in their transition into survivorship. Methods A qualitative approach was used to evaluate the English and Spanish educational intervention (Nueva Luz). A purposive sample of eight Latina breast cancer survivors was selected from the group who received the intervention to participate in a digitally recorded interview. Data was analyzed using thematic analysis. Results Findings provide evidence that the one-on-one tailored approach is a feasible and acceptable method of providing a bilingual psychosocial intervention. The provision of printed bilingual information along with the verbal instruction from a bilingual and culturally competent health care provider can be effective in helping Latina breast cancer survivor’s transition successfully into survivorship, improve QOL and contribute to better patient outcomes Conclusions The study informs our understanding of the cultural context in patient education content and delivery of psychosocial interventions. The findings may also have relevance for other ethnic minority cancer survivors.

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Section: Discussionmentioning

confidence: 99%

Educación de supervivencia para supervivientes de cáncer de mama latinas: empoderando a las supervivientes a través de la educación

Juárez¹,

Mayorga²,

Hurria³

et al. 2013

Psicooncología

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“…Clients' openness and receptivity is proposed to be a crucial component for therapeutic work (Kelly & Yuhan, 2009; Newman & Strauss, 2003; Orlinsky et al, 2004). However, recent publications in the fields of medicine and psychotherapy are finding that encouraging customers/clients to be active participants can be challenging (Akerkar & Bichile, 2004; Chiaramonte, 2008). For example, a therapist's unwillingness to receive difficult feedback can, at times, lead to undesirable consequences for the alliance (Henry & Strupp, 1994).…”

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confidence: 99%

Valuing clients' perspective and the effects on the therapeutic alliance: A randomized controlled study of an adjunctive instruction.

Flückiger

Wampold

et al. 2012

Journal of Counseling Psychology

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The patterns of growth and development of the therapeutic alliance over the course of therapy have been of continued interest to psychotherapy researchers. The purpose of this study was to investigate whether a simple institutional metacommunication intervention with clients had an effect on the development of the alliance. This adjunctive instruction involved inviting therapy clients to take a proactive role in their treatment by encouraging feedback to their therapist about various aspects of the therapy process. In this randomized controlled study (N = 94), clients were assigned to 1 of 2 conditions: (a) an institutional adjunctive instruction condition in which patients were contacted by clinic personnel at the beginning of the remediation phase (Session 5) and encouraged to take a proactive role in their treatment and (b) a control condition that contained no institutional adjunctive instruction. Between-condition differences in the alliance were tested, controlling for baseline influences and the early therapeutic alliance. Clients' postsession reports from Sessions 1 to 24 indicated that the adjunctive instruction increased the alliance over the course of therapy vis-à-vis the control condition. The adjunctive instruction appeared to have fostered clients' evaluation of their therapists' interest in their welfare. The results indicate that interventions, even brief or subtle, can produce lasting benefits in the alliance when targeted at specific psychological processes. Systematic metacommunication from the institutional level appeared to reinforce clients' therapeutic alliance with their therapists in individual treatment.

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“…The recent trend towards patient empowerment advocates that patients' access to their imaging reports be facilitated [21,22] and radiology reports, or the information in them, should be made more patient-centric. A recent article by Fig.…”

Section: Discussionmentioning

confidence: 99%

Visual Interpretation with Three-Dimensional Annotations (VITA): Three-Dimensional Image Interpretation Tool for Radiological Reporting

2013

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This paper introduces a software framework called Visual Interpretation with Three-Dimensional Annotations (VITA) that is able to automatically generate threedimensional (3D) visual summaries based on radiological annotations made during routine exam reporting. VITA summaries are in the form of rotating 3D volumes where radiological annotations are highlighted to place important clinical observations into a 3D context. The rendered volume is produced as a Digital Imaging and Communications in Medicine (DICOM) object and is automatically added to the study for archival in Picture Archiving and Communication System (PACS). In addition, a video summary (e.g., MPEG4) can be generated for sharing with patients and for situations where DICOM viewers are not readily available to referring physicians. The current version of VITA is compatible with ClearCanvas; however, VITA can work with any PACS workstation that has a structured annotation implementation (e.g., Extendible Markup Language, Health Level 7, Annotation and Image Markup) and is able to seamlessly integrate into the existing reporting workflow. In a survey with referring physicians, the vast majority strongly agreed that 3D visual summaries improve the communication of the radiologists' reports and aid communication with patients.

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Who’s Afraid of the Empowered Patient?

Cited by 11 publications

References 0 publications

Educación de supervivencia para supervivientes de cáncer de mama latinas: empoderando a las supervivientes a través de la educación

Educación de supervivencia para supervivientes de cáncer de mama latinas: empoderando a las supervivientes a través de la educación

Valuing clients' perspective and the effects on the therapeutic alliance: A randomized controlled study of an adjunctive instruction.

Visual Interpretation with Three-Dimensional Annotations (VITA): Three-Dimensional Image Interpretation Tool for Radiological Reporting

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