Patient education and counseling
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To examine the psychometric properties of MEDICODE, a coding instrument developed to assess medication discussions during medical consultations. ⋯ MEDICODE will facilitate the study of the impact of the nature and intensity of discussions about medications during consultations on patient medication knowledge, medication recall and compliance.
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To explore the communicative behaviours as used by specialty physicians, and their patients' perception of the communicative act as well as their satisfaction with the encounter. ⋯ It seems important to foster training in communication skills in the different specialist vocational training programs. Studies on physician-patient communication should deal with the perceived and observed perspectives on this domain.
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Although patient participation is an important feature of patient-centered health care, few studies have examined how the clinical context affects patient involvement in medical encounters. This investigation examined the way patients communicate with physicians in two diverse post-diagnostic settings, post-angiogram consultations and initial lung cancer visits. ⋯ Clinicians and administrators should assess clinical practices that restrict patient involvement in ways that could affect quality of decision-making.
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Randomized Controlled Trial
Preventing chronic back pain: evaluation of a theory-based cognitive-behavioural training programme for patients with subacute back pain.
For long-term treatment effects, patients with subacute back pain need to adhere to treatment recommendations beyond the prescribed exercise treatment. Adherence rates are as low as 30%, so we developed a cognitive-behavioural training programme to enhance patients' self-efficacy, maximise severity perceptions and reduce barrier perceptions. ⋯ The short and simple intervention can easily be conducted by personnel, other than psychologists, i.e., physiotherapists.