Patient education and counseling
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Review Meta Analysis
Self-management programs for chronic musculoskeletal pain conditions: a systematic review and meta-analysis.
To evaluate the effectiveness of self-management programs on pain and disability for chronic musculoskeletal pain conditions by systematic review. ⋯ Self-management is a safe, community-based and effective way for patients with arthritis to manage pain and disability. Core skills of self-management should be delivered using multiple approaches.
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To review and critique the published empirical research on decision aids for women actually facing surgical treatment of early stage breast cancer, synthesize findings across studies related to outcomes of decision aids use with specific attention to the influence of system and client characteristics, and identify opportunities for further research. ⋯ To ensure successful implementation of decision aids in clinical practice, healthcare providers should be educated on their use. Greater allocation of time, space and access to decision aids is also needed.
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To develop and validate an instrument to assess knowledge and attitudes regarding the use of psychological interventions in primary care. ⋯ Psycho-social counseling skills training is increasingly being recognised as a valuable component of undergraduate primary care medical education. The APIC-PC is a useful tool for evaluating the impact of such programs.
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The research findings reported here describe the importance and various functions of physician listening according to patients. ⋯ For training purposes, we recommend that a module on listening should lead to a discussion not only about the skill required in listening attentively, but also to the values, beliefs, attitudes, and intentions of physicians who choose to listen to their patients. This teaching objective may be facilitated by future research that explores the concept of 'authenticity' in a physician's listening approach, which we argue is central to successful clinical outcomes.
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Little is known about the frequency and occurrence of patients' negative emotional cues and concerns (NECC) across specialties in hospital departments. ⋯ Patients' expressions of emotional issues are few, and most of them are subtle. Physicians should be thoroughly trained to identify and respond to them.