Patient education and counseling
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Editorial Comment Review
Self-monitoring and the not-yet-consciously patient-centered practitioner.
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Randomized Controlled Trial
Triggering anti-smoking advice by GPs: mode of action of an intervention stimulating smoking cessation advice by GPs.
To assess the mode of action of an intervention (GP desktop resource, GDR) that increased the frequency of general practitioner (GP) advice to stop smoking. ⋯ Recommendations that GPs engage in health promotion activities with their patients need to consider that GPs' concerns over harming the doctor-patient relationship may deter them from making such interventions. The GDR appears to be effective in prompting GPs to advise their smoking patients to stop and its widespread distribution to GPs should be considered.
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Improvements in treatment-related knowledge and self-efficacy may improve clinical outcomes in HIV-infected populations. We examined whether caregivers' knowledge and self-efficacy was associated with better clinical outcomes and anti-retroviral therapy (ART) adherence among HIV-infected children. ⋯ Care providers should address both misconceptions that might serve to undermine adherence as well as factors that limit patients' self-efficacy in adhering to treatment, prior to the initiation of ART and throughout the course of treatment.
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To characterize patients with chronic obstructive pulmonary disease (COPD) in different motivational stages related to smoking cessation. ⋯ COPD patients are amenable to counseling to quit smoking. Addressing COPD complaints may contribute to greater motivation.
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A comprehensive review was conducted of the theoretical and empirical work that addresses the preference-match strategy in physician-patient communication. ⋯ Findings justify not only continued but expanded research efforts in this area that would incorporate recommended changes in research design and implementation. PRACTICE AND RESEARCH IMPLICATIONS: Assessment strategies and match interventions are discussed that, if evidence continues to be supportive, might routinely optimize patient-physician encounters toward more positive outcomes. Methodological guidelines are suggested that can improve future preference-match studies of the patient-physician interaction. Practitioners need to consider adoption of patient-match assessment and intervention strategies in addition to recent exclusive concentrations on patient-centered and shared decision-making approaches.