A consultation leaflet to improve an older patient's involvement in general practice care: a randomized trial

Wetzels, Raymond; Wensing, Michel; Weel, Chris van; Grol, Richard

doi:10.1111/j.1369-7625.2005.00354.x

Cited by 33 publications

(43 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emotional support from the surgeon was negatively related to perceptions of being the final decision-maker, but not associated with patient questioning of surgeons [39]. Other findings revealed that in an intervention group, users of an information leaflet reported more psychological symptoms to their general practitioner compared with non-users [35]. No other differences in underreported health problems were found and the prevalence of chronic diseases was similar.…”

Section: Emotional and Psychological Symptoms Associated With Difficumentioning

confidence: 55%

“…No other differences in underreported health problems were found and the prevalence of chronic diseases was similar. However, users of the information leaflet were more accustomed to preparing themselves for the consultation than non-users [35]. A significant drop in anxiety immediately after the consultation was revealed, but there is no evidence that this reduction varied between the two groups [36].…”

Section: Emotional and Psychological Symptoms Associated With Difficumentioning

confidence: 89%

“…The overall relationship was statistically significant in predicting long-term satisfaction with healthcare decisions [41]. Results showed that intervention patients seemed less able to cope with their health problem after visiting their doctor compared to patients in the control group [35]. However, the patients were very satisfied with the way their general practitioner behaved during the consultation and no differences between the intervention and control group were detected.…”

Section: Satisfaction With Care and Treatmentmentioning

confidence: 99%

“…One study reported that the sample was 100% African American [34]. Five studies stated that the samples were predominantly female, which could limit generalization [34] [35] [37] [39]. One study mainly comprised male participants [40].…”

Section: Methodological Assessment Of the Included Studiesmentioning

confidence: 99%

“…The findings revealed emotional and psychological symptoms associated with difficulty participation in decision-making [35] [36] [39]. Emotional support from the surgeon was negatively related to perceptions of being the final decision-maker, but not associated with patient questioning of surgeons [39].…”

Section: Emotional and Psychological Symptoms Associated With Difficumentioning

confidence: 99%

See 4 more Smart Citations

Older Patients’ Involvement in Shared Decision-Making—A Systematic Review

Holm¹,

Berland²,

Severinsson³

2016

OJN

View full text Add to dashboard Cite

Shared decision-making has been described as allowing patients to gain more control over their life situation and feel less helpless. The aim of this systematic review was to describe the involvement of older patients in shared decision-making in community settings. In accordance with the systematic review method, a total of 2468 abstracts were read, after which nine quantitative studies were included. A qualitative thematic analysis was performed and two themes emerged; increased understanding of self-management and a desire to strengthen one's position in relationship with professionals, both of which were essential for empowering older patients to participate in shared decision-making. Older patients' shared decision-making was seen as a struggle to maintain their autonomy in different areas of everyday life. Emotional and psychological problems made their position more difficult. In order to empower them in relationships with healthcare professionals, older patients require more knowledge (self-efficacy) and information about their illness, which could strengthen their position in the decision-making process. They also need a greater awareness of decisional conflicts that may arise. Age, gender and health status influence older patients' chance of being respected and taken seriously in relationship with professionals.

show abstract

Section: Emotional and Psychological Symptoms Associated With Difficumentioning

confidence: 55%

Section: Emotional and Psychological Symptoms Associated With Difficumentioning

confidence: 89%

Section: Satisfaction With Care and Treatmentmentioning

confidence: 99%

Section: Methodological Assessment Of the Included Studiesmentioning

confidence: 99%

Section: Emotional and Psychological Symptoms Associated With Difficumentioning

confidence: 99%

See 3 more Smart Citations

Older Patients’ Involvement in Shared Decision-Making—A Systematic Review

Holm¹,

Berland²,

Severinsson³

2016

OJN

View full text Add to dashboard Cite

show abstract

Helpfulness of Question Prompt Sheet for Patient-Physician Communication Among Patients With Advanced Cancer

Arthur

Pawate

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceThere are few robust evaluations of disease-specific question prompt sheets (QPS) in patient-physician communication among patients with advanced cancer.ObjectiveTo compare the patient perception of helpfulness, global evaluation, and preference for the QPS vs a general information sheet (GIS), and to examine the effect of the QPS on participants’ anxiety, participants’ speaking time, number of questions asked, and length of the clinical encounter.Design, Setting, and ParticipantsThis controlled, double-blind randomized clinical trial was conducted at an outpatient palliative and supportive care clinic in a cancer center in the US. Eligible patients were 18 years or older, had a cancer diagnosis, and were undergoing their first outpatient consultation visit with a palliative care physician from September 1, 2017, to May 31, 2019. Data analysis used a modified intention-to-treat design. Data were analyzed from May 18 to June 27, 2022.InterventionQPS, a 25-item list of questions developed by expert palliative care clinicians using a Delphi process and tested among ambulatory advanced cancer patients. The control was GIS, generic information material given routinely to patients seen at the supportive care clinic.Main Outcomes and MeasuresThe main outcome was patient perception of helpfulness. Secondary outcomes included global evaluation and preference of QPS compared with GIS immediately after the encounter.ResultsA total of 130 patients (mean [SD] age, 58.6 [13.3] years; 79 [60.8%] female) were randomized to receive either QPS (67 patients [51.5%]) or GIS (63 patients [48.5%]). Patients considered QPS and GIS equally helpful, with no statistically significant difference (mean [SD] helpfulness score, 7.2 [2.3] points vs 7.1 [2.7] points; P = .79). The QPS group, compared with the GIS group, had a higher global positive view of the material (mean [SD] global perception score, 7.1 [1.3] vs 6.5 [1.7]; P = .03) and felt it prompted them more to generate new questions (mean [SD] rating, 7.0 [2.9] vs 5.3 [3.5]; P = .005). Of 47 patients asked their preference between the items, more participants preferred the QPS to the GIS in communicating with their physicians (24 patients [51.1%] vs 7 patients [14.9%]; P = .01) at the 4-week follow-up. No significant differences between the QPS and GIS groups were observed regarding participant anxiety, speaking time, number of questions asked, or consultation length (eg, mean [SD] anxiety rating, 2.3 [3.7] vs 1.6 [2.7]; P = .19).Conclusions and RelevanceIn this randomized clinical trial, participants perceived both QPS and GIS as equally helpful, but they had a more positive global view of and preferred the QPS. QPS facilitated generation of new questions without increasing patient anxiety nor prolonging the consultation. The findings provide support for increased adoption and integration of QPS into routine oncologic care.Trial RegistrationClinicalTrials.gov Identifier: NCT03287492

show abstract

Interventions for improving older patients' involvement in primary care episodes

Wetzels

Harmsen

Weel

et al. 2007

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Overall this review shows some positive effects of specific methods to improve the involvement of older people in primary care episodes. Because the evidence is limited, however, we can not recommend the use of the reviewed interventions in daily practice. There should be a balance between respecting patients' autonomy and stimulating their active participation in health care. Face-to-face coaching sessions, whether or not complemented with written materials, may be the way forward. As this is impractical for the whole population, it could be worthwhile to identify a subgroup of older patients who might benefit the most from enhanced involvement, ie. those who want to be involved, but lack the necessary skills. This group could be coached either individually or, more practically, in group sessions.

show abstract

A consultation leaflet to improve an older patient's involvement in general practice care: a randomized trial

Cited by 33 publications

References 25 publications

Older Patients’ Involvement in Shared Decision-Making—A Systematic Review

Older Patients’ Involvement in Shared Decision-Making—A Systematic Review

Helpfulness of Question Prompt Sheet for Patient-Physician Communication Among Patients With Advanced Cancer

Interventions for improving older patients' involvement in primary care episodes

Contact Info

Product

Resources

About