Patient education and the consultation: the importance of lay beliefs.

Donovan, Jenny

doi:10.1136/ard.50.suppl_3.418

Cited by 51 publications

(35 citation statements)

References 9 publications

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“…As a result, the disease can in some ways be considered a failure in the battle for the 'perfect life'. Ailinger and Schweitzer (1993) claim that patients do not consider it important to talk about the cause of their disease, although this contradicts the fi ndings of other researchers, which have indicated that the cause is very important to the patient (Donovan, 1991;Richards et al, 2003;Turner et al, 2007;Williams, 1984). In the present study, the variation in conceptions shows that there are many ways …”

Section: Aspects Of the Resultscontrasting

confidence: 81%

Patients' conceptions of the cause of their rheumatoid arthritis: A qualitative study

Bergsten

Bergman

Fridlund

et al. 2009

Musculoskeletal Care

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The patient's perspective of the cause of their RA includes aspects that complement the current pathogenetic models and should therefore be considered in the management of the disease. When dealing with rheumatic diseases, it is necessary to be aware of the patient's perspectives in order to new management strategies. In addition to epidemiological studies, further studies of patients' own experience are needed in order to achieve a more tailored care model.

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Section: Aspects Of the Resultscontrasting

confidence: 81%

Patients' conceptions of the cause of their rheumatoid arthritis: A qualitative study

Bergsten

Bergman

Fridlund

et al. 2009

Musculoskeletal Care

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show abstract

“…In addition, patients' beliefs about illness or disability, which are likely to underpin their behaviour, may not be congruent with healthcare professionals' medical model of disease (Donovan, 1991;Kirwan, 1990). Educational interventions that do not take account of any divergence of opinion may be less than optimally effective.…”

Section: Introductionmentioning

confidence: 95%

‘Extra information a bit further down the line’: Rheumatoid arthritis patients' perceptions of developing educational material about the cardiovascular disease risk

Hyttel

Hale

Treharne

et al. 2009

Musculoskeletal Care

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There is a need to develop educational material or programmes. Their design must consider factors which facilitate lifestyle change, such as motivation or receiving personalized advice, and factors that inhibit change, such as depression or fatalism. Emphasizing the positive effects that some CVD lifestyle changes may have on RA symptom control may be particularly persuasive. Group education would be a popular format. These findings can be directly translated into clinical practice.

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“…In the qualitative studies on consultation behaviour and communication, there is a broad consensus that patients want doctors to understand their personal contexts, 10,11 that they value caring behaviours, 12 and want as much information as they can get. 12,13 Patients appear to value both affective and cognitive reassurance as important parts of the consultation; however, the focus of previous qualitative work has been on doctor-patient communication generally, and not on reassurance specifically.…”

Section: Introductionmentioning

confidence: 99%

Reassurance during low back pain consultations with GPs: a qualitative study

2015

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BackgroundReassurance is commonly recommended in guidelines for the management of low back pain in primary care, although it is poorly defined, and what it means to patients remains unknown. AimTo explore how patients with low back pain perceive practitioners' reassuring behaviours during consultations. Design and settingQualitative study undertaken with patients from nine GP surgeries in Northamptonshire, England. MethodTwenty-three patients who had recently consulted for non-specific low back pain were recruited from general practice. Semistructured interviews explored what they had found reassuring during their consultations and the effect of such reassurance since their consultations. Interview transcripts were analysed using the thematic framework method. ResultsPatients each brought to their consultations experiences, beliefs, expectations, and concerns that they wanted the doctor to hear and understand. They were reassured implicitly when it seemed the doctor was taking them seriously and wanted to help; this was also achieved through relationship building and feeling that the GP was readily available to them. However, it was only explicit, informational reassurance that directly addressed patients' concerns by providing them with explanations ruling out serious disease, and helped them to understand and cope with their pain. ConclusionThe themes of implicit and explicit reassurance uncovered here correspond with ideas of affective and cognitive reassurance, respectively. Although the findings support the use of information and education to alleviate concerns, the role of implicit reassurance through relationship building and empathy remains less clear. The impact of these behaviours on outcomes should form a priority for future research.Keywords back pain; general practice; low back pain; physician-patient relations.

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Patient education and the consultation: the importance of lay beliefs.

Cited by 51 publications

References 9 publications

Patients' conceptions of the cause of their rheumatoid arthritis: A qualitative study

Patients' conceptions of the cause of their rheumatoid arthritis: A qualitative study

‘Extra information a bit further down the line’: Rheumatoid arthritis patients' perceptions of developing educational material about the cardiovascular disease risk

Reassurance during low back pain consultations with GPs: a qualitative study

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