Patient Recall and Understanding of Instructions Concerning Splints Following a Zone 2 Flexor Tendon Repair

Kortman, Brenton

doi:10.1111/j.1440-1630.1992.tb01740.x

Cited by 15 publications

(9 citation statements)

References 13 publications

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“…While many made errors on their recall of advice, most of these errors or omissions were relatively minor. This is in contrast to widely quoted research previously carried out in hospitals and experimental non-clinical settings 6 12 23. Anxiety is known to reduce recall24 and it may be that patients are less stressed in the familiar setting of general practice compared with, for example, a hospital oncology clinic or before surgery.…”

Section: Discussioncontrasting

confidence: 62%

“…*The Scottish allocation formula12 is the deprivation score used to allocate funding. Zero is average deprivation, positive figures are relatively more deprived.…”

Section: Methodsmentioning

confidence: 99%

“…What research there has been on recall of information from clinical encounters has been predominantly carried out in hospital settings,6 12 in the specific contexts of cancer care, or in obtaining informed consent for surgical procedures, most of which have explored interventions using written or recorded materials 11Factors associated with increased accuracy of recall

Reducing the volume of information 2

…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the accuracy of patients' recall of the content of telephone and face-to-face consultations: an exploratory study

McKinstry

Watson

Elton

et al. 2011

Postgraduate Medical Journal

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BACKGROUND To comply with an action plan patients need to recall information accurately. Little is known about how well patients recall consultations, particularly telephone consultations increasingly used to triage acute problems. PURPOSE OF STUDY This was an exploratory study to measure how accurately patients recall the content of face-to-face and telephone consultations and what factors may be associated with accurate recall. STUDY DESIGN In Scotland in 2008, the advice (diagnoses; management plan(s); and safety-netting arrangements) given in audio recorded face-to-face and telephone consultations was compared with the advice recalled by patients at interview approximately 13 days later. Patients also performed a memory test. Interactions were sought between accurate recall, consultation type, and factors postulated to influence recall. RESULTS Ten general practitioners (GPs) and 175 patients participated; 144 (82%) patients were interviewed. Patients recalled most important components of telephone and face-to-face consultations equally accurately or with only minor errors. Overall, patients presenting multiple problems (p<0.001), with brain injury (p<0.01) or low memory score (p<0.01) had reduced recall. GPs rarely used strategies to improve recall; however, these were not associated with improved recall. CONCLUSIONS Contrary to previous hospital based research, patients tended to remember important components of both face-to-face and telephone consultations-perhaps reflecting the familiar, less anxiety provoking environment of primary care. The unsuccessful use of strategies to improve recall may reflect selective use in cognitively impaired patients. Clinicians should compensate for situations where recall is poorer such as patients presenting multiple problems or with brain injury. Patients might be advised to restrict the number of problems they present in any one consultation.

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Section: Discussioncontrasting

confidence: 62%

“…*The Scottish allocation formula12 is the deprivation score used to allocate funding. Zero is average deprivation, positive figures are relatively more deprived.…”

Section: Methodsmentioning

confidence: 99%

Reducing the volume of information 2

…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the accuracy of patients' recall of the content of telephone and face-to-face consultations: an exploratory study

McKinstry

Watson

Elton

et al. 2011

Postgraduate Medical Journal

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show abstract

“…This result is different from Kortman's [22] finding in which 62% could recall the instructions. Therapists in this study used a variety of instructions including verbal and visual to both clients and caregivers to teach them how to use splints.…”

Section: Discussioncontrasting

confidence: 99%

“…A study by Feinberg [13] of clients with rheumatoid arthritis found that knowledge of how to use the splint correlated significantly with actual use. In a study of client recall and understanding of splint-wearing instructions following tendon repair, Kortman [22] found that only 62% of clients recalled the total instructions. If instructions are forgotten, clients may not know how to employ the splint and for how long.…”

Section: Negative Factorsmentioning

confidence: 99%

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Kuipers

Rassafiani

Ashburner

et al. 2009

NRE

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Clients with acquired brain injury often demonstrate hypertonicity and decreased function in their upper limbs, requiring appropriate intervention. Splinting is one of the intervention methods that is widely used to address these issues. Literature shows that some clients are not using splints following fabrication. However, there is a paucity of research about the factors that influence clients to use or not use splints. This study aims to investigate these influential factors for clients with upper limb hypertonicity. Two survey tools including therapist and client questionnaires were developed and completed by both therapists and clients. Six therapists and 14 clients participated in this study and completed the relevant questionnaires. The results illustrate that most clients (13 out of 14) were continuing to use their splints four weeks following discharge from hospital. The main goals of choosing splints for both therapists and clients were prevention of contracture and deformity. The most indicated client reasons for adhering to the splint wearing program were therapist-related factors including clients' trust and reliance on their therapists. Further reasons for clients implementing the recommended splint-wearing program and clinical implications are discussed.

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Facilitating Adherence to the Plan of Care

O’Brien¹,

Robinson²

2020

Cooper's Fundamentals of Hand Therapy

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Patient Recall and Understanding of Instructions Concerning Splints Following a Zone 2 Flexor Tendon Repair

Cited by 15 publications

References 13 publications

Comparison of the accuracy of patients' recall of the content of telephone and face-to-face consultations: an exploratory study

Comparison of the accuracy of patients' recall of the content of telephone and face-to-face consultations: an exploratory study

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Facilitating Adherence to the Plan of Care

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