Tested communication strategies for providing information to patients in medical consultations: A scoping review and quality assessment of the literature.

Published on Jan 20, 2021in Patient Education and Counseling2.607
· DOI :10.1016/J.PEC.2021.01.019
Julia Menichetti9
Estimated H-index: 9
(University of Oslo),
Hanne Cathrine Lie10
Estimated H-index: 10
(University of Oslo)
+ 9 AuthorsLene K. Juvet1
Estimated H-index: 1
(Sewanee: The University of the South)
Source
Abstract
Abstract Objectives To systematize the scientific knowledge of empirically tested strategies for verbally providing medical information in patient- physician consultations. Methods A scoping review searching for terms related to physician, information, oral communication, and controlled study. Four pairs of reviewers screened articles. For each selected study, we assessed the quality and summarized aspects on participants, study, intervention, and outcomes. Information provision strategies were inductively classified by types and main categories. Results After screening 9422 articles, 39 were included. The methodological quality was moderate. We identified four differently used categories of strategies for providing information: cognitive aid (n = 13), persuasive (n = 8), relationship- (n = 3), and objectivity-oriented strategies (n = 4); plus, one “mixed” category (n = 11). Strategies were rarely theoretically derived. Conclusions Current research of tested strategies for verbally providing medical information is marked by great heterogeneity in methods and outcomes, and lack of theory-driven approaches. The list of strategies could be used to analyse real life communication. Practice Implications Findings may aid the harmonization of future efforts to develop empirically-based information provision strategies to be used in clinical and teaching settings.
References113
Newest
#1Pernille GabelH-Index: 4
#2Mette Bach LarsenH-Index: 13
Last. Berit AndersenH-Index: 24
view all 5 authors...
BACKGROUND The decision to take up colorectal cancer screening has to be made on informed grounds balancing benefits and harms. Self-administered decision aids can support citizens in making an informed choice. A self-administered web-based decision aid targeting citizens with lower educational attainment has been evaluated within the target population. However, the effectiveness in the general screening population remains unexplored. The aim of this study was to evaluate the effectiveness of a ...
3 CitationsSource
#1Danielle Mazza (Monash University)H-Index: 27
#2Cathy Watson (Monash University)H-Index: 13
Last. Kirsten I. Black (RPA: Royal Prince Alfred Hospital)H-Index: 21
view all 9 authors...
Structured Abstract Background Long-active reversible contraceptives (LARCs) reduce unintended pregnancy and abortions but uptake is low. Interventions to increase uptake in family medicine settings are untested. Objective The Australian Contraceptive ChOice pRoject (ACCORd), adapted from the successful US Contraceptive CHOICE study, aimed to evaluate whether a complex intervention in family medicine practices resulted in increased LARC uptake by women. Study design This cluster randomized contr...
9 CitationsSource
#1Ian M. Oppenheim (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 2
#2Emma M. Lee (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 2
Last. Alison E. Turnbull (Johns Hopkins University)H-Index: 1
view all 6 authors...
Importance Discordance about prognosis between a patient’s health care decision-making surrogate and the treating intensivist is common in the intensive care unit (ICU). Empowering families, friends, and caregivers of patients who are critically ill to make informed decisions about care is important, but it is unclear how best to communicate prognostic information to surrogates when a patient is expected to die. Objective To determine whether family members, who are often health care decision-ma...
3 CitationsSource
#1Vicky Lehmann (PHRI: Public Health Research Institute)H-Index: 3
#2Nanon H.M. Labrie (PHRI: Public Health Research Institute)H-Index: 3
Last. Ellen M. A. Smets (PHRI: Public Health Research Institute)H-Index: 39
view all 8 authors...
Abstract Objectives Tailoring medical information to cancer patients’ needs is recommended, but there is little guidance on how to tailor, and limited research exists about its effects. Tailoring to the amount of preferred information may be easily implementable in clinic and is tested here. Methods A video-vignette experiment was used to systematically vary video patients’ information preferences (limited/extensive) and amount of provided information (additional/no additional). N = 253 cancer p...
6 CitationsSource
#1Vicky Lehmann (PHRI: Public Health Research Institute)H-Index: 3
#2Nanon H.M. Labrie (PHRI: Public Health Research Institute)H-Index: 3
Last. Ellen M. A. Smets (PHRI: Public Health Research Institute)H-Index: 39
view all 8 authors...
Abstract Objectives Patient recall of medical information is usually poor. Healthcare providers can employ affect-oriented (i.e., showing care) or cognition-oriented communication styles (i.e., structuring information) to enhance recall, but research evidence is limited especially among clinical and/or older patient populations. This video-vignette study manipulated provider caring and information structuring to examine effects on recall and trust among cancer patients/survivors. Methods In an o...
4 CitationsSource
#1Hanna Bomhof-Roordink (LUMC: Leiden University Medical Center)H-Index: 3
#2Fania R. Gärtner (LUMC: Leiden University Medical Center)H-Index: 13
Last. Arwen H. Pieterse (LUMC: Leiden University Medical Center)H-Index: 27
view all 4 authors...
Objectives To (1) provide an up-to-date overview of shared decision making (SDM)-models, (2) give insight in the prominence of components present in SDM-models, (3) describe who is identified as responsible within the components (patient, healthcare professional, both, none), (4) show the occurrence of SDM-components over time, and (5) present an SDM-map to identify SDM-components seen as key, per healthcare setting. Design Systematic review. Eligibility criteria Peer-reviewed articles in Englis...
39 CitationsSource
Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease with significant potential morbidity and mortality. Substantial gaps have been documented between the development and dissemination of clinical practice guidelines (CPG) and their implementation in practice. The aim of this study is to assess the effectiveness and cost-effectiveness of a multi-component knowledge transfer intervention to implement a CPG for the management of SLE (CPG-SLE). The study is an open, multicentre,...
1 CitationsSource
#1Byung Sik Kim (Hanyang University)H-Index: 3
#2Young Hyo Lim (Hanyang University)H-Index: 16
Last. Kyung Soo Kim (Hanyang University)H-Index: 19
view all 9 authors...
Abstract Background Smoking cessation is important to prevent recurrence of acute coronary syndrome (ACS), but even in patients with ACS, smoking is hard to quit. Objectives This study hypothesized that aversive advice during the percutaneous coronary intervention (PCI) procedure works effectively to promote smoking cessation in patients with ACS. Methods This study was conducted as a prospective, single-blinded, randomized controlled trial. A total of 66 patients were randomly assigned to an av...
3 CitationsSource
#1Jenny Maria Nordfalk (Ahus: Akershus University Hospital)H-Index: 1
#2Pål Gulbrandsen (Ahus: Akershus University Hospital)H-Index: 30
Last. Julia Menichetti (Ahus: Akershus University Hospital)H-Index: 9
view all 5 authors...
Background Information exchange between physician and patient is crucial to achieve patient involvement, shared decision making and treatment adherence. No reliable method exists for measuring how much information physicians provide in a complex, unscripted medical conversation, nor how much of this information patients recall. This study aims to fill this gap by developing a measurement system designed to compare complex orally provided information to patient recall.
3 CitationsSource
#1Georgina Phillips (University Hospital of Wales)H-Index: 1
#1Georgina Phillips (University Hospital of Wales)H-Index: 10
Last. Natalie Joseph-Williams (University Hospital of Wales)H-Index: 15
view all 5 authors...
Background:Many decisions are made by patients in their last months of life, creating complex decision-making needs for these individuals. Identifying whether currently existing patient decision ai...
2 CitationsSource
Cited By2
Newest
#1Hanne Cathrine Lie (University of Oslo)H-Index: 10
#2Lene K. Juvet (Sewanee: The University of the South)H-Index: 1
Last. Hilde Strømme (University of Oslo)H-Index: 3
view all 13 authors...
BACKGROUND Providing diagnostic and treatment information to patients is a core clinical skill, but evidence for the effectiveness of different information-giving strategies is inconsistent. This systematic review aimed to investigate the reported effects of empirically tested communication strategies for providing information on patient-related outcomes: information recall and (health-related) behaviors. METHODS The databases MEDLINE, Embase, PsycINFO (Ovid), Cochrane Central Register of Contro...
Source
1 CitationsSource