Jump to ContentJump to Main Navigation
Shared Decision Making in Health CareAchieving evidence-based patient choice$
Users without a subscription are not able to see the full content.

Glyn Elwyn, Adrian Edwards, and Rachel Thompson

Print publication date: 2016

Print ISBN-13: 9780198723448

Published to Oxford Scholarship Online: September 2016

DOI: 10.1093/acprof:oso/9780198723448.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 10 December 2019

Using interventions with patients before clinical encounters to encourage their participation

Using interventions with patients before clinical encounters to encourage their participation

A systematic review

Chapter:
(p.160) Chapter 25 Using interventions with patients before clinical encounters to encourage their participation
Source:
Shared Decision Making in Health Care
Author(s):

Marjan Faber

Sandra van Dulmen

Paul Kinnersley

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198723448.003.0025

Patients often do not get all the information they want or need during the clinical encounter. Interventions directly targeting patients can support patients to gather the information that they value. A systematic review of the literature, supplemented with a meta-analysis, revealed 51 randomized clinical trials. The most common interventions were question prompt lists and coaching sessions, usually delivered immediately before the consultation. Only a minority of the individual studies reported positive effects, though the meta-analysis showed small significant effects on the number of questions asked, patient participation, and patient satisfaction. No effects were found on patients’ anxiety, knowledge, and length of the consultation. Interventions designed to help patients to address their information needs during their clinical visit generate small benefits for patients. There remains uncertainty about the adequate timing of the intervention, as well as the impact of additional training for physicians.

Keywords:   Patient information, doctor-patient communication, information needs, clinical encounter, question prompt sheets, patient coaching

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .