Evaluation of the Two-Way Communication Checklist as a clinical intervention
| Autor: | Julio Bobes, Dieter Naber, Jonathan S. E. Hellewell, J Gerlach, A. Carlo Altamura, Siegfried Kasper, Philippe Robert, Jim van Os |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) medicine Humans 030212 general & internal medicine Psychiatry Physician-Patient Relations business.industry Communication Social environment Middle Aged Mental health Checklist 030227 psychiatry Psychiatry and Mental health Needs assessment Schizophrenia Number needed to treat Physical therapy Female Schizophrenic Psychology Two-way communication business Needs Assessment |
| Zdroj: | British Journal of Psychiatry. 184:79-83 |
| ISSN: | 1472-1465 0007-1250 |
| DOI: | 10.1192/bjp.184.1.79 |
| Popis: | BackgroundPatients and doctors often have divergent views on care needs.AimsTo examine whether providing patients with an opportunity to identify and discuss their needs would improve communication and induce changes in care.MethodPatients with schizophrenia (n=134) were randomly allocated to either standard care or use of the Two-Way Communication Checklist (2-COM). Before seeing their clinician for a routine follow-up, participants in the active intervention group were given 2-COM, a list of 20 common needs, and told to indicate those areas they wanted to discuss with their doctor. Outcomes were assessed immediately and again after 6 weeks.ResultsUsing 2-COM induced a stable improvement of patient-reported quality of patient–doctor communication (B=0.33, P=0.031), and induced changes in management immediately after the intervention (OR=3.7, P=0.009; number needed to treat, 6). Treatment change was more likely in patients with more reported needs, and needs most likely to induce treatment change displayed stronger associations with non-medication than with medication changes.ConclusionsA simple intervention to aid people in discussion of their needs results in improved communication and changes in management. |
| Databáze: | OpenAIRE |
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