Patient Education and Counseling
Volume 84, Issue 2 , Pages 257-260 , August 2011

Asking questions: The effect of a brief intervention in community health centers on patient activation

  • Darwin Deen

      Affiliations

    • Sophie Davis School of Biomedical Education, The City College of New York, New York, NY, USA
    • Corresponding Author InformationCorresponding author at: Department of Community Health and Social Medicine, Sophie Davis School of Biomedical Education, The City College of New York, 160 Convent Ave, New York, NY 10038, USA. Tel.: +1 212 650 7784; fax: +1 212 650 7778.
  • ,
  • Wei-Hsin Lu

      Affiliations

    • Stony Brook University School of Medicine Stony Brook, NY USA
  • ,
  • Dan Rothstein

      Affiliations

    • Right Question Project, Boston, MA, USA
  • ,
  • Luz Santana

      Affiliations

    • Right Question Project, Boston, MA, USA
  • ,
  • Marthe R. Gold

      Affiliations

    • Sophie Davis School of Biomedical Education, The City College of New York, New York, NY, USA

Received 5 February 2010 ,Revised 15 July 2010 ,Accepted 17 July 2010.

References 

  1. Stewart MA. Effective physician–patient communication and health outcomes: a review. Can Med Assoc J. 1995;152:1423–1433
  2. Willems S, De Maesschalck S, Deveugele M, et al. Socio-economic status of the patient and doctor–patient communication: does it make a difference?. Patient Educ Couns. 2005;56:139–146
  3. Cegala DJ, Post DM. The impact of patients’ participation on physicians’ patient-centered communication. Patient Educ Couns. 2009;77:202–208
  4. Alegrı́a M, Polo A, Gao S, Santana L, Rothstein D, Aida Jimenez A, et al. Evaluation of a patient activation and empowerment intervention in mental health care. Med Care. 2008;46:247–256
  5. Bennett I, Switzer J, Aguirre A, Evans K, Barg F. ‘Breaking it down’: patient–clinician communication and prenatal care among African American women of low and higher literacy. Ann Fam Med. 2006;4:334–340
  6. Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient–physician communication during medical visits. Am J Public Health. 2004;94:2084–2090
  7. Howard S, Gordon HS, Street RL, Sharf BF, Kelly PA, Souchek J. Racial differences in trust and lung cancer patients’ perceptions of physician communication. J Clin Oncol. 2006;24:904–909
  8. Cooper LA, Beach MC, Johnson RL, Inui TS. Delving below the surface. Understanding how race and ethnicity influence relationships in health care. J Gen Intern Med. 2006;21:S21–S27
  9. Hibbard JH, Greene J, Tusler M. Improving the outcomes of disease management by tailoring care to the patient's level of activation. Am J Manag Care. 2009;15:353–360
  10. Hibbard JH, Cunnihgham PJ. How engaged are consumers in their health and health care, and why does it matter?. Res Briefs. 2008;8:1–9
  11. Hibbard JH, Greene J, Becker ER, Roblin D, Painter MW, Perez DJ, et al. Racial/ethnic disparities and consumer activation in health. Health Affairs. 2008;27:1442–1453
  12. Hibbard J, Stockard J, Mahoney E, et al. Development of the patient activation measure (PAM): conceputalizing and measuring activation in patients and consumers. Health Serv Res. 2004;39:1005–1026
  13. Hibbard JH, Mahoney ER, Stockard J, Tusler M. Development and testing of a short form of the patient activation measure. Health Res Educ Trust. 2005;40:1918–1930
  14. Hibbard JH, Mahoney ER, Stock R, et al. Do increases in patient activation result in improved self-management behaviors?. Health Serv Res. 2007;42:1443–1463
  15. Mosen DM, Schmittdiel J, Hibbard J, Sobel D, Remmers C, Bellows J. Is patient activation associated with outcomes of care for adults with chronic conditions?. J Ambul Care Manage. 2007;30:21–29
  16. Remmers C, Hibbard J, Mosen DM, Wagenfield M, Hoye RE, Jones C. Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes?. J Ambul Care Manage. 2009;32:320–327
  17. Hibbard JH, Mahoney ER, Stock R, Tusler M. Self-management and health care utilization. Health Res Educ Trust. 2007;42:1443–1463
  18. Waitzkin H. Doctor–patient communication. J Amer Med Assoc. 1984;252:2441–2446
  19. Beisecker E, Beisecker TD. Patient information-seeking behaviors when communicating with doctors. Med Care. 1990;28:19–28
  20. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationspolicyAndGuidance/DH_079531
  21. Thompson SC, Nanni C, Schwankovsky L. Patient oriented interventions to improve communication in the medical office visit. Health Psychol. 1990;9:390–404
  22. Roter DL. Patient participation in the patient–provider interaction: the effects of patient question asking on the quality of interaction, satisfaction and compliance. Health Educ Monograph. 1977;281
  23. http://www.nia.nih.gov/HealthInformation/Publications/TalkingWithYourDoctor/chapter04.htm
  24. http://www.ahrq.gov/questionsaretheanswer/
  25. http://www.npsf.org/askme3/for_patients.php
  26. http://www.rightquestion.org/
  27. Guadagnoli E, Ward P. Patient participation in decision-making. Social Sci Med. 1998;47:329–339
  28. Bradley JG, Zia MJ, Hamilton N. Patient preferences for control in medical decision making: a scenario based approach. Fam Med. 1996;28:496–501
  29. Entwistle VA, Skea ZC, O’Donnell MT. Decisions about treatment: interpretations of two measures of control by women having a hysterectomy. Soc Sci Med. 2001;53:721–732
  30. Lubetkin EI, Lu W-H, Gold MR. Levels and correlates of patient activation in health center settings: Building strategies for improving health outcomes. J Health Care Poor Underserved. 2010;21:796–808

PII: S0738-3991(10)00427-1

doi: 10.1016/j.pec.2010.07.026

Patient Education and Counseling
Volume 84, Issue 2 , Pages 257-260 , August 2011