Patient coaching in specialist consultations. Which patients are interested in a coach and what communication barriers do they perceive?

Iren Alders; Inge Henselmans; Carolien Smits; Tommy Visscher; Monique Heijmans; Jany Rademakers; Paul L. P. Brand; Sandra van Dulmen

doi:10.1016/j.pec.2019.03.011

Patient coaching in specialist consultations. Which patients are interested in a coach and what communication barriers do they perceive?

Iren Alders^*, Inge Henselmans, Carolien Smits, Tommy Visscher, Monique Heijmans, Jany Rademakers, Paul L. P. Brand, Sandra van Dulmen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

5 Citations (Web of Science)

Abstract

Objective: To characterize patients interested in support by a patient coach to guide them in medical specialist consultations.

Methods: We compared 76 patients interested in a patient coach with 381 patients without such an interest, using a representative panel of patients with a chronic disease in the Netherlands. Independent variables were demographic factors, socio-economic status, perceived efficacy in patient-provider interaction, communication barriers, health literacy, (duration and type of) disease(s) and activation level.

Results: In univariate analyses, patients who are interested in a coach were significantly older, had lower health literacy skills and less self-efficacy and, overall, experienced more communication barriers (>4), than patients without such interest (1-2 barriers). Multivariate analyses indicated three communications barriers as determinants of patient interest in a coach: feeling tense, uncertainty about own understanding, and believing that a certain topic is not part of a healthcare providers' task.

Conclusion: Patients interested in a coach perceive specific barriers in communicating with their medical specialist. In addition, patients who are > = 65 years, have lower health literacy and low self-efficacy may have interest in a coach.

Practice implications: Characterizing patients interested in a patient coach facilitates identification of those who could benefit from such a coach in clinical practice. (C) 2019 Elsevier B.V. All rights reserved.

Original language	English
Pages (from-to)	1520-1527
Number of pages	8
Journal	Patient Education and Counseling
Volume	102
Issue number	8
DOIs	https://doi.org/10.1016/j.pec.2019.03.011
Publication status	Published - Aug 2019

Keywords

Patient-physician communication
Patient coaching
Medical specialists
Communication barriers
Health literacy
Face-to-face contact
CRITICAL HEALTH LITERACY
SELF-MANAGEMENT PROGRAM
PROFESSIONAL COMMUNICATION
PHYSICIAN COMMUNICATION
MIGRANT PATIENTS
GENERAL-PRACTICE
CANCER
CARE
PARTICIPATION
EFFICACY

Access to Document

10.1016/j.pec.2019.03.011

5 Citations
1 Erratum / corrigendum / retractions

Corrigendum to “Patient coaching in specialist consultations. Which patients are interested in a coach and what communication barriers do they perceive?” [Patient Educ. Couns. 102 (2019) 1520–1527]
Alders, I., Henselmans, I., Smits, C., Visscher, T., Heijmans, M., Rademakers, J., Brand, P. L. P. & van Dulmen, S., Feb 2020, In: Patient Education and Counseling. 103, 2, p. 431-431 1 p.
Research output: Contribution to journal › Erratum / corrigendum / retractions › Academic

Cite this

@article{df09a6e133174834b7969aab1e983058,

title = "Patient coaching in specialist consultations. Which patients are interested in a coach and what communication barriers do they perceive?",

abstract = "Objective: To characterize patients interested in support by a patient coach to guide them in medical specialist consultations.Methods: We compared 76 patients interested in a patient coach with 381 patients without such an interest, using a representative panel of patients with a chronic disease in the Netherlands. Independent variables were demographic factors, socio-economic status, perceived efficacy in patient-provider interaction, communication barriers, health literacy, (duration and type of) disease(s) and activation level.Results: In univariate analyses, patients who are interested in a coach were significantly older, had lower health literacy skills and less self-efficacy and, overall, experienced more communication barriers (>4), than patients without such interest (1-2 barriers). Multivariate analyses indicated three communications barriers as determinants of patient interest in a coach: feeling tense, uncertainty about own understanding, and believing that a certain topic is not part of a healthcare providers' task.Conclusion: Patients interested in a coach perceive specific barriers in communicating with their medical specialist. In addition, patients who are > = 65 years, have lower health literacy and low self-efficacy may have interest in a coach.Practice implications: Characterizing patients interested in a patient coach facilitates identification of those who could benefit from such a coach in clinical practice. (C) 2019 Elsevier B.V. All rights reserved.",

keywords = "Patient-physician communication, Patient coaching, Medical specialists, Communication barriers, Health literacy, Face-to-face contact, CRITICAL HEALTH LITERACY, SELF-MANAGEMENT PROGRAM, PROFESSIONAL COMMUNICATION, PHYSICIAN COMMUNICATION, MIGRANT PATIENTS, GENERAL-PRACTICE, CANCER, CARE, PARTICIPATION, EFFICACY",

author = "Iren Alders and Inge Henselmans and Carolien Smits and Tommy Visscher and Monique Heijmans and Jany Rademakers and Brand, {Paul L. P.} and {van Dulmen}, Sandra",

year = "2019",

month = aug,

doi = "10.1016/j.pec.2019.03.011",

language = "English",

volume = "102",

pages = "1520--1527",

journal = "Patient Education and Counseling",

issn = "0738-3991",