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

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

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",

note = "Funding Information: The NPCD is financed by the Ministry of social affairs and employment and the Ministry of health, welfare and sports. We would like to thank the participants of the NPCD, this study would not have been possible without their collaboration. Furthermore we would like to thank Rob van Erven for his help with the statistical analysis. Publisher Copyright: {\textcopyright} 2019 Elsevier B.V.",

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",