Research output per year
Research output per year
Iren Alders*, Inge Henselmans, Carolien Smits, Tommy Visscher, Monique Heijmans, Jany Rademakers, Paul L. P. Brand, Sandra van Dulmen
Research output: Contribution to journal › Article › Academic › peer-review
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 |
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Pages (from-to) | 1520-1527 |
Number of pages | 8 |
Journal | Patient Education and Counseling |
Volume | 102 |
Issue number | 8 |
DOIs | |
Publication status | Published - Aug 2019 |
Research output: Contribution to journal › Erratum / corrigendum / retractions › Academic