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 journalArticleAcademicpeer-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 languageEnglish
Pages (from-to)1520-1527
Number of pages8
JournalPatient Education and Counseling
Volume102
Issue number8
DOIs
Publication statusPublished - 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

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