TY - JOUR
T1 - Patient coaching in specialist consultations. Which patients are interested in a coach and what communication barriers do they perceive?
AU - Alders, Irèn
AU - Henselmans, Inge
AU - Smits, Carolien
AU - Visscher, Tommy
AU - Heijmans, Monique
AU - Rademakers, Jany
AU - Brand, Paul L. P.
AU - van Dulmen, Sandra
PY - 2019/8
Y1 - 2019/8
N2 - 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.
AB - 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.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85063297378&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30910403
U2 - https://doi.org/10.1016/j.pec.2019.03.011
DO - https://doi.org/10.1016/j.pec.2019.03.011
M3 - Article
C2 - 30910403
SN - 0738-3991
VL - 102
SP - 1520
EP - 1527
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 8
ER -