Communication training improves patient-centered provider behavior and screening for soldiers' mental health concerns

Patient Education and Counseling
Susan R DouglasLeonard Bickman

Abstract

To evaluate the effectiveness of patient-centered communication training for military providers who conduct post-deployment health screening. The half-day interactive workshop included simulated Soldier patients using video technology. Using a quasi-experimental design, all health care providers at four military treatment facilities were recruited for data collection during a four- to nine-day site visit (23 trained providers, 28 providers in the control group, and one provider declined to participate). All Soldiers were eligible to participate and were blinded to provider training status. Immediately after screening encounters, providers reported on their identification of mental health concerns and Soldiers reported on provider communication behaviors resulting in 1,400 matched pairs. Electronic health records were also available for 26,005 Soldiers. The workshop was found to increase (1) providers' patient-centered communication behaviors as evaluated by Soldiers; (2) provider identification of Soldier mental health concerns; and (3), related health outcomes including provision of education and referral to a confidential counseling resource. Results are promising, but with small effect sizes and study limitations, further re...Continue Reading

References

Mar 1, 1993·Journal of General Internal Medicine·M J WeaverE F Degenhardt
Mar 1, 1996·Journal of General Internal Medicine·S K JoosL H Baker
Feb 12, 1998·Annals of Internal Medicine·D B Rubin
Aug 11, 2000·Psychological Methods·S W Raudenbush, X Liu
Apr 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·G Makoul
Apr 5, 2002·Patient Education and Counseling·Margareth SandvikArnstein Finset
Apr 5, 2002·Patient Education and Counseling·Debra Roter, Susan Larson
Sep 28, 2002·BMJ : British Medical Journal·Peter Maguire, Carolyn Pitceathly
Sep 4, 2003·JAMA : the Journal of the American Medical Association·Michael J YedidiaMack Lipkin
Oct 17, 2003·British Journal of Cancer·L FallowfieldI Solis-Trapala
May 29, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Adina KaletAaron Lazare
Jul 2, 2004·The New England Journal of Medicine·Charles W HogeRobert L Koffman
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Roberto J RonaSimon Wessely
Jun 4, 2005·Current Opinion in Oncology·Isabelle MerckaertDarius Razavi
Jun 1, 2007·Patient Education and Counseling·Jamie D DavisTimothy O'Leary
Jun 15, 2007·Archives of Internal Medicine·Gregory MakoulMarianne Green
Oct 5, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Tracy SteckerIcek Ajzen
Nov 15, 2007·JAMA : the Journal of the American Medical Association·Charles S MillikenCharles W Hoge
Aug 6, 2008·Psychiatric Services : a Journal of the American Psychiatric Association·Amy L DrapalskiLisa B Dixon
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Louise ForsetlundAndrew D Oxman
Jul 9, 2009·Medical Care·Kelly B Haskard Zolnierek, M Robin Dimatteo
Jul 8, 2010·Health Affairs·Wendy LevinsonRonald M Epstein
Jan 21, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Mohammadreza HojatJoseph S Gonnella
May 10, 2011·Journal of the American Board of Family Medicine : JABFM·Klea D Bertakis, Rahman Azari
Jan 2, 2013·JAMA Internal Medicine·Neda RatanawongsaDean Schillinger
Sep 3, 2013·Journal of Graduate Medical Education·Gail M Sullivan, Richard Feinn
May 1, 2014·Journal of Patient Experience·Amy K WindoverJames Merlino

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Citations

Jan 17, 2020·Military Medicine·Tanekkia M Taylor-Clark, Patricia A Patrician
Nov 2, 2019·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Pariyawit NurashUngsinun Intarakamhang
Jul 6, 2020·The Journal of Behavioral Health Services & Research·Malendie T GainesKirk D Henny
Apr 4, 2020·Medical Education·Marie-Aude PiotBruno Falissard
Jul 13, 2021·Frontiers in Psychiatry·Michelle CurtinRebecca McNally Keehn

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