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Behavioral engagement with pure presencetm in patient-provider relationships: Communication and the effect on patients and providers.

机译：在患者与提供者之间的行为中与纯在线行为的互动：交流以及对患者和提供者的影响。

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摘要

Effective communication is the basis of the patient-provider relationship impacting satisfaction among both patients and providers. In today's patient-centered healthcare environment a behavior change model formulated to provide communication-skills training for providers to effectively engage and empower patients for sustained behavior change, improved patient-provider satisfaction and patient outcomes is needed.;The purpose of this study is to explore the effects of Behavioral Engagement with Pure Presence(TM) in patient-provider relationships. The behavioral change model applies an integrated approach to interpersonal communication while engaging both patients and providers, facilitating emotional shifting essential to sustained behavior change (Donadio, 2011).;The research is a pre-experimental, one-group pretest-posttest study limited to a purposive sample of participating practice sites. A random sample of 40 adult patients was recruited from a physician's private endocrinology practice with two locations in Southeastern Michigan. One participating provider was trained to implement the intervention.;The research design comprised a quantitative analysis utilizing a self-administered, pre-and post-intervention Consultation and Relational Empathy (CARE) Measure Survey to participants measuring their perspective of relational empathy in the patient-provider relationship. Parametric and nonparametric statistical tests were performed on dependent variables against exposure to the intervention, the independent variable. Patient demographic and medical information were indicated as covariates and tested as independent variables. Provider pre- and post-intervention survey results on the model's effect on provider satisfaction in the patient-provider relationship and workplace were reported. The research study demonstrated statistical significance to reject the null hypothesis in favor of the alternate hypothesis: Patients who participate in Behavioral Engagement with Pure Presence(TM) will experience improved psychological effects.;Results of this research will attempt to determine the effects of the model for communication-skills training of providers to improve the patient-provider encounter for implementation in clinical practice across diverse health delivery systems. Implications include increased patient-provider satisfaction, improved self-directed patient-provider compliance, sustained patient behavior change, improved patient outcomes and an increase in provider job satisfaction; all of which may contribute to a decrease in healthcare costs. Further research will provide greater insight into the effects of behavior modification and disease management models for sustainability in lifestyle changes.
机译：有效的沟通是影响患者和提供者之间满意度的患者与提供者关系的基础。在当今以患者为中心的医疗环境中，需要制定一种行为改变模型，以为提供者提供沟通技能培训，以便他们有效地参与并授权患者进行持续的行为改变，提高患者对患者的满意度和患者的治疗效果。探索纯洁行为（Pure Presence）行为参与对患者与提供者之间关系的影响。行为改变模型将一种综合方法应用于人际沟通，同时让患者和提供者都参与进来，从而促进了对持续行为改变必不可少的情感转移（Donadio，2011年）;该研究是一项实验前，单组前测后测的研究，仅限于参与实践场所的目的样本。从密歇根州东南部两个地方的医生私人内分泌科诊所招募了40名成年患者。培训了一名参与提供者以实施干预措施。研究设计包括定量分析，该分析利用自我管理，干预前后的咨询和关系移情（CARE）量表对参与者进行测量，以衡量他们对患者关系移情的看法。 -提供者关系。对因变量进行了参数和非参数统计检验，以防止干预措施（自变量）的暴露。患者的人口统计学和医学信息被表示为协变量，并作为独立变量进行了测试。报告了提供者干预前后的调查结果，表明该模型在患者与提供者之间的关系和工作场所中对提供者满意度的影响。该研究表明，在拒绝零假设的情况下支持替代假设的统计意义是：参加具有Pure Presence（TM）行为参与的患者的心理影响将得到改善；该研究的结果将尝试确定模型的影响用于提供者的沟通技能培训，以改善患者与提供者之间的相遇，以便在各种健康交付系统的临床实践中实施。影响包括提高患者对服务提供者的满意度，改善自我指导的患者对提供者的依从性，持续的患者行为改变，改善患者的预后以及提高提供者的工作满意度；所有这些都可能有助于降低医疗保健成本。进一步的研究将为行为改变和疾病管理模型对生活方式改变的可持续性的影响提供更深入的了解。

著录项

  • 作者

    Clipper, Christie L.;

  • 作者单位

    Central Michigan University.;

  • 授予单位 Central Michigan University.;
  • 学科 Behavioral psychology.;Communication.;Health education.
  • 学位 D.H.A.
  • 年度 2015
  • 页码 132 p.
  • 总页数 132
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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