Claude Richard|Emma Glaser|Marie?Thérèse Lussier
Communication and patient participation influencing patient recall of treatment discussions
Centre Integre de Sante et de Services Sociaux de Laval|Centre Integre de Sante et de Services Sociaux de Laval|Université de Montréal|Centre Integre de Sante et de Services Sociaux de Laval|Université de Montréal
abstract context patient recall treatment information key variable towards chronic disease cd management unclear communication patient participation characteristics predict recall objectives assess aspects doctorpatient communication predict patient recall medication information describe lifestyle treatment recall cd primary care patients design observational study within rct setting amp participants communitybased primary care pc practices family physicians n18 practicing gt5 years cd patient caseload patients n159 gt40 years old english speaking computer literate offtarget hypertension type ii diabetes andor dyslipidaemia main variables patient characteristics age education number cd information characteristics length encounter medication status medication class communication variables socioemotional utterances physician dominance communication control scores pace ask check express utterances measured rias number medication themes dialogue initiative measured medicode main outcome measures recall cd lifestyle treatment medication information results frequency lifestyle discussions varied topic patients recalled 43 alcohol 52 diet 70 exercise discussions two half six possible medication themes broached per medication discussion less one recalled discussing themes greater dialogue patient initiative significant predictors improved medication information recall discussion critical treatment information infrequently exchanged active patient engagement explicit conversations medications associated improved treatment information recall offtarget cd patients followed pc conclusion providers cannot take granted longterm offtarget cd patients recall information need encourage patient participation improve recall treatment information