Jennifer L. Wolff|Debra Roter|Jeremy Barron|Cynthia M. Boyd|Bruce Leff|Thomas E. Finucane|Joseph J. Gallo|Peter V. Rabins|David L. Roth|Laura N. Gitlin
A Tool to Strengthen the Older Patient–Companion Partnership in Primary Care: Results from a Pilot Study
Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University
determine acceptability preconsultation checklist older adults attend medical visits unpaid companion evaluate effects visit communicationrandomized controlled pilot studyacademic geriatrics ambulatory clinicthirtytwo individuals aged 65 older unpaid companionsa selfadministered checklist compared usual care checklist designed elicit align patient companion perspectives regarding health concerns discuss doctor stimulate discussion companions role visitratio patientcentered communication coded visit audiotapeschecklist acceptability visit duration patientcompanion verbal activity patient physicianreported perspectives visitall intervention patients companions n 17 completed checklist participants n 32 dyads completed study patients companions stated checklist easy complete 88 useful 91 uniformly 100 recommended patients communication significantly patientcentered intervention group visits ratio 122 vs 071 p 03 visit duration 350 306 minutes p 34 percentage total verbal activity contributed patients companions 582 563 visit statements p 50 comparable intervention control groups respectively physicians likely indicate intervention companions helped provide good care patient 94 vs 60 p 02 intervention patients likely indicate better understood doctors advice explanations companion present 82 vs 47 p 03a checklist elicit align perspectives older adults companions resulted enhanced patientcentered medical visit communication