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Empowering the patient in the consultation: a pilot study
1Unit of Psychology, United Medical and Dental Schools (Guys Campus), London, UK.
Patient Education and Counseling
|April 1, 1996
Summary
A brief written intervention significantly increased patient participation in primary care consultations, leading to longer discussions and more questions. Younger patients and those from higher social classes benefited most from this intervention.
Area of Science:
- Health Services Research
- Patient-Provider Communication
- Primary Care Medicine
Background:
- Patient participation in medical consultations is crucial for effective healthcare.
- Brief interventions may enhance patient engagement in primary care settings.
- Understanding factors influencing intervention efficacy is important for clinical application.
Purpose of the Study:
- To evaluate the effectiveness of a brief written intervention aimed at increasing patient participation during primary care consultations.
- To identify patient characteristics that predict a positive response to the intervention.
Main Methods:
- A randomized controlled trial comparing an intervention leaflet group (N=59) with a control leaflet group (N=61).
- Consultation process measures (duration, questions asked) and outcome measures were assessed.
- Psychological and sociodemographic data were collected to explore influencing factors.
Main Results:
- The intervention group experienced significantly longer consultations and asked more questions compared to the control group.
- Younger patients and those from higher socioeconomic statuses (social classes 1 and 2) showed greater benefit.
- Locus of control and self-efficacy did not significantly predict intervention outcomes.
Conclusions:
- A brief written intervention can effectively enhance patient participation in primary care consultations.
- Patient age and socioeconomic status are important moderators of intervention effectiveness.
- Further research is needed to explore intervention mechanisms and optimize patient engagement strategies.
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