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Training patients to reach their communication goals: A concordance perspective 

Training patients to reach their communication goals: A concordance perspective
Training patients to reach their communication goals: A concordance perspective

Thomas A. D’Agostino

, Carma L. Bylund

, and Betty Chewning

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date: 01 December 2020

Although effective physician–patient communication relies on both parties, an overwhelming majority of literature within the field of healthcare communication has focused on the physician or healthcare provider. This chapter presents research aimed at improving patient communication skills and physician–patient interactions through patient training. Published interventions can be categorized as those that entail the presentation of written materials only, materials plus some form of individualized coaching, or a group-based training format. Many patient communication interventions focus exclusively on patient question asking. Interventions reviewed in this chapter incorporate a broader range of skills towards a more comprehensive training. Available literature has demonstrated the impact of patient communication skills training on patient self-efficacy, behavioural intention, observed skill usage, treatment adherence, and more. A notable limitation of current research is the lack of a unifying theoretical model. The chapter proposes concordance, or shared physician–patient agreement, as a useful conceptual framework.

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