Tested communication strategies for providing information to patients in medical consultations: A scoping review and quality assessment of the literature |
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| Authors: | Julia Menichetti Hanne C. Lie Anneli V. Mellblom Espen Andreas Brembo Hilde Eide Pål Gulbrandsen Lena Heyn Kristina H. Saltveit Hilde Strømme Vibeke Sundling Eva Turk Lene K. Juvet |
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| Affiliation: | 1. Institute of Clinical Medicine, University of Oslo, Oslo, Norway;2. Department of Behavioral Medicine, University of Oslo, Oslo, Norway;3. Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP), Oslo, Norway;4. Science Centre Health and Technology, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway;5. Health Services Research (HØKH) Centre, Akershus University Hospital, Lørenskog, Norway;6. Library of Medicine and Science, University of Oslo, Oslo, Norway;7. Department of Optometry, Radiography and Lighting Design, University of South-Eastern Norway, Kongsberg, Norway;8. Medical Faculty, University of Maribor, Maribor, Slovenia;9. Department of Nursing and Health Sciences, University of South-Eastern Norway, Drammen, Norway;10. Norvegian Institute of Public Health, Oslo, Norway;1. Duke University School of Medicine, Durham, USA;2. Department of Medicine, Division of Geriatrics, Duke University School of Medicine, Center for Aging and Human Development, Duke University School of Medicine, Geriatrics Research Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, USA;3. Department of Medicine, Division of Nephrology, Duke University School of Medicine, Durham, USA;4. Duke University Department of Biostatistics and Bioinformatics, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, USA;5. Duke University Department of Biostatistics and Bioinformatics, Duke Clinical Research Institute, Duke University, Durham, USA;6. Duke University Master of Biostatistics Program, Durham, USA;7. Department of Medicine, Division of Endocrinology, Duke University School of Medicine, Durham, USA;1. School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, B15 2TT, United Kingdom;2. Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Trust, Birmingham, B15 2GW, United Kingdom;1. Centre for Health, Exercise & Sports Medicine, Physiotherapy Department, The University of Melbourne, Melbourne, Australia;2. School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Australia;3. The Kenneth G Jamison Department of Neurosurgery, Royal Brisbane and Women’s Hospital, Australia;4. Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia;5. Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Australia |
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| Abstract: | ObjectivesTo systematize the scientific knowledge of empirically tested strategies for verbally providing medical information in patient-physician consultations.MethodsA scoping review searching for terms related to physician, information, oral communication, and controlled study. Four pairs of reviewers screened articles. For each selected study, we assessed the quality and summarized aspects on participants, study, intervention, and outcomes. Information provision strategies were inductively classified by types and main categories.ResultsAfter screening 9422 articles, 39 were included. The methodological quality was moderate. We identified four differently used categories of strategies for providing information: cognitive aid (n = 13), persuasive (n = 8), relationship- (n = 3), and objectivity-oriented strategies (n = 4); plus, one “mixed” category (n = 11). Strategies were rarely theoretically derived.ConclusionsCurrent research of tested strategies for verbally providing medical information is marked by great heterogeneity in methods and outcomes, and lack of theory-driven approaches. The list of strategies could be used to analyse real life communication.Practice implicationsFindings may aid the harmonization of future efforts to develop empirically-based information provision strategies to be used in clinical and teaching settings. |
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| Keywords: | Scoping review Information provision Medical communication Physician-patient relationship Intervention classification |
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