Using doctor-patient communication to affect patients' lifestyles. theoretical and practical implications

Abstract

Physicians very often do not perceive themselves as being efficient in affecting patients' life style. The aim of this article is to elucidate theoretical constructs and models in health education and their practical implications for individual health counselling in daily work as a guidance for physicians. The current most commonly used strategies are giving information and exhorting people, which have a limited ability to change peoples' behaviour. Derived from current behavioural constructs and models in health education - such as the health belief model, social learning theory, health beliefs, self-efficacy, self-determination theory - principles for successful strategies are described: to use patient-centredness instead of directing, to encourage patients to reflect and decide on their behavior, to find out the patient's readiness to change, to present knowledge as neutral facts instead of valuations, to focus on the actual behaviour instead of information-giving, to highlight patients' health beliefs and to discuss the advantages and disadvantages which the patients experience with their life style. The article concludes with a comprehensive model for individual health counselling in consecutive steps.     

Factors Influencing Experienced Distress and Attitude Toward Trauma by Emergency Medicine Practitioners

Authors explored whether the dose-response relationship evident in PTSD also applied to cases of vicarious trauma and, if so, which variables serve to moderate such reactions. This study examined the surveyed responses of emergency care workers in a group geographically near the September 11, 2001 New York terrorist site, comparing the results to a group of emergency care workers geographically distant from the terrorist site. Study results lend support to the presence of a dose-response relationship within vicarious traumatization. Specific variables associated with higher distress levels for practitioners included the discipline of the practitioner, treating an injured victim, and personally knowing a victim of the New York terrorist attacks. Past training related to vicarious traumatization was not associated with lower distress levels for practitioners. In addition, practitioners' awareness and interest in psychological issues related to trauma appear to have been enhanced by geographic proximity to the New York terrorist attacks.     

Understanding own teaching: becoming reflective teachers through reflective journals

Reflective journal facilitates teachers to reflect on their teaching and then generate feedback for the improvement of their classroom practices. This study examined how in-service English teachers in a MA Linguistics program at a US Mid-Western University perceived the influence of reflective journals toward their teaching attitudes. At the time of the research, participants were 25 years of age or older. The findings generated from interviews indicated that most participants were convinced that reflective journals help them become reflective teachers. It also found that most in-service teachers regard reflective journals as an effective tool to increase teaching awareness, and thus improve their performance during teaching.     

Only qualifications count: exploring perceptions of continuing professional development within the career guidance sector

This paper explores the views of a group of career development practitioners undertaking a postgraduate qualification as a form of continuing professional development (CPD). It offers insights into how these practitioners perceive and view different forms of CPD. A case study methodology was adopted to gather examples of the CPD activities practitioners engaged in and the value placed on these in supporting the development of professional practice. Their views were synthesised to create a typology representing a differentiated model of CPD. The model proposes three types of CPD: operational, experiential and formal. Formal CPD is perceived as having the highest value in developing professional practice. The study supports a deeper understanding of how careers practitioners engage with and understand CPD.     

Neuro-feedback intervention efficacy for treating children with Autism Spectrum Disorder

This study explored practitioners perceptions of a neuro-feedback intervention in treating children with Autism Spectrum Disorder’s (ASD). Informants were a convenience sample of ten South African neuro-feedback practitioners registered with the Health Professions Council of South Africa (HPCSA). The data on their views on neuro-feedback treatment efficacy, with children with ASD, were collected by means of semi-structured in-depth interviews. Thematic analysis of the data suggest practitioners to perceive neuro-feedback treatment to enhance the social, mood, behaviour, academic life, and family functioning of children with ASD. Additionally, the practitioners perceived neuro-feedback treatment to assist in reducing anxiety among children with ASD.     

Book review of Applied Behavior Analysis Advanced Guidebook: A Manual for Professional Practice (2nd edition)

The second edition of Applied Behavior Analysis Advanced Guidebook: A Manual for Professional Practice (Luiselli, 2023) covers 17 chapters on topics that are relevant to applied behavior analysis practitioners. In this review, we discuss the purpose and intended audience of the Guidebook, briefly summarize the contents of the Guidebook, and critically evaluate the contents with respect to breadth and depth, audience fit, organization, and cohesion. In addition, we discuss emerging areas that are highlighted in the Guidebook (i.e., technology and telehealth, diversity and multiculturism, and practice-oriented research).     

Still a rite of passage? A perspective on current therapeutic attitudes and interventions in relation to cyberbullying

This paper examines cyberbullying concerning therapeutic interventions. A section on bullying and how bullying impacts the therapeutic environment is included. The author provides his definition of bullying to incorporate cyberbullying and how it is no longer a “new issue” but an evolving one. The current status of therapeutic interventions used to support victims of cyberbullying has been explored, emphasising their effectiveness in assisting those experiencing bullying. A segment has been implemented to comprehend whether practitioners fully understand the potential implications of cyberbullying on clients, whether bullying is still seen as a “rite of passage” and what the possible consequences of this could be. Peer interventions and support groups concerning cyberbullying have been referenced, including The KiVa Programme, the Shared Concern Method and The Circle of Friends Method. These have highlighted specific examples of therapeutic and nontherapeutic approaches to intervene with cyberbullying. A section on potential further training is presented for practitioners working within educational environments. Moreover, physical, psychological, sexual and relational bullying are discussed in the article when applicable, with the umbrella term “bullying” used to discuss all forms of bullying at once. The paper has uncovered two key messages: (1) cyberbullying requires more awareness in counselling and is no longer a new issue and (2) more extensive training is required to assist therapists to work with cyberbullying victims.     

PROMPTING TECHNIQUES TO INCREASE THE RETURN RATE OF MAILED QUESTIONNAIRES1

To increase the return rate of questionnaires mailed to clergy and physicians concerning their mental-health practices, different prompts were used after the questionnaire was received during four mail-outs to four randomly drawn samples of clergy and physicians. For each mail-out, the sample was divided into experimental (received prompt) and comparison (no prompt) groups, and one type of prompt or combination was used. Non-returnees of the questionnaire in the experimental group received either: (a) a single telephone call, (b) a memo, (c) a package (personal letter and new questionnaire) or package plus a telephone call, or (d) a double call. Comparison physicians and clergy were mailed only the original questionnaire. Relative to their respective comparison group's return rate, which averaged 22% across the four mail-outs (range 18% to 24%), the single call and package alone about doubled the overall return rate, the package and call increased the return rate about two-and-a-half fold, and the double call almost tripled the return rate. The memo was ineffective. A cost-effectiveness analysis indicated that the double-call procedure was less expensive than the single call, and much less expensive than the package alone or package with a call in securing returns. An analysis of the pattern of returns showed clearly that when prompts were not delivered (comparison groups), very few returns were received after about seven days from the initial mail-out. Most returns from prompts (experimental groups) were received by several days after the prompt. The results were seen as salient to the problem of reducing selection or volunteer bias in questionnaire studies and subsequent research demonstrating the effectiveness of telephone calls made about a week after distribution of surveys in securing high return rates was discussed.     

中国心理健康服务从业者的职业压力现状及影响因素

本研究目的是考察心理健康从业者的压力现状及其影响因素。769名来自全国20个省份的心理健康从业者填写了研究者自编的有93个多项选择题和填空题的问卷,其中2个从本问卷中抽取的5点量表具有可接受的心理测量学指标。主因素分析表明,心理健康从业者的职业压力可分为三类:专业能力不足、缺乏单位支持、工作负担过重。回归分析表明:影响职业压力的非专业因素有:年龄,性别,教育水平,全职或兼职,场所是否专用,以及每周咨询的小时数。在专业因素中,督导和培训能显著地缓解心理健康从业者的职业压力。治疗中的困难情况会显著地引发心理健康从业者的职业压力。