Vicky Lehmann1, Nanon H M Labrie2, Julia C M van Weert3, Sandra van Dulmen4, Hanneke J C J M de Haes1, Marie José Kersten5, Arwen H Pieterse6, Ellen M A Smets7. 1. Department of Medical Psychology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Cancer Center Amsterdam, Amsterdam, the Netherlands. 2. Department of Medical Psychology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Cancer Center Amsterdam, Amsterdam, the Netherlands; Athena Institute, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. 3. Amsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, the Netherlands. 4. Nivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands; Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway. 5. Department of Hematology, Amsterdam University Medical Center, University of Amsterdam, LYMMCARE (Lymphoma and Myeloma Center Amsterdam), Amsterdam, the Netherlands. 6. Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands. 7. Department of Medical Psychology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Cancer Center Amsterdam, Amsterdam, the Netherlands. Electronic address: e.m.smets@amsterdamumc.nl.
Abstract
OBJECTIVES: Patient recall of medical information is usually poor. Healthcare providers can employ affect-oriented (i.e., showing care) or cognition-oriented communication styles (i.e., structuring information) to enhance recall, but research evidence is limited especially among clinical and/or older patient populations. This video-vignette study manipulated provider caring and information structuring to examine effects on recall and trust among cancer patients/survivors. METHODS: In an online survey, 148 participants (Mage = 62) were randomized to one of four video conditions in a two (standard communication vs. enhanced caring) by two (standard vs. enhanced structuring) design, and completed measures of active recall, recognition, and trust. RESULTS: Increased caring or structuring did not enhance active recall or recognition, instead both were higher among younger, female, or highly educated participants. The caring condition induced higher perceived trust in the provider within the whole sample, but trust was significantly correlated with decreased recall (r = -.268) among younger participants. CONCLUSIONS: Provider caring can strengthen the patient-provider relationship by enhancing trust. Yet, increased trust may impair recall among younger patients. Structuring treatment information did not enhance recall and recognition, but additional research is needed. PRACTICE IMPLICATIONS: Providers may use additional ways of structuring/organizing information to help enhance recall (e.g., written information).
RCT Entities:
OBJECTIVES:Patient recall of medical information is usually poor. Healthcare providers can employ affect-oriented (i.e., showing care) or cognition-oriented communication styles (i.e., structuring information) to enhance recall, but research evidence is limited especially among clinical and/or older patient populations. This video-vignette study manipulated provider caring and information structuring to examine effects on recall and trust among cancerpatients/survivors. METHODS: In an online survey, 148 participants (Mage = 62) were randomized to one of four video conditions in a two (standard communication vs. enhanced caring) by two (standard vs. enhanced structuring) design, and completed measures of active recall, recognition, and trust. RESULTS: Increased caring or structuring did not enhance active recall or recognition, instead both were higher among younger, female, or highly educated participants. The caring condition induced higher perceived trust in the provider within the whole sample, but trust was significantly correlated with decreased recall (r = -.268) among younger participants. CONCLUSIONS: Provider caring can strengthen the patient-provider relationship by enhancing trust. Yet, increased trust may impair recall among younger patients. Structuring treatment information did not enhance recall and recognition, but additional research is needed. PRACTICE IMPLICATIONS: Providers may use additional ways of structuring/organizing information to help enhance recall (e.g., written information).
Authors: Niki M Medendorp; Marij A Hillen; Leonie N C Visser; Cora M Aalfs; Floor A M Duijkers; Klaartje van Engelen; Margreet G E M Ausems; Senno Verhoef; Anne M Stiggelbout; Ellen M A Smets Journal: Eur J Hum Genet Date: 2021-01-12 Impact factor: 5.351
Authors: Arwen H Pieterse; Kim Brandes; Jessica de Graaf; Joyce E de Boer; Nanon H M Labrie; Anouk Knops; Cornelia F Allaart; Johanna E A Portielje; Willem Jan W Bos; Anne M Stiggelbout Journal: Med Decis Making Date: 2021-11-02 Impact factor: 2.583
Authors: Hanne C Lie; Lene K Juvet; Richard L Street; Pål Gulbrandsen; Anneli V Mellblom; Espen Andreas Brembo; Hilde Eide; Lena Heyn; Kristina H Saltveit; Hilde Strømme; Vibeke Sundling; Eva Turk; Julia Menichetti Journal: J Gen Intern Med Date: 2021-08-05 Impact factor: 5.128