Patient Education and Counseling (PATIENT EDUC COUNS)

Publisher: Excerpta Medica (Firm); European Association for Communication in Healthcare; American Academy on Communication in Healthcare, Elsevier

Journal description

Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational and counseling model in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling and health promotion services. The journal welcomes unsolicited manuscripts related to the field of patient education, counseling and clinical health promotion and communication in medicine. Information on the journal's editorial policy and departments is contained in the Types of Papers statement on the inside front cover of the journal.

Current impact factor: 2.20

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 2.199
2013 Impact Factor 2.598
2012 Impact Factor 2.372
2011 Impact Factor 2.305
2010 Impact Factor 2.237
2009 Impact Factor 1.975
2008 Impact Factor 2.219
2007 Impact Factor 1.792
2006 Impact Factor 1.778
2005 Impact Factor 1.356
2004 Impact Factor 1.429
2003 Impact Factor 1.13
2002 Impact Factor 0.995
2001 Impact Factor 1.286
2000 Impact Factor 0.875
1999 Impact Factor 0.747
1998 Impact Factor 0.59
1997 Impact Factor 0.4

Impact factor over time

Impact factor

Additional details

5-year impact 2.98
Cited half-life 6.70
Immediacy index 0.42
Eigenfactor 0.02
Article influence 1.01
Website Patient Education and Counseling website
Other titles Patient education and counseling
ISSN 1873-5134
OCLC 9592687
Material type Periodical, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Authors pre-print on any website, including arXiv and RePEC
    • Author's post-print on author's personal website immediately
    • Author's post-print on open access repository after an embargo period of between 12 months and 48 months
    • Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months
    • Author's post-print may be used to update arXiv and RepEC
    • Publisher's version/PDF cannot be used
    • Must link to publisher version with DOI
    • Author's post-print must be released with a Creative Commons Attribution Non-Commercial No Derivatives License
    • Publisher last reviewed on 03/06/2015
  • Classification
    ​ green

Publications in this journal

  • Patient Education and Counseling 10/2015; DOI:10.1016/j.pec.2015.09.006
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: We examined associations of clinicians' empathy with patient-clinician communication behaviors, patients' rating of care, and medication self-efficacy. Methods: We analyzed 435 adult patients and 45 clinicians at four outpatient HIV care sites in the United States. Negative binomial regressions investigated associations between clinician empathy and patient-clinician communication, assessed using the Roter Interaction Analysis System (RIAS). Logistic regressions investigated associations between clinician empathy and patient ratings of clinician communication, overall satisfaction, and medication self-efficacy. Results: Clinicians in the highest vs. lowest empathy tertile engaged in less explicitly emotional talk (IRR 0.79, p<0.05), while clinicians in the middle vs. lowest engaged in more positive talk (IRR 1.31, p<0.05), more questions (IRR 1.42, p<0.05), and more patient activating talk (IRR 1.43, p<0.05). Patients of higher empathy clinicians disclosed more psychosocial and biomedical information. Patients of clinicians in both the middle and highest (vs. lowest) empathy tertiles had greater odds of reporting highest medication self-efficacy (OR 1.80, 95% CI 1.16-2.80; OR 2.13, 95% CI 1.37-3.32). Conclusions: Clinician empathy may be expressed through addressing patient engagement in care, by fostering cognitive, rather than primarily emotional, processing. Practice implications: Clinicians should consider enhancing their own empathic capacity, which may encourage patients' self-efficacy in medication adherence.
    Patient Education and Counseling 09/2015; DOI:10.1016/j.pec.2015.09.001
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    ABSTRACT: Objective: To undertake a pilot study assessing effectiveness of a tailored training programme in behaviour change counselling (BCC) for community pharmacists on, their competence and confidence in delivering behaviour change consultations, skill retention over time and impact on practice. Methods: Community pharmacists (N=87) attending Primary Care Trust training were given study information and invited to take part. Baseline BCC competence of consenting pharmacists (n=17) was assessed using the Behaviour Change Counselling Index (BECCI). Following BCC training, competence was reassessed at 1, 3 and 6 months. Friedman's test was used to compare median BECCI item scores at baseline and after 6 months. Structured interviews were conducted to assess pharmacists' confidence in BCC consultations after training. Results: Baseline BECCI scores of 0-2 demonstrated pharmacists had not reached competence threshold. Six months after training, BECCI scores improved significantly from baseline (p<0.05). Competence in delivering BCC (scores of 3-4) was achieved at 3 months, but lost at 6 months for some items. After training, pharmacists felt confident in delivering BCC. Conclusion: Training pharmacists enabled them to deliver BCC competently and confidently. Practice implications: BCC aligns with pharmacist-patient consultations. It took 3 months to achieve competence. Ongoing support may be needed to maintain competence long-term.
    Patient Education and Counseling 09/2015; DOI:10.1016/j.pec.2015.08.004
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    ABSTRACT: Objective: Examine association between adult patients' and health care providers' (HCPs) gender or race/ethnicity concordance and patients' reported receiving weight-related advice from HCP's in USA. Methods: Using Medical Expenditure Panel Survey (MEPS) 2004-2007 data, studied prevalence of weight-related advice (on exercise and diet) given to patients and its association with patients/HCPs concordance in gender (n=9,686) and race/ethnicity (n=8,825). Results: Overall, 46% of patients received HCP advice on diet and 49% on exercise. Overweight females seeing female HCPs were more likely to receive exercise advice than those seeing male HCPs (OR=1.44 [95% CI: 1.10-1.89]). Race/ethnicity concordance was associated with lower odds of advice-receiving in certain populations (OR=0.80 [0.67-0.97] for exercise and OR=0.42 [0.19-0.91] for diet among white patients, OR=0.47 [0.23-0.98] for exercise among Hispanic overweight patients). Conclusions: Patient/HCP gender or race/ethnicity concordance was not positively associated with HCPs providing weight-related advice. Patients with female HCPs or with racial/ethnic discordant HCPs (especially black or Asian HCPs) were more likely to receive advice. Practice implications: Health care providers need be empowered, particularly white and male HCPs, to improve delivery of weight-related advice. It may reflect better of receiving weight-related advice based on patients' recall.
    Patient Education and Counseling 09/2015; DOI:10.1016/j.pec.2015.08.030
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    ABSTRACT: Objective: To examine the informed consent process implementation and quality in Croatia using a specially developed instrument. Methods: A cross-sectional questionnaire study was conducted in 300 patients (response rate 73%) from six hospitals in Croatia, along with psychometric evaluation of the questionnaire. Results: Signing the informed consent form was a formality for 64% of patients, 54% of patients did not give their written consent, and in 39% of cases physicians made treatment decisions by themselves. The overall informed consent process score was 4.06±0.60 (of 5.00). Physician-patient relationship score was 4.61±0.57, Verbal information 3.99±0.98, Decision making 3.94±0.75, and Written information 3.60±1.42. The overall Cronbach's alpha coefficient was 0.890. Significant correlations were found in relation to Physician-patient relationship and education levels (OR=0.43, 95% CI=0.18-0.99, p=0.048), and Verbal information and duration of health problems (OR=1.83, 95% CI=1.02-3.25, p=0.041). Conclusion: The developed questionnaire is reliable and valid. The informed consent process quality in Croatia was reasonably high, although insufficient and inadequate written materials represent a weak spot that require enhancement. Practice implications: The study contributes to the development of suitable measuring instrument for assessment of the informed consent process quality in clinical practice. The questionnaire could be of use in the hospital accreditation process.
    Patient Education and Counseling 09/2015; DOI:10.1016/j.pec.2015.08.033
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    ABSTRACT: Objective: Statin choice, an encounter decision aid (DA), was developed in the USA to facilitate shared decision making between patients and clinicians about the use of statins to reduce cardiovascular risk. We aimed to assess the efficacy of this DA, compared to usual primary care, in Spanish patients with type 2 diabetes. Methods: Cluster randomized trial with 29 clinicians and 168 patients. Knowledge of statins, cardiovascular risk perception, decisional conflict, anxiety and satisfaction with the decision making process were assessed immediately after intervention, and self-reported adherence at three months. Results: Intervention significantly improved knowledge (p=0.01), perception of the 10-year risk of myocardial infarction without (p=0.01) and with statins (p=0.08), and satisfaction (p=0.01). There were no significant differences in decisional conflict, anxiety, consultation time or adherence, although more intervention patients reported taking all pills during the last week (92.7% vs. 81%; p=0.19). Conclusion: The statin choice DA improved the quality of decision making about statins. Practice implications: This trial contributes to the body of evidence substantiating the efficacy of statin choice and extending it to Spanish clinicians and their patients with type 2 diabetes. Trial registration: This trial is registered with the European Union Clinical Trials Register (EudraCT: 2010-023912-14).
    Patient Education and Counseling 09/2015; DOI:10.1016/j.pec.2015.08.032
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    ABSTRACT: Objective: Effective health interventions involve an understanding of the specific needs and wants of the population to be served. Lessons from more than two decades of obesity prevention can be applied to understanding how to design and implement other behaviorally-focused health interventions, including those for alcohol education. Methods: Three obesity prevention campaigns were reviewed and evaluated for elements critical to their success in achieving desired outcomes. Results: Evaluation of the three cases studies revealed six key elements common to successful interventions. These include: specifying the desired outcome at the outset, understanding the target population, identifying a framework for the intervention, creating a campaign "identity", enlisting champions, and evaluating both outcomes and process. Conclusion: Successful health interventions should be behaviorally-focused and include multiple components to address the various factors that influence behavior. A clear understanding of how and why desired outcomes were achieved can inform dissemination to a wider audience and improve sustainability. Practice implications: Lessons learned from obesity prevention provide guidance for development of alcohol education. It must be acknowledged that there is still much to be learned to maximize success in prevention efforts. It is likely that analysis of future efforts in alcohol education can contribute to that understanding.
    Patient Education and Counseling 09/2015; DOI:10.1016/j.pec.2015.09.005
  • Patient Education and Counseling 09/2015; 98(9):1045. DOI:10.1016/j.pec.2015.07.011
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    ABSTRACT: To validate a hypothesized model exploring the influencing pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycosylated hemoglobin (HbA1c) levels in patients with type 2 diabetes (T2DM). Overall, 295 patients with T2DM were recruited from five endocrine clinics in Taiwan through convenience sampling. Data regarding personal characteristics, empowerment perceptions, health literacy, self-efficacy, self-care behaviors, and HbA1c levels were collected. A structural equation modeling was used to validate the hypothesized model. Significant direct pathways were determined from empowerment perceptions to health literacy, from health literacy to self-efficacy, from self-efficacy to self-care behaviors, and from self-care behaviors to HbA1c levels. The empowerment perceptions and health literacy relatively influenced self-efficacy and self-care behaviors. Self-efficacy and self-care behaviors relatively influenced glycemic control in patients with T2DM. Modifying self-care behaviors have been demonstrated to be the most essential for improving glycemic control. To improve self-care behaviors, healthcare providers should target improving self-efficacy, and enhancing health literacy can be considered to be a potential strategy for improving self-efficacy. To enhance health literacy, healthcare providers could use an empowerment approach rather than an authoritative approach that emphasizes patient compliance in managing patients with T2DM. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Patient Education and Counseling 09/2015; DOI:10.1016/j.pec.2015.08.021
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    ABSTRACT: To systematically review the qualitative evidence for patient and clinician perspectives on self-measurement of blood pressure (SMBP) in the management of hypertension focussing on: how SMBP was discussed in consultations; the motivation for patients to start self-monitoring; how both patients and clinicians used SMBP to promote behaviour change; perceived barriers and facilitators to SMBP use by patients and clinicians. Medline, Embase, PsycINFO, Cinahl, Web of Science, SocAbs were searched for empirical qualitative studies that met the review objectives. Reporting of included studies was assessed using the COREQ framework. All relevant data from results/findings sections of included reports were extracted, coded inductively using thematic analysis, and overarching themes across studies were abstracted. Twelve studies were included in the synthesis involving 358 patients and 91 clinicians. Three major themes are presented: interpretation, attribution and action; convenience and reassurance v anxiety and uncertainty; and patient autonomy and empowerment improve patient-clinician alliance. SMBP was successful facilitating the interaction in consultations about hypertension, bridging a potential gap in the traditional patient-clinician relationship. Uncertainty could be reduced by providing information specifically about how to interpret SMBP, what variation is acceptable, adjustment for home-clinic difference, and for patients what they should be concerned about and how to act. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Patient Education and Counseling 08/2015; DOI:10.1016/j.pec.2015.08.026
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    ABSTRACT: Thirty to forty percent of patients seen in primary care medicine suffer from mental health problems, but primary care physicians (PCPs) often feel unprepared to deal with their patients' mental health problems. Joint consultations conducted with a liaison psychiatrist can help. The purpose of this study was to evaluate the experience of joint consultations in a primary care service in Geneva, Switzerland. We retrospectively analyzed reports of psychiatric evaluations conducted between October 2010 and August 2012 (n=182), in the Primary Care Service of the Geneva University Hospitals. We also carried out 4 focus groups with 23 physicians-in-training to explore their experiences and perceptions of the joint consultations. Seventy two percent of the evaluations resulted in a psychiatric diagnosis. Psychiatric follow-up was not considered necessary in 61% of cases. Focus groups revealed that prior to experiencing joint consultations, PCPs considered mental health problems to be the domain of psychiatrists and outside their own area of competence. Joint consultations helped to demystify the role of psychiatrists, reduce their anxiety and increase PCPs' confidence in dealing with patients' mental health problems. Joint consultations enabled PCPs to shift away from a dichotomous view of somatic versus mental health problems and their management, and towards a more integrated view. Joint consultations provide a useful strategy for training primary care physicians in the management of mental health problems. Integrated management of somatic and mental health problems can lead to a better understanding of the patient and improve the therapeutic relationship. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Patient Education and Counseling 08/2015; DOI:10.1016/j.pec.2015.08.028
  • Patient Education and Counseling 08/2015; 98(10). DOI:10.1016/j.pec.2015.08.024
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    ABSTRACT: Attitudes towards patients may influence how clinicians interact. We investigated whether respect for patients was associated with communication behaviors during HIV care encounters. We analyzed audio-recordings of visits between 413 adult HIV-infected patients and 45 primary HIV care providers. The independent variable was clinician-reported respect for the patient and outcomes were clinician and patient communication behaviors assessed by the Roter Interaction Analysis System (RIAS). We performed negative binomial regressions for counts outcomes and linear regressions for global outcomes. When clinicians had higher respect for a patient, they engaged in more rapport-building, social chitchat, and positive talk. Patients of clinicians with higher respect for them engaged in more rapport-building, social chitchat, positive talk, and gave more psychosocial information. Encounters between patients and clinicians with higher respect for them had more positive clinician emotional tone [regression coefficient 2.97 (1.92-4.59)], more positive patient emotional tone [2.71 (1.75-4.21)], less clinician verbal dominance [0.81 (0.68-0.96)] and more patient-centeredness [1.28 (1.09-1.51)]. Respect is associated with positive and patient-centered communication behaviors during encounters. Clinicians should be mindful of their respectful attitudes and work to foster positive regard for patients. Educators should consider methods to enhance trainees' respect in communication skills training. Copyright © 2015. Published by Elsevier Ireland Ltd.
    Patient Education and Counseling 08/2015; DOI:10.1016/j.pec.2015.08.020