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

2016 Impact Factor Available summer 2017
2014 / 2015 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

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives To study the effects of peer support on glycemic control and examine effects of different providers and types of support, intervention duration and effect duration. Methods A meta-analysis of randomized control trials (RCTs) of peer support intervention for patients with type 2 diabetes (T2DM) from beginning to November 3rd, 2014. Results Twenty RCTs (n=4494) were included. In general, peer support intervention (I2=49.5%) had significantly positive effect on glycemic control of T2DM with pooled effect on HbA1c of -0.16%, 95% CI -0.25 to -0.007% (-1.7mmol/mol, P<0.001). Peer-partner-intervention and Community-health-worker-intervention had much better results of glycemic control. Home-visit-intervention and Curriculum-combined-reinforcement-intervention had better effect than other intervention types. The efficacy of interventions with duration>3&≤6 months was the best. However, effect weakens over time following intervention. Conclusions Peer support is an effective measure of improving glycemic control for patients with T2DM. Different providers and types may have different effects on peer support. Peer support duration with the best metabolic effectiveness is >3&≤6 months. Practice Implications Peer support provided by patients themselves or by nonprofessionals has significantly better effect, and Curriculum-combined-reinforcement-intervention and Home-visit-intervention are suggested. The duration should be >3&≤6 months. Further studies on the implementation of peer support are needed.
    No preview · Article · Feb 2016 · Patient Education and Counseling

  • No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: Adolescents with a chronic disorder, such as haemophilia, need to attain responsibility for their disease. The aim was to gain insight into how adolescents achieve self-management of prophylactic treatment. Methods: In three Dutch Haemophilia Treatment Centres, adolescents (10-25 years) received structured questions on treatment responsibility and self-management (pre-specified definitions) during routine nursing consultation. Results: In total, 155 interviews were performed in 100 patients (median age 14.4 years). Self-infusion was initiated at a median age of 12.3 years (IQR 11.5-13.0) and self-management was achieved 9.6 years later, at a median age of 22.6 years. This process included three phases coinciding with known stages of adolescence. In early adolescence, patients acquired the technique of self-infusion (12.3 years) leading to independent self-infusion in middle adolescence (17.2 years). In late adolescence, patients demonstrated an increase in more complex skills, such as bleeding management and communication with the haemophilia physician (19.9-22.6 years). Conclusion: Although, the first steps in self-management with regard to self-infusion are taken in early adolescence, complete self-management was achieved in late adolescence after almost 10 years. Practice implications: Insight in this transitional process helps to provide individualized support and emphasizes the need for continued education with regard to self-management skills.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: To optimize their training, predictors of physicians' satisfaction with their management of uncertainty should be examined. This study investigated these predictors by using a simulated advanced stage cancer patient.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Cultural portrayals of physicians suggest an unclear and even contradictory role for humility in the physician-patient relationship. Despite the social importance of humility, however, little empirical research has linked humility in physicians with patient outcomes or the characteristics of the doctor-patient visit. The present study investigated the relationship between physician humility, physician-patient communication, and patients' perceptions of their health during a planned medical visit.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: To gain new insights into the relationship between health literacy and evaluation of online health information. Methods: Using a mixed-methods approach, forty-four semi-structured interviews were conducted followed by a short questionnaire on health literacy and eHealth literacy. Qualitative and quantitative data were merged to explore differences and similarities among respondents with different health literacy levels. Results: Thematic analysis showed that most respondents did not question the quality of online health information and relied on evaluation criteria not recognized by existing web quality guidelines. Individuals with low health literacy, despite presenting higher eHealth literacy scores, appeared to use less established criteria and to rely more heavily on non-established ones compared to those with high health literacy. Conclusion: Disparities in evaluation ability among people with different health literacy might be related to differences in awareness of the issue and to the use of different evaluation criteria. Future research should quantitatively investigate the interplay between health literacy, use of established and non-established criteria, and ability to evaluate online health information. Practice implications: Communication and patient education efforts should aim to raise awareness on online health information quality and to promote use of established evaluation criteria, especially among low health literate citizens.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: We sought to characterize conversations about analgesics in the Emergency Department (ED) setting. Methods: A secondary analysis of 47 audio-recorded ED visits containing conversations about analgesics was performed. Data were collected at an urban, academic medical center among adults with one of four diagnoses. Visit transcripts were analyzed qualitatively using content and constant comparative analysis. The speaker, medication being discussed, and overall conversation concordance were categorized. Results: Among the 47 transcripts there were 1102 unique statements related to analgesics. Thirteen codes were identified; however, four codes (discussing details of administration, forecasting, side effects, past history) accounted for over 65% of the conversations. Patient requests, statements related to chronic pain and contentious conversations occurred infrequently, but were present (17% discordant conversations, 83% concordant). Medical providers dominated the conversations with patients' contributions equaling only a quarter of total coded conversation. Conclusions: These findings characterize the narrow range of topics discussed about analgesics and demonstrate that many risks of opioid medications were not discussed. Practice implications: Increased counseling about opioids may be warranted given rising opioid-related deaths. To be prepared, providers may wish to reflect on how to approach different topics related to opioids and analgesia prior to engaging in such discussions.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: Multilevel interventions to prevent underage drinking are more effective than individual-level strategies, and messaging campaigns are key to such approaches. Recognizing the benefits of translating best practices across public health domains, this paper details the communications campaign from Shape Up Somerville (SUS), an exemplar for multilevel community-based approaches to address pediatric obesity, highlighting lessons learned for alcohol educators. Methods: All elements of SUS, including the communications strategy, were developed collaboratively with local partners. Communication initiatives included community-engaged brand development to unify diverse intervention components; school-based communications to promote new opportunities for healthy eating and physical activity; and media partnerships to promote healthy behaviors community-wide. Results: The overall SUS intervention was effective in reducing prevalence of overweight/obesity among first- to third-graders in Somerville relative to control communities. Process evaluation showed that communications successfully reached diverse community segments and raised awareness of and receptivity to changes. Conclusions and practice implications: Communications campaigns are essential components of multilevel interventions addressing public health challenges including obesity and underage drinking. Such communications should be developed collaboratively with the target audience and stakeholders, designed to engage community members at multiple levels through multiple channels within a systems framework, and sustained through local partnerships.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objectives: Some US states have mandated that women be informed when they have dense breasts; however, little is known about how general knowledge about breast density (BD) affects related health decision-making. We examined the effects of BD information and imaging technology information on 138 African-American (AA) and European-American (EA) women's intentions to discuss breast cancer screening with their physicians. Methods: Women were randomly assigned to receive BD information and/or imaging technology information via 2 by 2 factorial design, and completed planned behavior measures (e.g., attitudes, intentions) related to BC screening. Results: Attitudes mediated the effects of BD information, and the mediation was stronger for AA women compared to EA women. Effects were more robust for BD information compared to imaging technology information. Results of moderator analyses revealed suppressor effects of injunctive norms that were moderated by imaging technology information. Conclusion: Information about BD favorably influences women's intentions to engage in relevant breast health behaviors. Stronger attitude mediated-effects for AA women suggest greater scrutiny of BD information. Practice implications: Since BD information may influence women's intentions to discuss BC screening, strategies to effectively present BD information to AA women should be investigated given the likelihood of their increased scrutiny of BD information.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: Leading health agencies recommend physicians to provide information regarding genetic testing for autism spectrum disorders (ASD) to parents of affected children. How to effectively provide this information, however, is unclear for physicians. This qualitative study examined the information needs regarding ASD genetic testing among parents of affected children. Methods: Semi-structured, in-depth interviews were conducted with 42 parents who had at least one child with ASD. Content analysis was utilized to analyze the interview data. Results: The majority of parents (83%) reported they had never received information regarding ASD genetic testing from their doctors. Nevertheless, most parents (86%) expressed an interest to learn about this information. Their preferred topics included: cost (60%), benefits (48%), accuracy (38%), test procedure (29%), potential physical harms from the test (29%), confidentiality (12%), previous utilization by other affected families (2%), and eligibility criteria for this genetic testing (2%). Moreover, parents mentioned various methods to facilitate their learning, including Web-based approaches (43%), workshops/seminars (36%), brochures and flyers (31%), and videos (10%). Conclusion: To promote parental informed decision-making regarding ASD genetic testing, educational materials should be developed based on our findings. Practice implications: Application of these needs assessment findings will subsequently improve the delivery of healthcare services.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: To improve efficiency and retain the 4 factors of a reliable, valid interview satisfaction questionnaire (ISQ). Method: 105 residents conducted 301 patient-centered interviews with 10 simulated patients (SP). SPs portrayed three scenarios for each resident and completed the ISQ and the Communication Assessment Tool (CAT) after each. A confirmatory factor analysis (CFA) of the ISQ and CAT determined which items had >0.5 factor loadings and <0.1 error, criteria for retaining items in a shortened scale. Results: After the CFA, 13 items were deleted resulting in a 12-item scale (RMSE=0.06) that confirmed the initial 4 factor structure of satisfaction with: open-endedness, empathy, confidence in the resident, and general. Scale reliability of each factor was high (Cronbach's alpha ranged from .74 to .93). Demonstrating concurrent validity, all four factors of the ISQ correlated highly with the one-factor CAT (r>.7, p<.001), and the second order unidimensional ISQ scale also correlated highly with the CAT (r=.83, p<.001). Conclusions: The ISQ is an efficient, reliable, and valid instrument that uniquely deconstructs satisfaction with the patient-physician interaction into 4 key components. Practice implications: The 4 components provide a means for better understanding poor satisfaction results.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: The aim of this study was to use path analysis methods to determine if health literacy mediates the relationship between race and patient activation. Methods: We performed a secondary analysis of data from a randomized controlled trial in elderly, urban, minority patients using path analysis. Path analysis was used to evaluate the mediation of race on patient activation through different variables. Several models were tested for best fit for their effects on patient activation. Results: Across all models, significant mediation paths were identified from race to lower patient activation through health literacy. This relationship remained significant throughout alternative model testing for covariate combinations. The best-fit model included an indirect effect of sex on patient activation through health literacy indicating that the mediation effect of health literacy on patient activation was most profound for African American males. Health literacy had a bigger influence on patient activation for participants with a greater comorbidity than for those with fewer conditions. No significant direct effect was shown between race and patient activation in any of the models. Conclusion: Racial disparities in patient activation were fully mediated by health literacy skills. Practice implications: Future interventions to improve racial disparities in patient activation need to be targeted at improving health literacy.
    No preview · Article · Jan 2016 · Patient Education and Counseling
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    ABSTRACT: Objective: This study aimed to describe disparities and temporal trends in the level of perceived patient-provider communication quality (PPPCQ) in the United States, and to identify sociodemographic and health-related factors associated with elements of PPPCQ. Methods: A cross-sectional analysis was conducted using nationally-representative data from the 2011-2013 iterations of the Health Information National Trends Survey (HINTS). Descriptive statistics, multivariable linear and logistic regression analyses were conducted to examine associations. Results: PPPCQ scores, the composite measure of patients' ratings of communication quality, were positive overall (82.8; 95% CI: 82.1-83.5). However, less than half (42-46%) of respondents perceived that providers always addressed their feelings, spent enough time with them, or helped with feelings of uncertainty about their health. Older adults and those with a regular provider consistently had higher PPPCQ scores, while those with poorer perceived general health were consistently less likely to have positive perceptions of their providers' communication behaviors. Conclusions: Disparities in PPPCQ can be attributed to patients' age, race/ethnicity, educational attainment, employment status, income, healthcare access and general health. Practice implications: These findings may inform educational and policy efforts which aim to improve patient-provider communication, enhance the quality of care, and reduce health disparities.
    No preview · Article · Dec 2015 · Patient Education and Counseling

  • No preview · Article · Dec 2015 · Patient Education and Counseling