ArticlePatient education and counseling2009
Verbal communication among Alzheimer's disease patients, their caregivers, and primary care physicians during primary care office visits.
Article in Patient education and counseling, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Medico-legal assessment of personal damage in older people: report from a multidisciplinary consensus conference.International journal of legal medicine · 2020Pooled it
- Family presence in routine medical visits: a meta-analytical review.Social science & medicine (1982) · 2011Pooled it
- Communication Predictors of Patient and Companion Satisfaction with Alzheimer's Genetic Risk Disclosure.Journal of health communication · 2018Trial
- Disclosing genetic risk of Alzheimer's disease to cognitively impaired patients and visit companions: Findings from the REVEAL Study.Patient education and counseling · 2017Trial
- Goal Setting for Aging Adults and Care Partners: A Scoping Review.Innovation in aging · 2024Article
- Use of the patient portal among older adults with diagnosed dementia and their care partners.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Observational
- Family-Centered Primary Care for Older Adults with Cognitive Impairment.Contemporary family therapy · 2022Article
- Prescribing cascades in persons with Alzheimer's disease: engaging patients, caregivers, and providers in a qualitative evaluation of print educational materials.Therapeutic advances in drug safety · 2020Article
- Discussion of memory during primary care visits of older adults with cognitive impairment and accompanying family.International journal of geriatric psychiatry · 2019Article
- Discourse Features Among Providers, Patients, and Companions and Their Effect on Outcomes of Dementia Diagnosis Disclosure.The journals of gerontology. Series B, Psychological sciences and social sciences · 2019Article
- "Let him speak:" a descriptive qualitative study of the roles and behaviors of family companions in primary care visits among older adults with cognitive impairment.International journal of geriatric psychiatry · 2018Article
- Examining the context and helpfulness of family companion contributions to older adults' primary care visits.Patient education and counseling · 2017Article
- The informant history: a neglected aspect of clinical education and practice.QJM : monthly journal of the Association of Physicians · 2016Article
- Magnitude and causes of bias among family caregivers rating Alzheimer disease patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2013Article
- Older adults' mental health function and patient-centered care: does the presence of a family companion help or hinder communication?Journal of general internal medicine · 2012Article
- Assessing Quality for People Living With Dementia in Residential Long-Term Care: Trends and Challenges.Gerontology & geriatric medicineReview
- Article
- Navigating Without a Roadmap: Challenges of Early Alzheimer's Caregivers With Their Health Care Team.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivePrimary care visits of patients with Alzheimer's disease (AD) often involve communication among patients, family caregivers, and primary care physicians (PCPs). The objective of this study was to understand the nature of each individual's verbal participation in these triadic interactions.
methodsTo define the verbal communication dynamics of AD care triads, we compared verbal participation (percent of total visit speech) by each participant in patient/caregiver/PCP triads. Twenty-three triads were audio taped during a routine primary care visit. Rates of verbal participation were described and effects of patient cognitive status (MMSE score, verbal fluency) on verbal participation were assessed.
resultsPCP verbal participation was highest at 53% of total visit speech, followed by caregivers (31%) and patients (16%). Patient cognitive measures were related to patient and caregiver verbal participation, but not to PCP participation. Caregiver satisfaction with interpersonal treatment by PCP was positively related to caregiver's own verbal participation.
conclusionCaregivers of AD patients and PCPs maintain active, coordinated verbal participation in primary care visits while patients participate less. PRACTICE IMPLICATIONS: Encouraging verbal participation by AD patients and their caregivers may increase the AD patient's active role and caregiver satisfaction with primary care visits.
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