Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses
Rebecca Harris, Claire Noble, Victoria Lowers Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK Abstract: Neoliberal emphasis on “responsibility” has colonized many aspects of public life, including how health care is provided. Clinical risk as...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2017-03-01
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| Series: | Patient Preference and Adherence |
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| Online Access: | https://www.dovepress.com/does-information-form-matter-when-giving-tailored-risk-information-to--peer-reviewed-article-PPA |
| _version_ | 1811236226699624448 |
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| author | Harris R Noble C Lowers V |
| author_facet | Harris R Noble C Lowers V |
| author_sort | Harris R |
| collection | DOAJ |
| description | Rebecca Harris, Claire Noble, Victoria Lowers Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK Abstract: Neoliberal emphasis on “responsibility” has colonized many aspects of public life, including how health care is provided. Clinical risk assessment of patients based on a range of data concerned with lifestyle, behavior, and health status has assumed a growing importance in many health systems. It is a mechanism whereby responsibility for self (preventive) care can be shifted to patients, provided that risk assessment data is communicated to patients in a way which is engaging and motivates change. This study aimed to look at whether the form in which tailored risk information was presented in a clinical setting (for example, using photographs, online data, diagrams etc.), was associated with differences in patients’ responses and preferences to the material presented. We undertook a systematic review using electronic searching of nine databases, along with handsearching specialist journals and backward and forward citation searching. We identified eleven studies (eight with a randomized controlled trial design). Seven studies involved the use of computerized health risk assessments in primary care. Beneficial effects were relatively modest, even in studies merely aiming to enhance patient–clinician communication or to modify patients’ risk perceptions. In our paper, we discuss the apparent importance of the accompanying discourse between patient and clinician, which appears to be necessary in order to impart meaning to information on “risk,” irrespective of whether the material is personalized, or even presented in a vivid way. Thus, while expanding computer technologies might be able to generate a highly personalized account of patients’ risk in a time efficient way, the need for face-to-face interactions to impart meaning to the data means that these new technologies cannot fully address the resource issues attendant with this type of approach. Keywords: risk, patient communication, personalisation, information, behavior change, health education |
| first_indexed | 2024-04-12T12:05:18Z |
| format | Article |
| id | doaj.art-0d2b2475899a4970afeb6946bfd51d0a |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-04-12T12:05:18Z |
| publishDate | 2017-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-0d2b2475899a4970afeb6946bfd51d0a2022-12-22T03:33:43ZengDove Medical PressPatient Preference and Adherence1177-889X2017-03-01Volume 1138940031630Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responsesHarris RNoble CLowers VRebecca Harris, Claire Noble, Victoria Lowers Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK Abstract: Neoliberal emphasis on “responsibility” has colonized many aspects of public life, including how health care is provided. Clinical risk assessment of patients based on a range of data concerned with lifestyle, behavior, and health status has assumed a growing importance in many health systems. It is a mechanism whereby responsibility for self (preventive) care can be shifted to patients, provided that risk assessment data is communicated to patients in a way which is engaging and motivates change. This study aimed to look at whether the form in which tailored risk information was presented in a clinical setting (for example, using photographs, online data, diagrams etc.), was associated with differences in patients’ responses and preferences to the material presented. We undertook a systematic review using electronic searching of nine databases, along with handsearching specialist journals and backward and forward citation searching. We identified eleven studies (eight with a randomized controlled trial design). Seven studies involved the use of computerized health risk assessments in primary care. Beneficial effects were relatively modest, even in studies merely aiming to enhance patient–clinician communication or to modify patients’ risk perceptions. In our paper, we discuss the apparent importance of the accompanying discourse between patient and clinician, which appears to be necessary in order to impart meaning to information on “risk,” irrespective of whether the material is personalized, or even presented in a vivid way. Thus, while expanding computer technologies might be able to generate a highly personalized account of patients’ risk in a time efficient way, the need for face-to-face interactions to impart meaning to the data means that these new technologies cannot fully address the resource issues attendant with this type of approach. Keywords: risk, patient communication, personalisation, information, behavior change, health educationhttps://www.dovepress.com/does-information-form-matter-when-giving-tailored-risk-information-to--peer-reviewed-article-PPAriskpatient communicationpersonalisationinformationbehavior changehealth education |
| spellingShingle | Harris R Noble C Lowers V Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses Patient Preference and Adherence risk patient communication personalisation information behavior change health education |
| title | Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses |
| title_full | Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses |
| title_fullStr | Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses |
| title_full_unstemmed | Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses |
| title_short | Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses |
| title_sort | does information form matter when giving tailored risk information to patients in clinical settings a review of patients rsquo preferences and responses |
| topic | risk patient communication personalisation information behavior change health education |
| url | https://www.dovepress.com/does-information-form-matter-when-giving-tailored-risk-information-to--peer-reviewed-article-PPA |
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