TY - JOUR
T1 - Increasing patient participation in reproductive health consultations
T2 - An evaluation of "Smart Patient" coaching in Indonesia
AU - Kim, Young Mi
AU - Putjuk, Fitri
AU - Basuki, Endang
AU - Kols, Adrienne
N1 - Funding Information:
This study was made possible by financial support from the US Agency for International Development under Cooperative Agreement HRN-A-00-98-00012-00, through the Population Council/Frontiers Project, Small Grants. The authors thank Leslie B. Curtin, Molly Gingrich, Lana Dakan, Pam Wolf, and Bambang Samekto (USAID/Indonesia); Sugiri Syarief, Eddy Triatmodjo, Siti Fathonah, Wahyuni, Endah Winarni, Mudjianto of National Family Planning Coordinating Board (BKKBN); Nurfina Bachtiar, Endang Iradati, J. Douglas Storey, Gary Lewis (JHU/CCP/Indonesia); Emiria Sirman, Paramita Damayanti, Yuliastini Handoyo, Linda Fitriwati, H.R. Soedibjo, M. Sulaksmono, Izhar M. Fihir (Consultants in Indonesia); Phyllis T. Piotrow, Jane Bertrand, Anne Palmer, Michelle Heerey, Elizabeth Costenbader (JHU/CCP/Baltimore); Debra Roter and Susan Larson (JHU); Donald Cegala (Ohio State University); and John Townsend (PopCouncil/Frontiers).
PY - 2003/6/1
Y1 - 2003/6/1
N2 - Paternalistic models of health care, social distance between patients and providers, and cultural norms discourage patients from playing an active role in health consultations. This study tested whether individual coaching can give family planning patients the confidence and communication skills to talk more openly and more vigorously with providers. Educators met with 384 Indonesian women in clinic waiting rooms and coached them on asking questions, expressing concerns, and seeking clarification. An analysis of audiotaped consultations found that patients who received coaching articulated significantly more questions and concerns than others. Coaching narrowed differentials in active communication by patient type, age, and assertiveness, but it widened differentials by patient education and socioeconomic class. The discontinuation rate at 8 months was lower in the intervention than the control condition, but the difference was only marginally significant.
AB - Paternalistic models of health care, social distance between patients and providers, and cultural norms discourage patients from playing an active role in health consultations. This study tested whether individual coaching can give family planning patients the confidence and communication skills to talk more openly and more vigorously with providers. Educators met with 384 Indonesian women in clinic waiting rooms and coached them on asking questions, expressing concerns, and seeking clarification. An analysis of audiotaped consultations found that patients who received coaching articulated significantly more questions and concerns than others. Coaching narrowed differentials in active communication by patient type, age, and assertiveness, but it widened differentials by patient education and socioeconomic class. The discontinuation rate at 8 months was lower in the intervention than the control condition, but the difference was only marginally significant.
KW - Patient education
KW - Patient-provider communication
KW - Reproductive health
UR - http://www.scopus.com/inward/record.url?scp=0038100368&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0038100368&partnerID=8YFLogxK
U2 - 10.1016/S0738-3991(02)00193-3
DO - 10.1016/S0738-3991(02)00193-3
M3 - Article
C2 - 12781926
AN - SCOPUS:0038100368
SN - 0738-3991
VL - 50
SP - 113
EP - 122
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -