Increasing patient participation in reproductive health consultations: An evaluation of "Smart Patient" coaching in Indonesia

Young-MI Kim, Fitri Putjuk, Endang Basuki, Adrienne Kols

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)113-122
Number of pages10
JournalPatient Education and Counseling
Volume50
Issue number2
DOIs
StatePublished - Jun 1 2003

Fingerprint

Patient Participation
Indonesia
Reproductive Health
Referral and Consultation
Communication
Assertiveness
Social Distance
Family Planning Services
Patient Education
Mentoring
Delivery of Health Care
Health

Keywords

  • Patient education
  • Patient-provider communication
  • Reproductive health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Increasing patient participation in reproductive health consultations : An evaluation of "Smart Patient" coaching in Indonesia. / Kim, Young-MI; Putjuk, Fitri; Basuki, Endang; Kols, Adrienne.

In: Patient Education and Counseling, Vol. 50, No. 2, 01.06.2003, p. 113-122.

Research output: Contribution to journalArticle

Kim, Young-MI ; Putjuk, Fitri ; Basuki, Endang ; Kols, Adrienne. / Increasing patient participation in reproductive health consultations : An evaluation of "Smart Patient" coaching in Indonesia. In: Patient Education and Counseling. 2003 ; Vol. 50, No. 2. pp. 113-122.
@article{496234f55b19449a8f274ebeb2d4053a,
title = "Increasing patient participation in reproductive health consultations: An evaluation of {"}Smart Patient{"} coaching in Indonesia",
abstract = "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.",
keywords = "Patient education, Patient-provider communication, Reproductive health",
author = "Young-MI Kim and Fitri Putjuk and Endang Basuki and Adrienne Kols",
year = "2003",
month = "6",
day = "1",
doi = "10.1016/S0738-3991(02)00193-3",
language = "English (US)",
volume = "50",
pages = "113--122",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

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

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

VL - 50

SP - 113

EP - 122

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 2

ER -