Stewart C Alexander

Summary

Affiliation: Duke University Medical Center
Country: USA

Publications

  1. pmc Do the five A's work when physicians counsel about weight loss?
    Stewart C Alexander
    Durham VA Medical Center, Durham, NC 27705, USA
    Fam Med 43:179-84. 2011
  2. pmc Information giving and receiving in hematological malignancy consultations
    Stewart C Alexander
    Center for Health Services Research, Durham VA Medical Center, Durham, NC, USA
    Psychooncology 21:297-306. 2012
  3. pmc How do non-physician clinicians respond to advanced cancer patients' negative expressions of emotions?
    Stewart C Alexander
    Department of Medicine, Duke University Medical Center, Durham, NC, USA
    Support Care Cancer 19:155-9. 2011
  4. ncbi request reprint Physicians' beliefs about discussing obesity: results from focus groups
    Stewart C Alexander
    Durham VA Medical Center, Duke University Medical Center, Durham, North Carolina 27705 3860, USA
    Am J Health Promot 21:498-500. 2007
  5. pmc Predictors of weight loss communication in primary care encounters
    Kathryn I Pollak
    Duke University Medical Center, Durham, NC, USA
    Patient Educ Couns 85:e175-82. 2011
  6. ncbi request reprint Oncologist communication about emotion during visits with patients with advanced cancer
    Kathryn I Pollak
    Duke Comprehensive Cancer Center, Cancer Prevention, Detection, and Control Research Program, Durham, NC, USA
    J Clin Oncol 25:5748-52. 2007
  7. pmc Effects of counseling techniques on patients' weight-related attitudes and behaviors in a primary care clinic
    Mary E Cox
    Dept of Medicine, Duke University Medical Center, Durham, USA
    Patient Educ Couns 85:363-8. 2011
  8. pmc Do patient attributes predict oncologist empathic responses and patient perceptions of empathy?
    Kathryn I Pollak
    Duke Comprehensive Cancer Center, Cancer Prevention, Detection and Control Research Program, Duke University School of Medicine, Durham, USA
    Support Care Cancer 18:1405-11. 2010
  9. pmc Enhancing communication between oncologists and patients with a computer-based training program: a randomized trial
    James A Tulsky
    Duke University, Veterans Affairs Medical Center, Durham, North Carolina, USA
    Ann Intern Med 155:593-601. 2011
  10. pmc Can physicians accurately predict which patients will lose weight, improve nutrition and increase physical activity?
    Kathryn I Pollak
    Cancer Prevention, Detection and Control Research Program, Duke University Medical Center, Durham, NC 27705, USA
    Fam Pract 29:553-60. 2012

Detail Information

Publications28

  1. pmc Do the five A's work when physicians counsel about weight loss?
    Stewart C Alexander
    Durham VA Medical Center, Durham, NC 27705, USA
    Fam Med 43:179-84. 2011
    ..An effective and efficient tool for smoking cessation is the Five A's (Ask, Advise, Assess, Assist, and Arrange). We studied the effectiveness of the Five A's in weight-loss counseling...
  2. pmc Information giving and receiving in hematological malignancy consultations
    Stewart C Alexander
    Center for Health Services Research, Durham VA Medical Center, Durham, NC, USA
    Psychooncology 21:297-306. 2012
    ..The aim of this paper is to describe and quantify the content of the subspecialty consultation in regards to exchanging information and identify patient and provider characteristics associated with discussion elements...
  3. pmc How do non-physician clinicians respond to advanced cancer patients' negative expressions of emotions?
    Stewart C Alexander
    Department of Medicine, Duke University Medical Center, Durham, NC, USA
    Support Care Cancer 19:155-9. 2011
    ....
  4. ncbi request reprint Physicians' beliefs about discussing obesity: results from focus groups
    Stewart C Alexander
    Durham VA Medical Center, Duke University Medical Center, Durham, North Carolina 27705 3860, USA
    Am J Health Promot 21:498-500. 2007
    ..Physicians are expected to discuss weight loss with overweight and obese patients. Physicians' beliefs, outcome expectancies, and strategies for addressing weight with patients have not been examined...
  5. pmc Predictors of weight loss communication in primary care encounters
    Kathryn I Pollak
    Duke University Medical Center, Durham, NC, USA
    Patient Educ Couns 85:e175-82. 2011
    ..We assessed patient, physician, relationship, and systems predictors of length of weight-loss discussions and whether physicians' used MI techniques...
  6. ncbi request reprint Oncologist communication about emotion during visits with patients with advanced cancer
    Kathryn I Pollak
    Duke Comprehensive Cancer Center, Cancer Prevention, Detection, and Control Research Program, Durham, NC, USA
    J Clin Oncol 25:5748-52. 2007
    ..We studied whether oncologist traits were associated with empathic opportunities and empathic responses...
  7. pmc Effects of counseling techniques on patients' weight-related attitudes and behaviors in a primary care clinic
    Mary E Cox
    Dept of Medicine, Duke University Medical Center, Durham, USA
    Patient Educ Couns 85:363-8. 2011
    ..Examine primary care physicians' use of counseling techniques when treating overweight and obese patients and the association with mediators of behavior change as well as change in nutrition, exercise, and weight loss attempts...
  8. pmc Do patient attributes predict oncologist empathic responses and patient perceptions of empathy?
    Kathryn I Pollak
    Duke Comprehensive Cancer Center, Cancer Prevention, Detection and Control Research Program, Duke University School of Medicine, Durham, USA
    Support Care Cancer 18:1405-11. 2010
    ..Oncologists may respond more empathically to some patients, and patients may perceive different levels of empathy and trust given past documentation of disparities in cancer care...
  9. pmc Enhancing communication between oncologists and patients with a computer-based training program: a randomized trial
    James A Tulsky
    Duke University, Veterans Affairs Medical Center, Durham, North Carolina, USA
    Ann Intern Med 155:593-601. 2011
    ..Quality cancer care requires addressing patients' emotions, which oncologists infrequently do. Multiday courses can teach oncologists skills to handle emotion; however, such workshops are long and costly...
  10. pmc Can physicians accurately predict which patients will lose weight, improve nutrition and increase physical activity?
    Kathryn I Pollak
    Cancer Prevention, Detection and Control Research Program, Duke University Medical Center, Durham, NC 27705, USA
    Fam Pract 29:553-60. 2012
    ..The relationships between physician outcome expectations and patient motivation and confidence also are assessed...
  11. pmc Physician empathy and listening: associations with patient satisfaction and autonomy
    Kathryn I Pollak
    Cancer Prevention, Detection, and Control Research Program, Duke University Medical Center, Durham, NC, USA
    J Am Board Fam Med 24:665-72. 2011
    ..Motivational Interviewing (MI) is used to help patients change their behaviors. We sought to determine if physician use of specific MI techniques increases patient satisfaction with the physician and perceived autonomy...
  12. ncbi request reprint Studying communication in oncologist-patient encounters: the SCOPE Trial
    Celine M Koropchak
    Department of Medicine and Center for Palliative Care, Duke University Medical Center, Durham, NC 27705, USA
    Palliat Med 20:813-9. 2006
    ..In this report, we describe the study methods and identify challenges to implementation and how these were overcome...
  13. pmc Comparing oncologist, nurse, and physician assistant attitudes toward discussions of negative emotions with patients
    Perri A Morgan
    Duke University PA Program, Department of Community and Family Medicine, DUMC 104780, Durham, NC 27710, USA
    J Physician Assist Educ 21:13-7. 2010
    ..Nurses and physician assistants (PAs) may be able to help fill the need for empathic communication. Our study compares the attitudes of oncologists, nurses, and PAs toward communication with patients who demonstrate negative emotions...
  14. pmc Negative emotions in cancer care: do oncologists' responses depend on severity and type of emotion?
    Sarah L Kennifer
    Center for Palliative Care, Duke University Medical Center, Durham, NC 27705, United States
    Patient Educ Couns 76:51-6. 2009
    ..To examine how type and severity of patients' negative emotions influence oncologists' responses and subsequent conversations...
  15. ncbi request reprint Empathy goes a long way in weight loss discussions
    Kathryn I Pollak
    Cancer Prevention, Detection and Control Research Program, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC 27705, USA
    J Fam Pract 56:1031-6. 2007
    ..This study explores how weight-related topics are discussed between physicians and their overweight and obese female patients...
  16. pmc Primary care physicians' discussions of weight-related topics with overweight and obese adolescents: results from the Teen CHAT Pilot study
    Kathryn I Pollak
    Cancer Prevention, Detection and Control Research Program, Duke University Medical Center, Durham, North Carolina 27705, USA
    J Adolesc Health 45:205-7. 2009
    ..When physicians used MI skills, patients increased exercise, lost weight, and reduced screen time. Physicians should use MI techniques to help adolescents change...
  17. pmc Physician communication techniques and weight loss in adults: Project CHAT
    Kathryn I Pollak
    Cancer Prevention, Detection and Control Research Program, Duke University Medical Center, Durham, North Carolina, USA
    Am J Prev Med 39:321-8. 2010
    ..Physicians are encouraged to counsel overweight and obese patients to lose weight...
  18. pmc Patient-oncologist communication in advanced cancer: predictors of patient perception of prognosis
    Tracy M Robinson
    Duke University School of Medicine, Durham, NC, USA
    Support Care Cancer 16:1049-57. 2008
    ..This study was designed to identify the communication factors that influence patient-oncologist concordance about chance of cure...
  19. pmc "What concerns me is..." Expression of emotion by advanced cancer patients during outpatient visits
    Wendy G Anderson
    Department of Medicine, Division of Hospital Medicine and Palliative Care Program, University of California, San Francisco, 521 Parnassus Avenue, Suite C 126, Box 0903, San Francisco, CA, 94143 0903, USA
    Support Care Cancer 16:803-11. 2008
    ..Cancer patients have high levels of distress, yet oncologists often do not recognize patients' concerns. We sought to describe how patients with advanced cancer verbally express negative emotion to their oncologists...
  20. pmc Effect of patient and patient-oncologist relationship characteristics on communication about health-related quality of life
    Keri L Rodriguez
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
    Psychooncology 20:935-42. 2011
    ....
  21. doi request reprint Seriously ill patients' discussions of preparation and life completion: an intervention to assist with transition at the end of life
    Karen E Steinhauser
    Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina, USA
    Palliat Support Care 7:393-404. 2009
    ..We developed an intervention based on life review and emotional disclosure literatures and conducted a pilot study to determine feasibility and acceptability. This article presents qualitative intervention responses...
  22. doi request reprint Sexuality talk during adolescent health maintenance visits
    Stewart C Alexander
    Department of Medicine, Duke University Medical Center, Durham, North Carolina2Health Services Research and Development Service, Durham VA Medical Center, Durham, North Carolina
    JAMA Pediatr 168:163-9. 2014
    ..However, little is known about the occurrence and characteristics of physician-adolescent discussions about sexuality...
  23. pmc Accuracy and Congruence of Patient and Physician Weight-Related Discussions: From Project CHAT (Communicating Health: Analyzing Talk)
    Michael E Bodner
    The Cancer Prevention, Detection and Control Research Program, Duke Cancer Institute, Durham, NC the School of Human Kinetics, Trinity Western University, Langley, British Columbia, Canada the Durham VA Medical Center, Center for Health Services Research, Durham, NC the Departments of Medicine and Community and Family Medicine, Duke University Medical Center, Durham, NC and Health Services and Systems Research, Duke NUS Graduate Medical School, Singapore
    J Am Board Fam Med 27:70-7. 2014
    ..Rates of self-reported, weight-related counseling vary, perhaps because of self-report bias. We assessed the accuracy and congruence of weight-related discussions among patients and physicians during audio-recorded encounters...
  24. doi request reprint Decision making and quality of life in the treatment of cancer: a review
    S Yousuf Zafar
    Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA
    Support Care Cancer 17:117-27. 2009
    ..Although these factors are important, physicians are often unable to effectively judge their patients' preferences. Patients are often unable to fully understand their prognoses and the treatment intent...
  25. doi request reprint Do preparation and life completion discussions improve functioning and quality of life in seriously ill patients? Pilot randomized control trial
    Karen E Steinhauser
    Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina 27705, USA
    J Palliat Med 11:1234-40. 2008
    ..Significant palliative care intervention has focused on physical pain and symptom control; yet less empirical evidence supports efforts to address the psychosocial and spiritual dimensions of experience...
  26. pmc Emotional distress and compassionate responses in palliative care decision-making consultations
    Stewart C Alexander
    1 Department of Medicine, Duke University Medical Center, Durham, North Carolina
    J Palliat Med 17:579-84. 2014
    ..Little is known about these emotional expressions or the compassionate responses providers make and how common these are in PC decision-making conversations...
  27. ncbi request reprint A controlled trial of a short course to improve residents' communication with patients at the end of life
    Stewart C Alexander
    Durham VA Medical Center, North Carolina, USA
    Acad Med 81:1008-12. 2006
    ..The goal was to evaluate the effect of a short course to improve residents' communication skills delivering bad news and eliciting patients' preferences for end-of-life care...
  28. ncbi request reprint Efficacy of communication skills training for giving bad news and discussing transitions to palliative care
    Anthony L Back
    Department of Medicine Oncology, University of Washington, 825 Eastlake Ave E, PO Box 19023, Seattle, WA 98109 1023, USA
    Arch Intern Med 167:453-60. 2007
    ..This study evaluated the efficacy of Oncotalk in changing observable communication behaviors...