Stewart C Alexander
Affiliation: Duke University Medical Center
- 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...
- Information giving and receiving in hematological malignancy consultationsStewart 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...
- 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....
- Physicians' beliefs about discussing obesity: results from focus groupsStewart 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...
- Predictors of weight loss communication in primary care encountersKathryn 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...
- Oncologist communication about emotion during visits with patients with advanced cancerKathryn 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...
- Effects of counseling techniques on patients' weight-related attitudes and behaviors in a primary care clinicMary 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...
- Enhancing communication between oncologists and patients with a computer-based training program: a randomized trialJames 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...
- 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...
- 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...
- Physician empathy and listening: associations with patient satisfaction and autonomyKathryn 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...
- Studying communication in oncologist-patient encounters: the SCOPE TrialCeline 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...
- Comparing oncologist, nurse, and physician assistant attitudes toward discussions of negative emotions with patientsPerri 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...
- 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...
- Primary care physicians' discussions of weight-related topics with overweight and obese adolescents: results from the Teen CHAT Pilot studyKathryn 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...
- Physician communication techniques and weight loss in adults: Project CHATKathryn 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...
- Empathy goes a long way in weight loss discussionsKathryn 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...
- Patient-oncologist communication in advanced cancer: predictors of patient perception of prognosisTracy 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...
- "What concerns me is..." Expression of emotion by advanced cancer patients during outpatient visitsWendy 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...
- Effect of patient and patient-oncologist relationship characteristics on communication about health-related quality of lifeKeri L Rodriguez
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
Psychooncology 20:935-42. 2011....
- Seriously ill patients' discussions of preparation and life completion: an intervention to assist with transition at the end of lifeKaren 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...
- 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...
- Decision making and quality of life in the treatment of cancer: a reviewS 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...
- Do preparation and life completion discussions improve functioning and quality of life in seriously ill patients? Pilot randomized control trialKaren 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...
- A controlled trial of a short course to improve residents' communication with patients at the end of lifeStewart 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...
- Efficacy of communication skills training for giving bad news and discussing transitions to palliative careAnthony 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...