Stewart C Alexander
Affiliation: Duke University Medical Center
- 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...
- 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...
- Weight-loss talks: what works (and what doesn't)Stewart C Alexander
Durham VA Medical Center, North Carolina, Department of Medicine, NC, USA Email
J Fam Pract 60:213-9. 2011..To examine this issue, we analyzed physician weight loss advice and measured corresponding changes in patients' dietary intake, physical activity, and weight...
- 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...
- Sexuality talk during adolescent health maintenance visitsStewart 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...
- 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...
- 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...
- 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...
- 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....
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- "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...
- 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...
- 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...