Clinician-patient communication during the diagnostic workup: The ABIDE project

Leonie N. C. Visser, Marleen Kunneman, Laxsini Murugesu, Ingrid van Maurik, Marissa Zwan, Femke H. Bouwman, Jacqueline Schuur, Hilje A. Wind, Marjolijn S. J. Blaauw, J. Jolijn Kragt, Gerwin Roks, Leo Boelaarts, Annemieke C. Schipper, Niki Schooneboom, Philip Scheltens, Wiesje M. van der Flier, Ellen M. A. Smets

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Introduction: We aimed to describe clinician-patient communication in the diagnostic process of memory clinics, specifically clinician behavior known to facilitate knowledgeable participation of patients during consultations. Methods: In this multicenter, observational study, we audio-recorded routine diagnostic consultations of 41 clinicians and 136 patients/caregivers at eight memory clinics. Patients/caregivers completed surveys after each audiotaped consultation. We used a study-specific coding scheme to categorize communication behavior. Results: Clinicians often provided information on (results of) diagnostic testing. They infrequently invited questions and/or checked understanding. Clinician behavior to involve patients in decision-making about diagnostic testing was limited. Of note, patients/caregivers rarely expressed their information or involvement preferences. Yet, approximately, one quarter of them would have liked to receive more information. Discussion: Involving patients more explicitly by means of shared decision-making could benefit the quality of care provided in memory clinics because it enables clinicians to attune the diagnostic workup to the individual patient's needs.
Original languageEnglish
Pages (from-to)520-528
JournalAlzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
Volume11
DOIs
Publication statusPublished - 2019

Cite this

Visser, Leonie N. C. ; Kunneman, Marleen ; Murugesu, Laxsini ; van Maurik, Ingrid ; Zwan, Marissa ; Bouwman, Femke H. ; Schuur, Jacqueline ; Wind, Hilje A. ; Blaauw, Marjolijn S. J. ; Kragt, J. Jolijn ; Roks, Gerwin ; Boelaarts, Leo ; Schipper, Annemieke C. ; Schooneboom, Niki ; Scheltens, Philip ; van der Flier, Wiesje M. ; Smets, Ellen M. A. / Clinician-patient communication during the diagnostic workup: The ABIDE project. In: Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring. 2019 ; Vol. 11. pp. 520-528.
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title = "Clinician-patient communication during the diagnostic workup: The ABIDE project",
abstract = "Introduction: We aimed to describe clinician-patient communication in the diagnostic process of memory clinics, specifically clinician behavior known to facilitate knowledgeable participation of patients during consultations. Methods: In this multicenter, observational study, we audio-recorded routine diagnostic consultations of 41 clinicians and 136 patients/caregivers at eight memory clinics. Patients/caregivers completed surveys after each audiotaped consultation. We used a study-specific coding scheme to categorize communication behavior. Results: Clinicians often provided information on (results of) diagnostic testing. They infrequently invited questions and/or checked understanding. Clinician behavior to involve patients in decision-making about diagnostic testing was limited. Of note, patients/caregivers rarely expressed their information or involvement preferences. Yet, approximately, one quarter of them would have liked to receive more information. Discussion: Involving patients more explicitly by means of shared decision-making could benefit the quality of care provided in memory clinics because it enables clinicians to attune the diagnostic workup to the individual patient's needs.",
author = "Visser, {Leonie N. C.} and Marleen Kunneman and Laxsini Murugesu and {van Maurik}, Ingrid and Marissa Zwan and Bouwman, {Femke H.} and Jacqueline Schuur and Wind, {Hilje A.} and Blaauw, {Marjolijn S. J.} and Kragt, {J. Jolijn} and Gerwin Roks and Leo Boelaarts and Schipper, {Annemieke C.} and Niki Schooneboom and Philip Scheltens and {van der Flier}, {Wiesje M.} and Smets, {Ellen M. A.}",
year = "2019",
doi = "10.1016/j.dadm.2019.06.001",
language = "English",
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pages = "520--528",
journal = "Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring",
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Visser, LNC, Kunneman, M, Murugesu, L, van Maurik, I, Zwan, M, Bouwman, FH, Schuur, J, Wind, HA, Blaauw, MSJ, Kragt, JJ, Roks, G, Boelaarts, L, Schipper, AC, Schooneboom, N, Scheltens, P, van der Flier, WM & Smets, EMA 2019, 'Clinician-patient communication during the diagnostic workup: The ABIDE project' Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring, vol. 11, pp. 520-528. https://doi.org/10.1016/j.dadm.2019.06.001

Clinician-patient communication during the diagnostic workup: The ABIDE project. / Visser, Leonie N. C.; Kunneman, Marleen; Murugesu, Laxsini; van Maurik, Ingrid; Zwan, Marissa; Bouwman, Femke H.; Schuur, Jacqueline; Wind, Hilje A.; Blaauw, Marjolijn S. J.; Kragt, J. Jolijn; Roks, Gerwin; Boelaarts, Leo; Schipper, Annemieke C.; Schooneboom, Niki; Scheltens, Philip; van der Flier, Wiesje M.; Smets, Ellen M. A.

In: Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring, Vol. 11, 2019, p. 520-528.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Clinician-patient communication during the diagnostic workup: The ABIDE project

AU - Visser, Leonie N. C.

AU - Kunneman, Marleen

AU - Murugesu, Laxsini

AU - van Maurik, Ingrid

AU - Zwan, Marissa

AU - Bouwman, Femke H.

AU - Schuur, Jacqueline

AU - Wind, Hilje A.

AU - Blaauw, Marjolijn S. J.

AU - Kragt, J. Jolijn

AU - Roks, Gerwin

AU - Boelaarts, Leo

AU - Schipper, Annemieke C.

AU - Schooneboom, Niki

AU - Scheltens, Philip

AU - van der Flier, Wiesje M.

AU - Smets, Ellen M. A.

PY - 2019

Y1 - 2019

N2 - Introduction: We aimed to describe clinician-patient communication in the diagnostic process of memory clinics, specifically clinician behavior known to facilitate knowledgeable participation of patients during consultations. Methods: In this multicenter, observational study, we audio-recorded routine diagnostic consultations of 41 clinicians and 136 patients/caregivers at eight memory clinics. Patients/caregivers completed surveys after each audiotaped consultation. We used a study-specific coding scheme to categorize communication behavior. Results: Clinicians often provided information on (results of) diagnostic testing. They infrequently invited questions and/or checked understanding. Clinician behavior to involve patients in decision-making about diagnostic testing was limited. Of note, patients/caregivers rarely expressed their information or involvement preferences. Yet, approximately, one quarter of them would have liked to receive more information. Discussion: Involving patients more explicitly by means of shared decision-making could benefit the quality of care provided in memory clinics because it enables clinicians to attune the diagnostic workup to the individual patient's needs.

AB - Introduction: We aimed to describe clinician-patient communication in the diagnostic process of memory clinics, specifically clinician behavior known to facilitate knowledgeable participation of patients during consultations. Methods: In this multicenter, observational study, we audio-recorded routine diagnostic consultations of 41 clinicians and 136 patients/caregivers at eight memory clinics. Patients/caregivers completed surveys after each audiotaped consultation. We used a study-specific coding scheme to categorize communication behavior. Results: Clinicians often provided information on (results of) diagnostic testing. They infrequently invited questions and/or checked understanding. Clinician behavior to involve patients in decision-making about diagnostic testing was limited. Of note, patients/caregivers rarely expressed their information or involvement preferences. Yet, approximately, one quarter of them would have liked to receive more information. Discussion: Involving patients more explicitly by means of shared decision-making could benefit the quality of care provided in memory clinics because it enables clinicians to attune the diagnostic workup to the individual patient's needs.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85069845858&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/31388556

U2 - 10.1016/j.dadm.2019.06.001

DO - 10.1016/j.dadm.2019.06.001

M3 - Article

VL - 11

SP - 520

EP - 528

JO - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring

JF - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring

SN - 2352-8729

ER -

Visser LNC, Kunneman M, Murugesu L, van Maurik I, Zwan M, Bouwman FH et al. Clinician-patient communication during the diagnostic workup: The ABIDE project. Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring. 2019;11:520-528. https://doi.org/10.1016/j.dadm.2019.06.001

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