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Title of Journal: J GEN INTERN MED

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Abbravation: Journal of General Internal Medicine

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Springer-Verlag

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DOI

10.1016/0306-3747(95)90594-4

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1525-1497

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Training Residents to Employ Selfefficacyenhanci

Authors: Anthony Jerant Richard L Kravitz Rahman Azari Lynda White Jorge A García Heather Vierra Maria Catrina Virata Peter Franks
Publish Date: 2009/03/19
Volume: 24, Issue: 5, Pages: 606-613
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Abstract

Resident use of SEE IT a count of ten possible behaviors was coded from audio recordings of the physicianpatient portion of two standardized patient SP instructor training visits and two unannounced posttraining SP visits all involving common physical and mental health conditions and behavior change issues One posttraining SP visit involved health conditions similar to those experienced in training while the other involved new conditionsExperimental group residents demonstrated significantly greater use of SEE IT than controls starting after the first training visit and sustained through the final posttraining visit The mean effect of the intervention was significant adjusted incidence rate ratio for increased use of SEE IT = 194 95 confidence interval = 134 279 p  0001 There were no significant effects of resident gender race/ethnicity specialty training level or SP health conditionsSP instructors can teach resident physicians to apply SEE IT during SP office visits and the effects extend to health conditions beyond those used for training Future studies should explore the effects of the intervention on practicing physicians physician use of SEE IT during actual patient visits and its influence on patient health behaviors and outcomesSelfefficacy or confidence in ones ability to take steps to attain personal goals1 is a key mediator of patient health behavior2 3 4 5 6 7 8 9 10 11 12 13 Selfefficacy is mutable in response to interventions and selfefficacy enhancement improves health outcomes14 15 16 17 18 19 20 21 22 23 Interventions to enhance selfefficacy are typically delivered to patients by specially trained nonphysician personnel14 15 16 17 1820 21 22 23 often in settings separate from where care is delivered14171820 21 22 23 Such interventions avoid overcrowding visit agendas in primary care24 However disadvantages include the inability to harness the power of therapeutic physicianpatient relationships the conditionspecific nature of most interventions14 15 16 17 18192122 and limited dissemination potential

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  2. Health Literacy, Cognitive Abilities, and Mortality Among Elderly Persons
  3. Capsule Commentary on Olchanski et al., Abdominal Aortic Aneurysm Screening: How Many Life Years Lost from Underuse of the Medicare Screening Benefit?
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  5. Moving Forward in GME Reform: A 4 + 1 Model of Resident Ambulatory Training
  6. Does Motivation Matter? Analysis of a Randomized Trial of Proactive Outreach to VA Smokers
  7. A Symbol of Our Profession: White Coat Ceremony Address to the Class of 2014
  8. Patient Expectations as Predictors of Outcome In Patients with Acute Low Back Pain
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  10. “Could this Be Something Serious?”
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  15. Reflective Practice and Stress: Helpful, Harmful or Uninfluential in Critical Thinking
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  17. Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review
  18. Awareness of Hepatitis C Diagnosis is Associated with Less Alcohol Use Among Persons Co-Infected with HIV
  19. Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home
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  25. Improving Quality of US Health Care Hinges on Improving Language Services
  26. Retroperitoneal Hemorrhage from Kidney Angiomyolipoma
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