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Patient Education

Physician-Patient Communication

Resources  that can be used to create informative materials that will help connect with patients to impart knowledge and increase compliances with prescribed therapies and follow-up.

Plain language is communication your audience can understand the first time they read or hear it.  Written material is in plain language if your audience can:

  1. Find what they need
  2. Understand what they find
  3. Use what they find to meet their needs

Adhere to these guidelines, from plainlanguage.gov, when trying to convey information through plain language:

  • Write for your audience
  • organize to serve the reader's needs
  • Chunk information
  • Be concise
  • Use concrete, familiar words -- think of words that your patient's can visualize
  • Write in a conversational voice, not an academic or research voice
  • Use the active voice

From Plainlanguage.gov.

Ask Tell Ask Model

This communication strategy is specifically designed to help build rapport and solicit or encourage feedback from the patient. The intended goal of this model is to increase patient receptiveness towards receiving information or advice from their physician. Rather than delivering information in a manner that may overwhelm the patient either emotionally or mentally, health providers should:

  • ASK permission to give information or advice, what the patient knows or what they want to know
  • TELL them what they want to know
  • ASK them if they understand and if they want to know anything else
Considerations for ASK TELL ASK
ASK

Used to assess patients needs. or ask for permission to share information.

  • "What do you know about...?"
  • "There are several things we could talk about, so where would you like to start?"
  • "What information can I help you with?"
  • "Is it ok if we talk about...?
  • "Would you like to know more about...?"

Be sure to assess the patient's physical and emotional state, their knowledge and understanding of their condition, diagnosis, or prognosis, and their level of health literacy. 

Tell

Used to deliver information to the patient in a respectful and clear manner. Doing so in small amounts may help the patient take in the information that is being shared.

  • Make sure the information is focused and concise
    • Try to personalize the information to fit the person/patient
      • "You said that...is on your mind right now."
  • Provide information in a neutral way 
    • The goal is to share information. not change their minds
    • Avoid terms that may cause unnecessary alarm
  • Focus on one or two key message that you want to convey
    • "There are two things to think about right now..."
  • Use plain language and avoid jargon
  • Use visual aids and handouts 
    • Offer other supplemental materials as needed
ASK 

Used to determine the patient's understanding, emotional reactions, and concerns. 

  • Confirm understanding by asking the patient to repeat back what was explained in their own words
    • “I’d like to make sure I did a good job explaining. Could you say it back to me so I know I
      was clear?”
    • “Can you show me how you are going to (use this equipment/follow medication regiment/...) so I
      know that I explained it well?”
  • Ask if the patient has any concerns or questions
  • Elicit and respond to the patient's feelings
    • "What do you think?"
    • "I wonder what this all means to you?"
  • Ask if the patient wants to know anything else

Risk Communication

According to the World Health Organization (WHO), risk communication is the "Exchange of real-time information, advice, and opinions between experts and people facing threats to their health, economic or social well-being." The goal of successful risk communication is to promote better decision making choices for the patient. Forms in which risk communication can be disseminated includes media, social media, mass communication, and community engagement. 

For the healthcare provider, risk communication is a critical component of shared decision making and evidence-based patient choice. Tailored information, consultation summaries, decision aids, and evidence-based leaflets are all effective methods for communicating risk to patients that can be easily adapted to suit a wide variety of patients. 

Blend words and numbers -- be sure to utilize numbers in your conversations with patients rather than terms such as "common", "low risk", and "rare." In general, you should use a combination of words and numbers to convey important details to your patients.

Utilize common words and terms while limiting the use of numbers -- utilize common, every-day terminology when describing key concepts and information. Don't overwhelm patient with vague numerical values; be precise and exact. Try rounding up to whole numbers whenever possible.

Stay consistent -- use the same denominators and time frames when comparing numbers.

Elaborate -be sure to provide clear estimated numbers. Avoid explaining risks in solely descriptive terms such as "low risk" or "common".

Do the math -- run calculations for your patients. Hard numbers are going to be more effective than middling descriptions or summarized figures.

Consider cultural differences -- consider your patient's background. Would they prefer U.S Standard measurements or the Metric system?

Adapted from the Medical College of Wisconsin Libraries: Health Literacy: Risk Communication.

Visual Communication

Visual communication, such as illustrations, images, info-graphics, and videos, can help patients gain a better understanding of health information. They can help clarify messages,. as well as reinforce verbal or written instructions. For effective visual communication, be sure to consider the following recommendations:

  • Choose images that convey your main message
  • Make sure the meaning of your image is clear to all users
  • Utilize clear headings, labels, and captions
  • Use simple, realistic pictures
  • Beware of variations in interpretations of standard images
  • Use inclusive colors
    • Those who are color blind will not able to see specific colors
  • Be inclusive  -- think about the communities that you serve
    • Colors, symbols, and gestures can have different meanings across different cultures. Try and create materials that properly represent the communities that you work with