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Kelly Lambert - One of the best experts on this subject based on the ideXlab platform.
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Does a Renal Diet question prompt sheet increase the patient centeredness of Renal Dietitian outpatient consultations
Patient education and counseling, 2020Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Abstract Objective Effective communication is fundamental to helping patients change behaviour. Few studies have operationalised how to quantify and improve the patient centeredness of communication during the Dietitian outpatient consultation. We sought to evaluate the impact of a Renal Diet question prompt sheet (QPS) on patient centeredness (PC) in Dietitian outpatient clinics and describe the impact of a Renal Diet QPS on the volume and pattern of communication between Dietitians (n = 4) and patients/carers (n = 24, n = 11). Methods The Roter Interaction Analysis System was used to compute a PC index, the volume communication (number of questions and utterances) and categorise Dietitian communication. Results The QPS was associated with significant improvements in the PC of communication (p = 0.004 and p = 0.001), without increasing the volume of communication. The QPS was also associated with an increase in the total number of questions asked (p Conclusions This study describes a promising intervention to increase the patient centeredness of Dietetic consultations in an outpatient setting. Practice implications Whilst simple in design, the use of a QPS had a large effect on how patients and carers interact with the Dietitian in the outpatient setting.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics
BMC Nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Background Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Methods Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. Results A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. Conclusions The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics.
BMC nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
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How do patients and carers make sense of Renal Dietary advice? A qualitative exploration.
Journal of renal care, 2018Co-Authors: Kelly Lambert, Kylie J Mansfield, Judy MullanAbstract:Background Dietary modification is an integral part of chronic kidney disease (CKD) management. However, adherence to the Renal Diet is often suboptimal. Methods The aims of this study were to (i) describe the experiences of patients with CKD and their carers in their process of interpreting and implementing Renal Dietary advice; (ii) to explore strategies they used to make sense of and apply Renal Diet information and (iii) to develop recommendations for improved clinical practice. To achieve these aims, individual semi-structured interviews with 26 patients and 10 carers were conducted, using interview questions guided by Sensemaking theory. Findings Six themes emerged from the data which did not differ according to CKD stage, geographic location or Renal replacement therapy (RRT) type. The Renal Diet was perceived by patients and carers to be overwhelming, frustrating and emotionally demanding; as well as being complex and challenging. To help make sense of and apply Renal Dietary advice, participants highly valued the input of the Dietitian; and patients believed that their carer support was important. Individual problem-solving strategies were developed by participants to help them make sense of the Renal Diet, and many of them expressed a desire for additional resources and/or support. Conclusions This study highlights that learning to make sense of Renal Diet information is an emotionally challenging journey for patients and carers. In addition to utilising the expertise of Dietitians, carer support was perceived to be integral to learning and using Renal Dietary advice. The study describes a number of important problem-solving strategies utilised by patients and carers, as well as recommendations to help improve sensemaking and adherence to the Renal Diet.
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Qualitative exploration of the experiences of Renal Dietitians and how they help patients with end stage kidney disease to understand the Renal Diet.
Nutrition & dietetics: the journal of the Dietitians Association of Australia, 2018Co-Authors: Kelly Lambert, Kylie J Mansfield, Judy MullanAbstract:AIM: Dietary modification is integral to the management of end stage kidney disease. However, adherence to the Renal Diet is poor. Few studies have explored the perspectives of Renal Dietitians and how they work with patients to facilitate Dietary change. The objectives of this study were to explore the experiences of Renal Dietitians about educating patients with end stage kidney disease; and to describe the strategies perceived to help patients understand the Renal Diet. METHODS: Semi‐structured interviews based on Sensemaking theory were conducted with Renal Dietitians (n = 27) working in Australia and New Zealand from a range of metropolitan, regional and remote areas. RESULTS: Five major themes across two categories were derived from the data. The Renal Dietitians in this study experienced feelings of frustration, frequently worked in practice environments with limited or inadequate resources and perceived that establishing trust and demonstrating empathy were important to sense making. Renal Dietitians helped patients make sense of and understand the Diet by clarifying ambiguities and conflicting information; and simplifying complexity by using simple explanations, individualised advice and practical support. These strategies were considered critical to the Renal Diet sense making process. CONCLUSIONS: The experience of providing Renal Diet advice to adults with end stage kidney disease was emotionally and professionally challenging. Alternative approaches to patient education may help Dietitians to empower patients to better understand the Renal Diet. Further research exploring the experiences of learning about the Renal Diet from the patient and carer perspective would also help to inform future alternative approaches.
Mandy Carrie - One of the best experts on this subject based on the ideXlab platform.
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Does a Renal Diet question prompt sheet increase the patient centeredness of Renal Dietitian outpatient consultations
Patient education and counseling, 2020Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Abstract Objective Effective communication is fundamental to helping patients change behaviour. Few studies have operationalised how to quantify and improve the patient centeredness of communication during the Dietitian outpatient consultation. We sought to evaluate the impact of a Renal Diet question prompt sheet (QPS) on patient centeredness (PC) in Dietitian outpatient clinics and describe the impact of a Renal Diet QPS on the volume and pattern of communication between Dietitians (n = 4) and patients/carers (n = 24, n = 11). Methods The Roter Interaction Analysis System was used to compute a PC index, the volume communication (number of questions and utterances) and categorise Dietitian communication. Results The QPS was associated with significant improvements in the PC of communication (p = 0.004 and p = 0.001), without increasing the volume of communication. The QPS was also associated with an increase in the total number of questions asked (p Conclusions This study describes a promising intervention to increase the patient centeredness of Dietetic consultations in an outpatient setting. Practice implications Whilst simple in design, the use of a QPS had a large effect on how patients and carers interact with the Dietitian in the outpatient setting.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics
BMC Nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Background Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Methods Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. Results A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. Conclusions The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics.
BMC nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
Holly Mitchell - One of the best experts on this subject based on the ideXlab platform.
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Does a Renal Diet question prompt sheet increase the patient centeredness of Renal Dietitian outpatient consultations
Patient education and counseling, 2020Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Abstract Objective Effective communication is fundamental to helping patients change behaviour. Few studies have operationalised how to quantify and improve the patient centeredness of communication during the Dietitian outpatient consultation. We sought to evaluate the impact of a Renal Diet question prompt sheet (QPS) on patient centeredness (PC) in Dietitian outpatient clinics and describe the impact of a Renal Diet QPS on the volume and pattern of communication between Dietitians (n = 4) and patients/carers (n = 24, n = 11). Methods The Roter Interaction Analysis System was used to compute a PC index, the volume communication (number of questions and utterances) and categorise Dietitian communication. Results The QPS was associated with significant improvements in the PC of communication (p = 0.004 and p = 0.001), without increasing the volume of communication. The QPS was also associated with an increase in the total number of questions asked (p Conclusions This study describes a promising intervention to increase the patient centeredness of Dietetic consultations in an outpatient setting. Practice implications Whilst simple in design, the use of a QPS had a large effect on how patients and carers interact with the Dietitian in the outpatient setting.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics
BMC Nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Background Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Methods Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. Results A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. Conclusions The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics.
BMC nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
Alex Harman - One of the best experts on this subject based on the ideXlab platform.
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Does a Renal Diet question prompt sheet increase the patient centeredness of Renal Dietitian outpatient consultations
Patient education and counseling, 2020Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Abstract Objective Effective communication is fundamental to helping patients change behaviour. Few studies have operationalised how to quantify and improve the patient centeredness of communication during the Dietitian outpatient consultation. We sought to evaluate the impact of a Renal Diet question prompt sheet (QPS) on patient centeredness (PC) in Dietitian outpatient clinics and describe the impact of a Renal Diet QPS on the volume and pattern of communication between Dietitians (n = 4) and patients/carers (n = 24, n = 11). Methods The Roter Interaction Analysis System was used to compute a PC index, the volume communication (number of questions and utterances) and categorise Dietitian communication. Results The QPS was associated with significant improvements in the PC of communication (p = 0.004 and p = 0.001), without increasing the volume of communication. The QPS was also associated with an increase in the total number of questions asked (p Conclusions This study describes a promising intervention to increase the patient centeredness of Dietetic consultations in an outpatient setting. Practice implications Whilst simple in design, the use of a QPS had a large effect on how patients and carers interact with the Dietitian in the outpatient setting.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics
BMC Nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Background Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Methods Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. Results A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. Conclusions The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics.
BMC nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
Sarah Davison - One of the best experts on this subject based on the ideXlab platform.
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Does a Renal Diet question prompt sheet increase the patient centeredness of Renal Dietitian outpatient consultations
Patient education and counseling, 2020Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Abstract Objective Effective communication is fundamental to helping patients change behaviour. Few studies have operationalised how to quantify and improve the patient centeredness of communication during the Dietitian outpatient consultation. We sought to evaluate the impact of a Renal Diet question prompt sheet (QPS) on patient centeredness (PC) in Dietitian outpatient clinics and describe the impact of a Renal Diet QPS on the volume and pattern of communication between Dietitians (n = 4) and patients/carers (n = 24, n = 11). Methods The Roter Interaction Analysis System was used to compute a PC index, the volume communication (number of questions and utterances) and categorise Dietitian communication. Results The QPS was associated with significant improvements in the PC of communication (p = 0.004 and p = 0.001), without increasing the volume of communication. The QPS was also associated with an increase in the total number of questions asked (p Conclusions This study describes a promising intervention to increase the patient centeredness of Dietetic consultations in an outpatient setting. Practice implications Whilst simple in design, the use of a QPS had a large effect on how patients and carers interact with the Dietitian in the outpatient setting.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics
BMC Nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Background Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Methods Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. Results A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. Conclusions The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.
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Development and preliminary results on the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics.
BMC nephrology, 2019Co-Authors: Kelly Lambert, Tsz Kwan Lau, Sarah Davison, Holly Mitchell, Alex Harman, Mandy CarrieAbstract:Adherence to the Diet prescription for chronic kidney disease is suboptimal. Interventions to improve Dietary adherence suggest that improving communication between the patient and the health professional is fundamental to improving outcomes. Providing patients with a question prompt sheet prior to the consultation has been demonstrated to be an effective method for improving communication between patient and health professional. In the absence of a Renal Diet specific version, the aims of this study were to develop and test the feasibility of a Renal Diet specific question prompt sheet for use in nephrology clinics. Phase one utilized social listening methodology, online content analysis and clinic observations to obtain an extensive list of frequently asked questions about the Renal Diet. Following refinement with health professionals, the draft question prompt sheet was then sent in Phase two to patients one week prior to their scheduled consultation with the Renal Dietitian. Feedback was obtained from patients, carers and Dietitians using semi structured interviews post clinic consultation. Quantitative data was analyzed using counts and proportions, while free text responses were analyzed thematically. A total of 769 unique Renal Diet related questions were reduced to an 18-item question prompt sheet. Feedback from thirteen patients (six males), six carers and six Dietitians involved in the preliminary feasibility study was overwhelmingly positive. The majority of patients found the question prompt sheet to be easy to understand and agreed it facilitated communication with the Dietitian. All participants agreed that they would recommend use of question prompt sheet to other patients. Suggestions for future use included health professional training in use of the sheet, particularly about how to help patients prioritize their most important questions. The 18-item Renal Diet question prompt sheet developed in this preliminary study appears to be a feasible tool for use in nephrology consultations especially by Dietitians. Further research quantifying the impact on question asking and patient centeredness should be undertaken. In addition, user testing with patients from culturally diverse and low literacy backgrounds would be useful.