| 1. Title: Increasing patient participation in reproductive health consultations: an evaluation of "Smart Patient" coaching in Indonesia. Author: Kim YM; Putjuk F; Basuki E; Kols A Source: Patient Education and Counseling. 2003 Jun;50(2):113-122. Abstract: Paternalistic models of health care, social distance between patients and providers, and cultural norms discourage patients from playing an active role in health consultations. This study tested whether individual coaching can give family planning patients the confidence and communication skills to talk more openly and more vigorously with providers. Educators met with 384 Indonesian women in clinic waiting rooms and coached them on asking questions, expressing concerns, and seeking clarification. An analysis of audiotaped consultations found that patients who received coaching articulated significantly more questions and concerns than others. Coaching narrowed differentials in active communication by patient type, age, and assertiveness, but it widened differentials by patient education and socioeconomic class. The discontinuation rate at 8 months was lower in the intervention than the control condition, but the difference was only marginally significant. (author's) Language: English Keywords: INDONESIA | RESEARCH REPORT | FOCUS GROUPS | CASE CONTROL STUDIES | DATA COLLECTION | AUDIOTAPES | CLIENTS | NURSES AND NURSING | REPRODUCTIVE HEALTH | FAMILY PLANNING EDUCATION | CONTRACEPTIVE USAGE | COMMUNICATION | CONTRACEPTION CONTINUATION | PARTICIPATION | INTERPERSONAL RELATIONS | COMMUNICATION STRATEGY | WOMEN | Asia, Southeastern | Asia | Developing Countries | Research Methodology | Studies | Tape Recordings | Mass Media | Program Activities | Programs | Organization and Administration | Health Personnel | Delivery of Health Care | Health | Education | Contraception | Family Planning | Social Behavior | Behavior | Demographic Factors | Population Document Number: 180127 |
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