Angela Coulter - Academia.edu (original) (raw)

Papers by Angela Coulter

... Angela Coulter, Picker Institute Europe, Oxford, United Kingdom Suzanne Parsons, Picker Insti... more ... Angela Coulter, Picker Institute Europe, Oxford, United Kingdom Suzanne Parsons, Picker Institute ... Also, a review of professionally led self-management education programmes for patients ... Twosystematic reviews of computer-based interactive applications found that patient ...

The British journal of general practice : the journal of the Royal College of General Practitioners, 2016

ABSTRACT Purpose: An environmental scan of shared decision making (SDM) training programs for hea... more ABSTRACT Purpose: An environmental scan of shared decision making (SDM) training programs for healthcare professionals showed that they vary widely in how and what they deliver. We sought to identify a list of core competencies for SDM training programs. Method: In April 2012, we convened an interdisciplinary and international group of educators, policy-makers, clinicians, patient representatives, health communicators, students and experts in SDM models to a two-day workshop in Quebec City. The workshop consisted of participant presentations and group discussions on concepts and theories of SDM and education, existing SDM training programs, policy issues relating to training health professionals in SDM, SDM conceptual models, SDM competencies, and core competencies for SDM training programs that meet stakeholders’ needs. On day two, we invited participants to reach a consensus on a list of core competencies based on their discussions and to co-author a position paper based on the proposed list. Participants were asked to identify next steps for moving forward a list of core competencies for SDM. Result: Presentations highlighted and precipitated discussion around definitions of SDM, learning objectives, characteristics and evaluation of existing SDM training programs, as well as stakeholders’ needs and expectations regarding SDM. Some participants believe that the Makoul & Clayman’s model is adequate and should now be widely implemented, while others wish to reflect further on SDM and define its limits for clinical decision-making. Two major groups of competencies came to the fore: relational competencies and risks communication skills. However, participants did not reach a consensus on specific competencies considered essential in SDM training programs. Nor did they reach consensus on whether this was a desirable goal to try to achieve at this point in time when little evidence is available to support which competencies to recommend. Some participants felt clinicians should have short trainings available, while others felt multiday workshops with hands-on learning opportunities are better. Next steps suggested included a team grant application by participants wishing to move forward on identifying and implementing core competencies. Conclusion: There is no consensus on core competencies for SDM training programs for healthcare professionals among a group of stakeholders from diverse backgrounds. Participants agreed that a common position paper be prepared and should include discussion of the above varied positions.

BMJ (Clinical research ed.), 2015

Improving patient care, 2013

National Health Service. …, 2003

The qualitative research did not identify any important items missing from the original Picker qu... more The qualitative research did not identify any important items missing from the original Picker questionnaires and they performed well in the cognitive testing. All four versions of the questionnaire were acceptable to most respondents and item response rates were satisfactory. A few minor modifications were made following the first phase of the pilot testing and incorporated into the 8-page and 16-page versions of the questionnaire.

Social Science Medicine, Mar 31, 1998

The aims of this paper were to assess whether anticipated barriers to change in diet and exercise... more The aims of this paper were to assess whether anticipated barriers to change in diet and exercise which were cited before a health cheek intervention were related to subsequent behaviour changes. In 1989 a health and lifestyle questionnaire was posted to 17,965 people aged 35-64 who were registered with five general practices in Bedfordshire. Taking account of non-contacts, a response rate of 80.3% was achieved and 11,090 people described their exercise and dietary habits. Those expressing an interest in changing each behaviour were asked to identify reasons why change might be difficult. Two types of barriers--"internal" and "extemai"--were identified. A total of 2205 respondents were invited to attend a health check in Year One and a recheck three years later and 1660 attended. In this subgroup improvement in exercise and diet was examined in relation to the participants' baseline characteristics, including the type of barriers selected. Internal barriers to change (e.g. lack of willpower, too lazy, too busy) were chosen most frequently. In a logistic regression including a range of baseline variables those who selected only internal barriers were less likely to take more exercise (OR 0.59, 95% CI 0.41, 0.86) than those who cited only external (e.g. no transport, can't afford sports facilities) or mixed barriers to changing. There was a similar but not statistically significant trend for changing diet (OR 0.78, 95% CI 0.48, 1.28). Those who are aware of external limitations may be better placed to circumvent them. Further research is needed to explore this relationship between type of barrier and behaviour change.

Bmj British Medical Journal, 2002

A new urgency is in the air, though—improving patients' experiences is much higher up the ag... more A new urgency is in the air, though—improving patients' experiences is much higher up the agenda. In 2000 the British government made this the central theme of its plan for the NHS. It announced that incentive systems would be realigned to encourage improvements in ...

Journal of Epidemiology and Community Health, Sep 1, 1991

Women S Health Issues, Jul 1, 2001

Bmj British Medical Journal, 1997

Journal of Clinical Laser Medicine Surgery, 1994

Therapeutics and Clinical Risk Management 11 99 104, 2005

One of the most remarkable features of the patient safety movement is the lack of attention paid ... more One of the most remarkable features of the patient safety movement is the lack of attention paid to the patient&amp;amp;#x27;s perspective.1 Safety is addressed and discussed in multiple ways, lessons are sought from all manner of other industries and experts, from the disciplines of psychology, ...