Department of Medical Psychology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Cancer Center Amsterdam, Amsterdam, the Netherlands.
Department of Medical Psychology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Cancer Center Amsterdam, Amsterdam, the Netherlands; Athena Institute, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Patient Educ Couns. 2020 Jan;103(1):55-62. doi: 10.1016/j.pec.2019.07.011. Epub 2019 Jul 10.
Patient recall of medical information is usually poor. Healthcare providers can employ affect-oriented (i.e., showing care) or cognition-oriented communication styles (i.e., structuring information) to enhance recall, but research evidence is limited especially among clinical and/or older patient populations. This video-vignette study manipulated provider caring and information structuring to examine effects on recall and trust among cancer patients/survivors.
In an online survey, 148 participants (M = 62) were randomized to one of four video conditions in a two (standard communication vs. enhanced caring) by two (standard vs. enhanced structuring) design, and completed measures of active recall, recognition, and trust.
Increased caring or structuring did not enhance active recall or recognition, instead both were higher among younger, female, or highly educated participants. The caring condition induced higher perceived trust in the provider within the whole sample, but trust was significantly correlated with decreased recall (r = -.268) among younger participants.
Provider caring can strengthen the patient-provider relationship by enhancing trust. Yet, increased trust may impair recall among younger patients. Structuring treatment information did not enhance recall and recognition, but additional research is needed.
Providers may use additional ways of structuring/organizing information to help enhance recall (e.g., written information).
患者对医疗信息的记忆通常很差。医疗保健提供者可以采用情感导向（即表示关心）或认知导向（即组织信息）的沟通方式来增强记忆，但研究证据有限，尤其是在临床和/或老年患者群体中。本视频短片研究通过操纵提供者的关怀和信息组织，来考察其对癌症患者/幸存者的记忆和信任的影响。
在一项在线调查中，148 名参与者（M=62）被随机分配到标准沟通与增强关怀、标准信息组织与增强信息组织的四个视频条件之一，并完成了主动回忆、识别和信任的测量。
增加关怀或信息组织并不能提高主动回忆或识别，相反，年轻、女性或受教育程度较高的参与者的回忆和识别得分更高。在整个样本中，关怀条件会提高患者对提供者的感知信任，但在年轻参与者中，信任与回忆减少呈显著相关（r=-.268）。
提供者的关怀可以通过增强信任来加强医患关系。然而，增加信任可能会损害年轻患者的回忆。组织治疗信息并没有提高回忆和识别，还需要进一步研究。
提供者可以采用其他组织信息的方式来帮助提高记忆（例如书面信息）。
