Toward an evidence-based patient-provider communication in rehabilitation: linking communication elements to better rehabilitation outcomes
Abstract
Background There is a growing interest in linking aspects of patient-provider communication to rehabilitation outcomes. However, the field lacks a conceptual understanding on: (a) 'how' rehabilitation outcomes can be improved by communication; and (b) through 'which' elements in particular. This article elaborates on the conceptual developments toward informing further practice and research. Methods Existing models of communication in healthcare were adapted to rehabilitation, and its outcomes through a comprehensive literature review. Results After depicting mediating mechanisms and variables (e.g. therapeutic engagement, adjustment toward disability), this article presents the '4 Rehab Communication Elements' deemed likely to underpin rehabilitation outcomes. The four elements are: (a) knowing the person and building a supportive relationship; (b) effective information exchange and education; (c) shared goal-setting and action planning; and (d) fostering a more positive, yet realistic, cognitive and self-reframing. Discussion This article describes an unprecedented, outcomes-oriented approach toward the design of rehabilitation communication, which has resulted in the development of a new intervention model: the '4 Rehab Communication Elements'. Further trials are needed to evaluate the impact of this whole intervention model on rehabilitation outcomes.
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Effective communication between healthcare providers and patients is crucial for promoting patients' adherence to rehabilitation programs.
“Effective communication between healthcare providers and patients is crucial for promoting patients' adherence to rehabilitation programs.”
From A Data Visualization Tool for Patients and Healthcare Providers to Communicate during Inpatient Stroke Rehabilitation (2024) · cites this paper as [24]
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- Authors
- Jesus, T. S., & Silva, I. L.
- Affiliations
- Universitat de Miguel Hernández d'Elx (ES)
- Fernando Pessoa University (PT)
- Corresponding author
- Jesus, Tiago Silva
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2015-05-07
- Volume
- 30
- Issue
- 4
- Pages
- 315-328
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2144980523
- Cited by
- 51
- References
- 129
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 10 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 6 · 2014: 1
- FWCI
- 9.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- patient-provider communication, rehabilitation outcomes, treatment engagement, adaptation to disability, shared goal setting, action planning, patient education, evidence-based rehabilitation
- MeSH terms
- Communication, Humans, Physician-Patient Relations, Treatment Outcome, Evidence-Based Medicine
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