Cited by 51Patient-Provider Communication in HealthcareMedical Practices and RehabilitationPsychotherapy Techniques and Applications

Toward an evidence-based patient-provider communication in rehabilitation: linking communication elements to better rehabilitation outcomes

Jesus, Tiago Silva, Silva, Isabel Lopes·2016·Clinical Rehabilitation

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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Crossref · 10.1177/0269215515585133

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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
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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