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Empathy, Enablement and Health Outcome

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Title: Empathy, Enablement and Health Outcome, a prospective study sarah price Author: sarah price Last modified by: sarah price Created Date: 5/12/2005 2:28:16 PM – PowerPoint PPT presentation

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Title: Empathy, Enablement and Health Outcome


1
Empathy, Enablement and Health Outcome
  • a prospective study sarah price

2
Measuring effect of empathy
  • On enablement
  • On health outcome
  • On symptoms and well-being

3
Empathy
  • Consultation and Relational Empathy (CARE)
    measure
  • Patients perception of relational empathy
  • Process measure of clinical encounter
  • Validated and used already in CAM

4
Empathy
5
Enablement
  • Patient enablement Instrument (PEI)
  • Outcome measure for quality of care
  • Distinct from patient satisfaction
  • Themes patient centeredness and empowerment
  • Widely used in general practice

6
Enablement
7
Health Outcome
  • MYMOP
  • Validated for use in general practice and
    acupuncture therapy
  • Symptom 1 and 2
  • Well-being
  • Activity status
  • within last week

8
Health Outcome
9
Pilot Study - Methods
  • 15 acupuncturists (BAcC)
  • Consecutive new patients
  • Questionnaire self-complete
  • Follow up questionnaire at 8 weeks
  • Practitioner log

10
Statistical Analysis
  • SPSS
  • T-tests to compare mean differences
  • Chi-squared tests for proportions
  • multiple regression models, using baseline values
    as covariates

11
Results
  • Response rate 58 (n89)
  • Follow-up 79 (n41)
  • 69 women (n36)
  • Non-responders no difference in age and sex
    from responders

12
Distribution of Age by Symptom 1
13
Empathy and Enablement
  • Empathy predicts enablement
  • - Confirms findings of other studies
  • Empathy predicts change in health outcome
  • - first prospective study
  • Enablement associated with change in health
    outcome

14
Empathy and Activity Status
  • Strong association
  • with change in activity
  • status (item of MYMOP)
  • - 95 CI 0.05 to 0.21 (SE0.039)
  • not with symptom 1 or well-being

15
Discussion
  • Representative ness of data
  • - age and gender similar to other studies
  • - 42 of potential participants did not
    respond
  • - 15 practitioners 9 had gt 10 years
    experience, 6 had lt 5 years

16
Discussion
  • Reasons for consulting
  • - similar amongst responders and non-responders
  • - similar to other studies

17
Discussion
  • Empathy scores higher in cross sectional study of
    ongoing acupuncture patients
  • Empathy scores higher in homeopathic prospective
    study
  • - but enablement was not

18
Discussion
  • Enablement significantly improves over 8 weeks
  • - suggests knowing practitioner well increases
    enablement
  • Enablement scores higher in cross-sectional study
    of ongoing acupuncture patients

19
Discussion symptom 1
20
Discussion well-being
21
Conclusion
  • Results support other studies that find
    association with empathy and enablement
  • Empathy predicts enablement
  • Empathy predicts changes in health outcome
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