Client Recall Research Articles

Factors influencing client recall of contraceptive counseling at community-based distribution events in Kinshasa, Democratic Republic of the Congo

BackgroundClients must recall information from contraceptive counseling sessions to properly use their chosen method. Client recall in community-based settings is challenging given the public nature of these events and the presence of many potential distractions. Understanding the factors that influence client recall during community-based distribution events can guide future training of providers to improve proper use of contraceptive methods and client satisfaction.MethodsThis cross-sectional study employed a convenience sample of 957 women ages 15–49 old who sought contraceptive services from community-based contraceptive distribution events in Kinshasa, Democratic Republic of the Congo, known as Lelo PF. Recall scores were developed by matching direct observations with client exit interviews. The association between recall and client characteristics, provider characteristics and an index for the quality of the provider-client interaction were tested using multivariate linear regression.ResultsThe average recall score was 67.6%. Recall scores were higher among clients who accepted methods with simpler administration procedures, such as CycleBeads (81.3%), compared to methods requiring more medically advanced administration procedures, such as DMPA-SC (56.6%) and Implanon-NXT (62.1%). This relationship held even after controlling for amount of information each client received. Status as a first-time user was associated with a 5.8 percentage point decrease in recall score (p = 0.002). Time since the provider’s initial family planning training and clients’ perception of the provider-client interaction were associated with higher client recall scores.ConclusionResults of this study suggest that to improve client recall at Lelo PF events, future provider training should focus on how to deliver clear, specific information to clients, making sure clients feel at ease during the counseling session, and treating clients with respect. First-time family planning users and clients who select methods with more medically advanced administration procedures may require extra attention during the consultation to ensure they are able understand and remember the information. Results suggest that providers who have been offering services longer may be more effective in conveying information in a way that clients can remember. Program managers should consider requesting input from experienced providers to improve training sessions.

Emotionally valenced and modality-specific dual tasks: Effects on voluntary reminding and proactive interference in trauma-exposed individuals suffering from PTSD.

Objectives: People suffering from posttraumatic stress disorder (PTSD) often experience distressing traumatic memories. Therapeutic methods that apply a secondary task while clients recall a trauma memory may further assist in modifying the vividness and emotionality of the trauma memory and in reducing intrusions. In this experiment, we aimed to investigate whether the emotional valence (positive vs. neutral) and sensory modality (visual vs. auditory) of a secondary task reduces the vividness and emotionality of the trauma memory and the proactive interference. Method: Sixty PTSD patients exposed to road traffic accident traumas were randomized to one of four groups in a 2 (emotional valence: positive, neutral) × 2 (modality: visual, auditory) design. Participants were then exposed to a positive or a neutral clip that was visual or auditory and were required to recall the trauma memory during exposure to the clip. Vividness and emotionality of the trauma memory and proactive interference were assessed before and after exposure to the clip and at a 1-week follow-up. Results: Results revealed that participants who recalled the trauma memory while exposed to the positive clip reported their trauma memory as being less distressing (but not less vivid) and indicated less proactive interference than did participants exposed to the neutral clip. Nevertheless, modality had no significant effect in attenuating the proactive interference under conditions of modality congruence. Conclusion: Inducing positive emotion while performing a dual task may be an effective module in therapeutic approaches. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Reducing the Risk of Vaccine Preventable Diseases During the COVID-19 Pandemic

Reducing the Risk of Vaccine Preventable Diseases During the COVID-19 Pandemic

Knowledge gain and usage of knowledge learned during internet-based CBT treatment for adolescent depression - a qualitative study

BackgroundThe role of explicit learning of treatment content in internet-based cognitive-behavioural treatment (ICBT) is an emerging field of research. The objective of this study was to explore clients experiences of their ICBT treatment for depression with a focus on knowledge gain and usage of knowledge learned during treatment.MethodsA strategic sample of ten adolescents, aged between 15 and 19 years, who had received ICBT for major depression within a clinical controlled trial were recruited for the study. Semi-structured interviews were conducted 6 months following trial completion. Data were transcribed and analysed using thematic analysis. The participants had a general adherence rate of 6–8 opened modules out of 8 possible.ResultsTwo main themes were identified; “Active agents of CBT” and “Passive agents of CBT”, with each theme consisting of three and two sub-themes. Active agents of CBT reflect a tendency to specifically remember and actively apply specific CBT principles in present life situations. Passive agents of CBT reflect a tendency to remember CBT treatment principles vaguely and express a passive or reactive usage of learned therapy content.ConclusionThe findings suggest that young clients can remember and apply CBT principles 6 months after their treatment. However, while experiencing benefits of treatment, clients recall and application of treatment strategies vary. The study emphasizes the importance of exploring client recall of CBT components and how valuable it is to explicitly remember contents of a treatment in order to improve and maintain improvement. Further studies on the role of knowledge and memory of ICBT for adolescent populations are warranted.

It’s All About Your Client

You have accessThe ASHA LeaderApp-titude1 Mar 2016It’s All About Your ClientHarness the Book Creator app to make treatment relevant to your clients’ lives. Sean SweeneyMS, MEd, CCC-SLP Sean Sweeney Google Scholar More articles by this author , MS, MEd, CCC-SLP https://doi.org/10.1044/leader.APP.21032016.np SectionsAbout ToolsAdd to favorites ShareFacebookTwitterLinked In Centering treatment on clients is largely about context. Which contexts affect their communication skills positively or negatively? How can we reach out to families in simple, time-effective ways to learn more about these contexts and ease the transfer of skills to other settings? Book Creator, an app widely acclaimed in educational circles, provides one effective means of doing this. Using it, you can “package” photos and videos provided by clients and families with language and skills being targeted in your sessions. Through the app, you can easily transfer these materials to clients and families for additional practice and exposure. One advantage of this app (among many) is that it is available on multiple platforms (create one trial book free on Android and iOS; the full app is $2.49 and $4.99, respectively). This availability and affordability make the app accessible to clinicians and parents on a variety of devices. Versatility The key advantage of the app, however, is its versatility. A story created in Book Creator can include pictures and text—which we expect in any book—but it also can contain multimedia elements, such as recorded audio or video. Use the camera feature in the app to insert snapped or recorded images or to record a session. It’s simple to insert personally relevant images—such as the student’s classroom—into a book using the camera from a mobile device. Other book-creation apps have restrictions on how to share their products (for example, requiring the involvement of the developers’ websites), but Book Creator allows you to share stories in multiple formats and through multiple channels: PDF, ePub or video book, emailed or exported to cloud services such as Google Drive or Dropbox. ePub, a multimedia format that contains the audio or video attached to the book, can easily be opened in the iBooks app or other ePub readers on any device—meaning the client and family do not have to own the Book Creator app to access the materials you share. You can use Book Creator to build client-centered contexts in several ways. Document successful strategies Book Creator’s photo and video recording and insertion functions allow you to show your clients and students in action using speech production, reading comprehension, nonverbal language or virtually any other language strategies. You can also make comic-style books, or simply insert a thought or word-balloon shape, to model positive cognitive strategies along with a photo or video of your client. After a recent training session that included this app, I was thrilled to see a colleague create and share with her client a several-page book helping the client recall how to do effective voice production exercises. Be sure to have approved procedures and or/releases detailing how you will share digital materials with clients, particularly materials that include images of clients and students. Motivating contexts ASHA documents on evidence-based practice stress that evidence-based practice includes “incorporation of … client/patient/caregiver values to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve.” As we naturally want our clients and students to succeed in and enjoy treatment activities, it just makes sense to include contexts that target their interests as well as topics relevant to the curriculum. Book Creator serves as a blank slate that can be filled with language on any topic: the visuals that will get students talking, the sketches you can put on top of photos, and the audio files you can simply insert. Consider asking families for photos to construct a “talking photo album” around life events; these materials can target any goals, from micro (for example, pronouns) to macro (for example, storytelling), and can also serve as an augmentative and alternative communication support. I have also had success snapping screenshots of YouTube videos of interest to clients, inserting them along with audio narration, and sharing with their parents for review. Although Book Creator is very easy to use, you may benefit from the developer tutorials on the app’s website. Author Notes Sean Sweeney, MS, MEd, CCC-SLP, is an SLP and technology specialist working in private practice at the Ely Center in Newton, Mass., and consultant to local and national organizations on technology integration in speech and language interventions. His blog, SpeechTechie, looks at technology “through a language lens.” [email protected] Advertising Disclaimer | Advertise With Us Advertising Disclaimer | Advertise With Us Additional Resources FiguresSourcesRelatedDetails Volume 21Issue 3March 2016 Get Permissions Add to your Mendeley library History Published in print: Mar 1, 2016 Metrics Current downloads: 310 Topicsasha-topicsleader_do_tagasha-article-typesleader-topicsCopyright & Permissions© 2016 American Speech-Language-Hearing AssociationLoading ...

"I Do Feel Like a Scientist at Times": A Qualitative Study of the Acceptability of Molecular Point-Of-Care Testing for Chlamydia and Gonorrhoea to Primary Care Professionals in a Remote High STI Burden Setting.

BackgroundPoint-of-care tests for chlamydia (CT) and gonorrhoea (NG) could increase the uptake and timeliness of testing and treatment, contribute to improved disease control and reduce reproductive morbidity. The GeneXpert (Xpert CT/NG assay), suited to use at the point-of-care, is being used in the TTANGO randomised controlled trial (RCT) in 12 remote Australian health services with a high burden of sexually transmissible infections (STIs). This represents the first ever routine use of a molecular point-of-care diagnostic for STIs in primary care. The purpose of this study was to explore the acceptability of the GeneXpert to primary care staff in remote Australia.MethodsIn-depth qualitative interviews were conducted with 16 staff (registered or enrolled nurses and Aboriginal Health Workers/Practitioners) trained and experienced with GeneXpert testing. Interviews were digitally-recorded and transcribed verbatim prior to content analysis.ResultsMost participants displayed positive attitudes, indicating the test was both easy to use and useful in their clinical context. Participants indicated that point-of-care testing had improved management of STIs, resulting in more timely and targeted treatment, earlier commencement of partner notification, and reduced follow up efforts associated with client recall. Staff expressed confidence in point-of-care test results and treating patients on this basis, and reported greater job satisfaction. While point-of-care testing did not negatively impact on client flow, several found the manual documentation processes time consuming, suggesting that improved electronic connectivity and test result transfer between the GeneXpert and patient management systems could overcome this. Managing positive test results in a shorter time frame was challenging for some but most found it satisfying to complete episodes of care more quickly.ConclusionsIn the context of a RCT, health professionals working in remote primary care in Australia found the GeneXpert highly acceptable. These findings have implications for use in other primary care settings around the world.

P13.04 “I do feel like a scientist at time yeah…” acceptability of point-of-care testing for chlamydia and gonorrhoea to health service providers in remote primary care

Introduction The GeneXpert test system is a molecular test used to diagnose Chlamydia trachomatis and Neisseria gonorrhoeae at the point-of-care (POC). It is being used in remote Aboriginal health services in Australia as part of the TTANGO (Test, Treat, ANd GO) Trial. Methods In 2014 we interviewed 15 Aboriginal health workers/practitioners and nurses from 6 health services participating in TTANGO. Most were female (53%), 70% had worked >5 years in the remote sector and 40% were Aboriginal. We explored factors known to influence POC test acceptability including perceived ease of use and usefulness, and staff attitudes- which are all mediated by a range of barriers and enablers to POC test use. Results Most staff found the GeneXpert both easy to use and useful in their setting. They indicated that POC testing has improved STI management, resulting in more timely and targeted treatment, earlier commencement of partner notification, and reduced time and effort associated with client recall. Staff expressed confidence in POC test results and in treating patients on this basis. They reported greater job satisfaction- feeling more in control of STI testing and patient health. Access to the GeneXpert appeared to legitimise or create an entry point to discussing STIs with clients, particularly for Aboriginal health workers. As most clients opted to return for test results (after 90 min) POC testing did not impact negatively on client flow. Managing positive test results in a shorter time frame was sometimes challenging. Manual documentation of results was considered to be onerous by some, who suggested that enhanced connectivity between the GeneXpert and patient management system could assist. Conclusion Participants identified the potential for the GeneXpert to strengthen STI control in remote communities. Test acceptability was high, although some challenges remain and will inform future scale up/translation of POC testing in this setting. Disclosure of interest statement No conflicts of interest declared. No financial support was received by Cepheid. Cepheid has provided GeneXpert devices on loan for the duration of TTANGO and test cartridges at a reduced rate.

Maximizing health literacy and client recall in a developing context: speech-language therapist and client perspectives

In the field of speech-language therapy, limited research has been conducted with regards to health literacy and client recall. However, speech-language therapists frequently provide a considerable amount of information for clients to understand, apply and review in order to manage their (or their child's) health. This study aimed to investigate (1) issues around clients' health literacy and recall of information; and (2) how these issues can be overcome in speech-language therapy in a developing context. An exploratory study was undertaken with specific focus on speech-language therapists and their clients who had previously received treatment for dysphagia, voice disorders (including laryngectomies), and cleft lip and/or palate management. They were recruited at public tertiary hospitals and primary healthcare clinics in Cape Town, South Africa. Data were gathered through focus group discussions and qualitatively analysed using a content-driven immersion/crystallization style. Five themes and 13 subthemes were identified. Speech-language therapists currently use mostly low-technology strategies to manage issues of health literacy and client recall, and frequently view poor outcomes as being related to clients themselves and a lack of compliance. An understanding of context, intercultural health literacy and client-provider concordance are important factors that should inform the clinical practice of speech-language therapy. There is a need to develop effective strategies for information provision and review post-consultation. Speech-language therapists have an important mediating role in cross-cultural communication.

Maximising health literacy and client recall of clinical information: An exploratory study of clients and speech-language pathologists

Limited research has been carried out in the field of speech-language pathology with regard to ways of maximising health literacy and client recall. However, speech-language pathologists (SLPs) frequently provide vast amounts of information that clients need to understand, apply and review in order to manage their (or their child's) health. This exploratory study aimed to contribute information about ways in which SLPs can overcome low health literacy and poor client recall so that treatment effectiveness is improved. A case-study design was used with specific focus on four clients receiving treatment for dysphagia, voice disorders (including laryngectomies) and cleft lip and/or palate management in Cape Town. Strategies which may be able to maximise health literacy and client recall of clinical information were trialled and evaluated by clients and their SLPs, using semi-structured interviews. The researchers proposed a combination of high-tech strategies which assisted in all the cases. No single solution or universal tool was found that would be appropriate for all. There is a need to evaluate the long-term effectiveness of the combined strategies across a wider population, at different stages of rehabilitation and in diverse contexts. Implications and suggestions for future related research are presented.

Re‐conceptualizing Risk in Genetic Counseling: Implications for Clinical Practice

Risk communication is an important component of genetic counseling. However, many authors have noted that after genetic counseling, subjective risk frequently does not match the objective risk provided by the counselor. This inevitably leads to the conclusion that the risk communication process was not "effective". There has been much discussion about how this problem can be better addressed, such that our clients recall numeric risks more accurately after genetic counseling. This article draws on the risk and probability literature from other fields (including psychology, economics, philosophy and climate change) to deconstruct the concepts of "risk" and risk perception to attempt to expand upon and develop thought and discussion about and investigation of the risk communication process in genetic counseling.

Effects of formal training in communication skills on the ability of veterinary students to communicate with clients

All uk veterinary schools have recently introduced small group teaching of communication skills for undergraduates. This study evaluates the effectiveness of this approach in improving the ability of students to...

Travel health advice as recalled by 552 tourists to Peru.

The process of health advice/education affects two groups of people, the health professionals who give the advice and the recipients who are offered this advice. The content of travel health advice has been investigated many times and has often been found to be of varying quality. However, little is known about how much advice clients recall. This study examined the travel health advice-seeking behavior of travelers to Peru, the degree of recall, and the amount of advice remembered. This descriptive study was based on questionnaires completed by 552 travelers to Peru while in Cusco. Information was collected on travel health-seeking behavior, sources of advice, tourists' degree of recall of information, and advice remembered. Sixty-two percent (n=492) claimed to always seek health advice before traveling whereas 96% sought advice only for this specific trip. Most advice was obtained from travel clinics (37.7%), general practitioners (20.2%), or a guidebook (19.6%). Most tourists (60.4%) claimed to recall most of the advice; 23.4%, everything; 15.5%, some; and 0.6%, none (n=470). The number of items remembered ranges from 0 to 11. Findings from the study indicated that the usefulness of travel health advice depends on the quality of information given and the recall of this advice. Both aspects need to be considered in order to be certain that the objective of travel health advice is met, which is the informed and safe travel health behavior. Further research is recommended.

Challenges to Vaccinating Adolescents

Adolescent immunization is a growing field, with many new vaccines in development and new or expanded immunization recommendations on the horizon. Characteristics of adolescents and their health care are discussed, focusing specifically on the challenges of incorporating a potential recommendation to replace tetanus-diphtheria toxoid with tetanus-diphtheria-acellular pertussis vaccine during early or middle adolescence as part of routine preventive care. Using the framework created by the Centers for Disease Control and Prevention's Task Force on Community Preventive Services, three overlapping levels at which there are opportunities for vaccine intervention are reviewed: (1) health care systems (enhancing access to vaccination services); (2) health care providers (provider-based interventions); and (3) patients and families ("increasing community demand"). There are several barriers to vaccine implementation that make achieving high immunization coverage rates among adolescents a challenge. Promising interventions for improving vaccination rates at the health care system level include reducing out-of-pocket costs, expanding access to immunizations, and implementing vaccination programs in schools. Provider-based interventions for improving vaccination rates include regular assessments of immunization rate with feedback to all office personnel, provider reminders, and standing orders. Client recall and reminders, education, and requirements for school entry can assist in "increasing community demand" for vaccinations in that they motivate parents and adolescents to follow through with immunizations. Adolescents are unique from other populations. Previously studied interventions need to be tested in this age group as immunization becomes a more salient issue in adolescent health care.

Empowerment Events in Process-Experiential Psychotherapy of Depression: An Exploratory Qualitative Analysis

The goal of this study was to analyze different types of empowering therapy events. Twelve significantly empowering therapy events, involving 9 depressed clients undergoing individual process-experiential psychotherapy, were selected from a larger collection of significant events (Elliott et al., 1990) using client ratings of feeling powerful/hopeful/active. The data consisted of transcripts of client-identified significant events along with parts of client and therapist Brief Structured Recall interviews. The events were first sorted into broad domains and then into types. Finally, general and variant themes across domains were tracked. We found 5 types of empowerment events: poignant, emergent, decisional, empowerment, and accomplishment. A description is provided for each event type across domains: client processes, therapist processes and interaction, and therapeutic impact. Different therapeutic processes were present in a variety of empowerment types. However, some therapist interventions contributed to several types of empowerment, among them communication of empathic understanding, empathic affirmation of client growth-promoting aspects, and 2-chair work.

What makes recovered-memory testimony compelling to jurors?

Little is known about how jurors arrive at verdicts in cases involving recovered memories of childhood sexual abuse. Study 1 investigated mock jurors' reactions to the recovered-memory testimony of an alleged victim when a therapist intervened with hypnosis, suggestion, or symptom management. When a therapist used hypnosis, jurors viewed the victim's recovered-memory testimony as particularly accurate and credible, and favored the victim in their verdicts. In Study 2, mock jurors were presented with a therapist who was sued for allegedly influencing a client's recall of false memories of abuse. In this case, however, jurors viewed therapists who used hypnosis or suggestion as more likely to have created false memories, more responsible for having caused harm, and less competent, and tended not to favor these therapists in their verdicts. We discuss these seemingly contradictory findings in terms of how culturally formed expectancies about hypnosis produce different causal explanations depending on the focus of a trial.

Convergence in client and counselor recall of important session events.

Convergence in client and counselor recall of important session events.

Communication Patterns of Health Teaching and Information Recall

The purpose of the present study was to investigate verbal communication patterns between the health-care provider and the client in well-baby clinics, and then to investigate how these patterns relate to client recall of health information. The theoretical rationale derives from Flanders's (1960) idea of classroom interaction as a social structure in a social process. Communication patterns between health-care provider and client were analyzed by the Flanders Interaction Analysis System (FIAS, 1965). Four hypotheses were proposed: I. The higher the ratio of health-care provider indirect influence to health-care provider direct influence, the higher the client recall. II. The higher the frequency of health-care provider questions, the higher the client recall. III. The higher the frequency of client questions, the higher the client recall. IV. The higher the ratio of client talk to health-care provider talk, the higher the client recall. Hypotheses I, II, III, and IV were not supported. There was, however, a statistically significant inverse relationship between health-care provider questions and client recall.

Re: Views

Human Resource Development Videotape Series—Life Skills Carkhuff, Robert R., AmherstVideotapes: Helping Model ModuleAttending Skills ModuleResponding Skills ModulePersonalizing Skills ModuleInitiating Skills ModuleThe Case of JerryThe Case of JaneThe Case of MannyRobert R. Carkhuff. The Art of HelpingRobert R. Carkhuff, and Richard M. Pierce. Trainer's Guide: The Art of Helping.Behavioral Counseling (8 16mm color films)Hosford, Ray E.Films: Identifying the ProblemObserving and Recording BehaviorCounseling Techniques: Social ModelingCounseling Techniques: Desensitization——Part IFormulating the Counseling GoalCounseling Techniques: Reinforcement ProceduresCounseling Techniques: Assertive TrainingCounseling Techniques: Self‐as‐a ModelRay E. Hosford, and Louis A. J. M. deVisser. Behavioral Approaches to Counseling: An IntroductionSystematic Videotraining for Beginning Helpers Allen E. Ivey and Norma B.Basic Attending Skills (2 1/2 hours videotape)Basic Influencing Skills (2 1/2 hours, videotape)Microcounseling: An Introduction (1 hour videotape),Rental includes permission to make a copy on one's own equipment.Norman Kagan. Interpersonal Process Recall: A Method of Influencing Human Interaction.Films: Unit 1 Elements of Facilitating CommunicationUnit 2 Affect Simulation, Film 1Film 2Unit 3 Interviewer Recall New Client, Film A‐1On‐going Therapy, Film A‐2College Resident AdvisorCurriculum Director, Film A‐4Unit 4 Inquirer Role and FunctionUnit 5 Client Recall A Mother, Film B‐1Junior High Student, Film B‐2A Couple, Film B‐3Unit 6 Mutual RecallMother and SocialWorker, Film C‐1Physician and Patient, Film C‐2Dating Couple, Film C‐3Health Team, Film C‐4Mother and Two Children, Film C‐5Intact Family, Film C‐6Classroom Team, Film C‐7Unit 7 IPR Theory—DiscussionNorman Kagan, Interpersonal Process Recall: A Method of Influencing Human Interaction