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Objective: This study explores how patients with Inflammatory Bowel Disease (IBD) and nurse practitioners (NPs) in the Netherlands communicate about online health information-seeking.Methods: We analyzed 165 consultations of patients at the start of maintenance treatment using grounded theory. Consultations in which the words; internet, website, Google, Googled, webpages, online (forum/blog/platform) or a website was mentioned, were included. Segments were identified and analyzed that represented a discussion about online health information-seeking (n = 87). We coded the initiator, initiation and reaction communication strategy.Results: Half of the sample was female, most patients were moderately to highly educated and aged on average 48 years. One third of the consultations included a discussion about online health information-seeking. Seventeen communication initiation and reactions strategies were identified. Patients and NPs were equally as likely to initiate a neutral discussion about online health information-seeking. Patients repeatedly reacted with disclosing their concerns. NPs responded by taking patients' online health information-seeking seriously or affirming patients' beliefs.Conclusion: This exploration makes a unique contribution by demonstrating that NPs particularly adopt a patient-centered communication style while communicating about patients' online health information-seeking.Practice Implications: Results of this study could guide interventions to train providers in talking about patients' online health information-seeking. [ABSTRACT FROM AUTHOR]

The internet and the healthcare provider are the two main sources of information for cancer patients. Research shows that patients often go online to prepare for a consultation. Both the internet and the provider receive ample separate scientific attention. However, while cross-sectional research hinted at positive effects of integrating the internet in the consultation, no experimental research is known that tries to unravel conditions (i.e., patient's needs, the type of information encountered, and communication strategy used by the provider) underlying such effect. Therefore, in this experiment, these factors are manipulated to gain insight into the interplay between these concepts and patients' outcomes. A 2(patients' needs; cognitive vs. affective) x 2(information; cognitive vs. affective) x 2(providers' integration communication strategy; hindering vs. facilitating) experiment is proposed, a minimum of 300 (ex)cancer patients will be included. We expect that patients in a condition where the patient' need and the website they see is matched (e.g., affective need and website) show less intention to discuss the online information, because their needs are fulfilled (h1). However, if the need and content do not match, their needs are not fulfilled thus resulting in a higher intention to discuss this information. Furthermore, we expect that an integration-facilitating communication style by the provider is positively influencing patient outcomes (h2) but that this relationship is moderated by the intention to discuss the online health information (h3). Patients with high intention to discuss the online health information will react more negatively to a hindering communication style compared to patients with a lower intention to discuss. These insights can help providers decide when and using what communication strategy they can discuss patients' internet use. Discussing patients' internet use in these situations could strengthen the patient-provider relationship, patient outcomes and, in turn, health outcomes. [ABSTRACT FROM AUTHOR]

The rapid increase in migrants across the globe has led to serious barriers in medical encounters. Several communication strategies (i.e., using interpreters) can be employed by healthcare providers (HCPs) to mitigate language barriers and fulfil migrant patients' cognitive and affective needs in language discordant consultations (LDCs). However, there is no evidence available on what combinations of communication strategies HCPs currently use. As such, this study asked: What combinations of communication strategies do HCPs use to meet migrant patients' cognitive and affective needs in language discordant consultations? 27 semi-structured interviews were conducted (mean age = 44.93). The topic guide was based on the Six Function Model of Effective Communication (De Haes & Bensing, 2009), which entails six goals for meeting patients' cognitive and affective needs. Interviews were all transcribed verbatim and coded by two researchers using a mixed deductive and inductive approach on ATLAS.ti version 22.0.2. Data were analysed by means of the constant comparative method from Grounded Theory. Five sub-themes emerged: 1.) Getting by in dyadic LDCs by use of instrumental strategies (e.g., simplifying information), 2. Getting by in dyadic LDCs by use of affective strategies (e.g., maintaining eye contact) 3.) Overlooking migrant patients' cognitive and affective needs, 4.) Using digital tools in dyadic encounters, 5.) Interpreter use in triadic encounters, and 6.) Involving other stakeholders (e.g., psychologists) for additional support. Overall, results showed that HCPs do not use combinations of communication strategies and mostly relied on using strategies commonly used in language concordant consultations to get by. HCPs often relied on migrant patients' minimal language proficiency in Dutch or a lingua franca to get by in LDCs. Creating more awareness among HCPs in medical curricula to prioritise migrant patients' needs in LDCs by means of combinations of traditional and digital communication strategies is urgently needed. [ABSTRACT FROM AUTHOR]

Abstract: Information provided on food packaging is currently the most important method enabling food allergic consumers to eliminate allergens from their diet. This study aimed to identify the preferences of food allergic consumers regarding different information provision scenarios. Respondents (N =287) filled out a web-based questionnaire on their preferences regarding a food label, an in-store booklet, and an ICT-solution. ICT methods will not replace effective food labelling, but may be used to supplement information provided by labels. Recommendations for information delivery to food allergic patients in the form of labels and booklets, as well as personalised (novel ICT) approaches, are provided. [Copyright &y& Elsevier]

Worldwide, programs to improve udder health are implemented using communication tools and methods that inform and persuade dairy farmers. This study evaluated 2 communication strategies used in a mastitis control program in the Netherlands. To improve farmers' udder health management, tools such as instruction cards, treatment plans, checklists and software were developed following an argument-based comprehensive "central route." These tools were used during on-farm study group meetings for farmers organized by veterinarians and also during individual veterinarian-farmer interactions. The second strategy aimed at adopting a single management practice to increase the use of milking gloves during milking. This approach followed a straightforward "peripheral" route that used implicit persuasion techniques. Results of an online survey of 374 Dutch dairy farmers showed that most farmers were able and willing to use the educational management tools to increase udder health on their farms. They evaluated the tools positively regardless of the mastitis problems on their farms. This seems to indicate that the central route of communication is most effective when farmers are motivated to work on udder health in general. Results of repeated random telephone surveys before, during, and after the campaign on the use of milking gloves showed that the use of gloves increased from 20.9 to 42.0% of the respondents. Respondents' opinions about milking gloves also changed favorably, indicating that a relatively short peripheral campaign on a single action can have a sustained effect on farmers' behavior. Both communication strategies seem to be potentially successful in disseminating knowledge to a specific target group of farmers and in changing that group's behavior. However, to reach as many farmers as possible, the strategies should be combined. When optimizing these strategies, both the farmers' motivation to work on udder health and the aim of the campaign should be considered. When aiming to improve general udder health management, the central route seems to be effective if farmers are already motivated to optimize their udder health management. For farmers who are less motivated to work on udder health, the peripheral route seems to be most effective when aiming to change a single management practice. The evaluated communication strategies are examples of how management practices to control mastitis can be effectively communicated to farmers. As such, this study contributes to optimizing future programs to control and prevent diseases. [ABSTRACT FROM AUTHOR]