11 results on '"Janke, Natasha"'
Search Results
2. Veterinary technicians contribute to shared decision-making during companion animal veterinary appointments.
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Janke, Natasha, Shaw, Jane R., and Coe, Jason B.
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ANIMAL health technicians , *PETS , *CONVENIENCE sampling (Statistics) , *DECISION making , *HEALTH of pets , *JUDGMENT sampling - Abstract
OBJECTIVE: To describe and compare veterinary professionals' use of shared decision-making during companion animal appointments. DESIGN: Multi-practice cross-sectional study. SAMPLE: A purposive sample of 4 companion animal veterinary clinics in a group practice in Texas. PROCEDURES: A convenience sample of veterinary appointments were recorded January to March 2018 and audio-recordings were analyzed using the Observer OPTIONS instrument to assess shared decision-making. Each decision was categorized by veterinary professional involvement. RESULTS: A total of 76/85 (89%) appointments included at least 1 decision between the client and veterinary professional(s), with a total of 129 shared decisions. Decisions that involved both a veterinary technician and veterinarian scored significantly higher for elements of shared decision-making (OPTIONS = 29.5 + 8.4; n = 46), than veterinarian-only decisions (OPTIONS = 25.4 + 11.50; P = .040; n = 63), and veterinary technician-only decisions (OPTION5 = 22.5 + 7.15; P = .001; n = 20). Specific elements of shared decision-making that differed significantly based on veterinary professional involvement included educating the client about options (OPTION5 Item 3; P = .0041) and integrating the client's preference (OPTION5 Item 5; P = .0010). CLINICAL RELEVANCE: Findings suggest that clients are more involved in decision making related to their pet's health care when both the veterinary technician and veterinarian communicate with the client. Veterinary technicians' communication significantly enhanced client engagement in decision-making when working collaboratively with the veterinarian. [ABSTRACT FROM AUTHOR] more...
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- 2022
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3. Discussion of cost continues to be uncommon in companion animal veterinary practice.
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Groves, Catherine N. H., Janke, Natasha, Stroyev, Alexandra, Tayce, Jordan D., and Coe, Jason B.
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PETS , *CONVENIENCE sampling (Statistics) , *VETERINARY medicine , *FRAMES (Social sciences) , *MEDICAL care costs - Abstract
OBJECTIVE To determine the prevalence and nature of cost conversations occurring during veterinarian-client-patient interactions within companion animal practice. SAMPLES 60 randomly selected, practicing veterinarians working in 55 practices across southern Ontario, Canada, and 909 of their clients, sampled by convenience. PROCEDURES A cross-sectional descriptive study including 917 video-recorded appointments. Associations between veterinarian, client, or appointment-level factors and occurrence of a cost conversation were evaluated using multi-level logistic regression. RESULTS 215 of 917 (23.4%) videos included a discussion of cost between the veterinarian and client. Cost conversations involving veterinarians primarily focused on conveying the price in relation to the time or service being offered (74.0% [159/215]), whereas the benefit to the future health and wellness of the patient was conveyed in 14.4% (31/215) of veterinarians' cost conversations. Costs were most frequently discussed by veterinarians in relation to diagnostic testing (44.2% [96/215]). The odds of a cost discussion occurring were greater during problem appointments versus wellness (P = .011) or recheck (P = .029) appointments, for feline versus canine patients (P = .037), as appointment duration increased (P < .001), and as a client's number of visits in the past year decreased (P = .049). CLINICALRELEVANCE Discussing cost of care in veterinary practice continues to be relatively uncommon. Opportunities exist for veterinary professionals to frame their communication of the cost of veterinary care in relation to the benefits offered to the future health and wellbeing of the veterinary patient. [ABSTRACT FROM AUTHOR] more...
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- 2022
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4. On-site communication skills education increases appointment-specific client satisfaction in four companion animal practices in Texas.
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Janke, Natasha, Shaw, Jane R., and Coe, Jason B.
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CLIENT satisfaction , *COMMUNICATIVE competence , *COMMUNICATION education , *LOGISTIC regression analysis , *ODDS ratio , *QUALITY of service , *PETS - Abstract
OBJECTIVE To assess the impact of a 15-month, in-practice communication skills intervention on client visit satisfaction. SAMPLE 4 purposely selected veterinary clinics, 9 veterinarians, and 930 appointment-specific client satisfaction surveys. PROCEDURES The study was designed as a multipractice, preintervention-postintervention study. Practice teams participated in a 15-month communication skills intervention that included interactive group workshops and one-on-one communication coaching with the entire practice. Client Satisfaction Questionnaires were completed 3 months before (mean, 55 questionnaires/veterinarian) and after (mean, 48 questionnaires/veterinarian) the intervention. The impact of the intervention and factors associated with client visit satisfaction were evaluated with mixed logistic regression. RESULTS Client satisfaction scores were dichotomized owing to extreme negative skewness. In total, 57% (284/496) of clients were completely satisfied on pretest questionnaires, and 67% (290/434) were completely satisfied on postintervention questionnaires. The odds of clients being completely satisfied were significantly higher after the communication skills intervention (OR = 1.56; P = .002). When controlling for the intervention, predictors of client visit satisfaction included appointment type (odds of being completely satisfied were significantly higher for recheck appointments than for preventative care appointments [OR = 1.71; P = .02] and health problem appointments [OR = 1.99; P = .003]) and duration of the veterinarian-client relationship (probability increased by 0.52 with each 1-year increase in relationship duration; P = .008). CLINICAL RELEVANCE Results suggested that the client-centered, skills-based communication intervention resulted in increased client visit satisfaction. Findings contribute to current evidence that client-centered communication and duration of the veterinarian-client relationship promote client satisfaction during veterinary visits. [ABSTRACT FROM AUTHOR] more...
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- 2022
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5. Pet owners' and veterinarians' perceptions of information exchange and clinical decision-making in companion animal practice.
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Janke, Natasha, Coe, Jason B., Bernardo, Theresa M., Dewey, Cate E., and Stone, Elizabeth A.
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PET owners , *INFORMATION sharing , *PETS , *VETERINARIANS , *DECISION making , *CLIENT satisfaction , *SENSORY perception - Abstract
One of the most complex aspects of the veterinarian-client-patient interaction is the clinical decision-making process. Research suggests that the approach to communication used by veterinarians can impact veterinary clients' involvement in the decision-making process and their ultimate satisfaction. Using different approaches to the decision-making process may affect how information is exchanged and consequently how decisions are made. The objective of this study was to determine pet owners' expectations with respect to information exchange and decision-making during veterinarian-client-patient interactions and to compare veterinarians' perceptions of those expectations and the challenges they face in meeting them. Five pet owner focus groups (27 owners) and three veterinarian focus groups (24 veterinarians) were conducted with standardized open-ended questions and follow-up probes. Thematic analysis of the transcribed data was conducted to identify trends and patterns that emerged during the focus groups. Three pet owner-based themes were identified: 1) understanding the client; 2) providing information suitable for the client; and 3) decision-making. In addition, three barriers for veterinarians affecting information exchange and decision-making were identified: 1) time constraints; 2) involvement of multiple clients; and 3) language barriers. Results suggest that pet owners expect to be supported by their veterinarian to make informed decisions by understanding the client's current knowledge, tailoring information and educating clients about their options. Breakdowns in the information exchange process can impact pet owners' perceptions of veterinarians' motivations. Pet owners' emphasis on partnership suggests that a collaborative approach between veterinarians and clients may improve client satisfaction. [ABSTRACT FROM AUTHOR] more...
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- 2021
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6. Companion animal veterinarians' and veterinary clients' perceptions of information exchanged while communicating about blood tests.
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Janke, Natasha, Coe, Jason B., Bernardo, Theresa M., Dewey, Cate E., and Stone, Elizabeth A.
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BLOOD testing ,PETS ,INFORMATION sharing ,SENSORY perception ,VETERINARIANS ,MEDICAL care - Abstract
Background: Blood tests play a vital role in veterinary medicine, as they enable veterinarians to make decisions about their patients' medical care and provide opportunities to engage clients in veterinary care. The objective of this study was to explore perspectives of veterinary clients and veterinarians on current reporting practices for blood tests ordered in companion animal practice. The type of information communicated and client information seeking behaviours were examined. Methods: Two online surveys were distributed using snowball sampling: one targeting veterinary clients and one targeting veterinarians. Results: In total, 529 veterinary client and 416 veterinarian surveys were included in analyses. Significant differences were found between what blood test information veterinarian respondents felt they provided clients and what client respondents perceived they received with regard to their pet's blood tests. Almost 60% of clients somewhat or strongly agreed that they search the Internet if they do not understand why a test was ordered or what the results mean. Half of clients reported that they never receive a written report of their pet's blood work, 81% of whom were interested in receiving a copy. Conclusion: Results of this research demonstrate opportunities to improve veterinarians' and clients' communication about blood tests. [ABSTRACT FROM AUTHOR] more...
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- 2021
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7. Effect of Capacity for Care on cat admission trends at the Guelph Humane Society, 2011-2015.
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Janke, Natasha, Berke, Olaf, Klement, Eyal, Flockhart, D.T. Tyler, Coe, Jason, and Bateman, Shane
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CATS , *ANIMAL populations , *ANIMAL welfare , *HUMAN-animal relationships , *ANIMAL shelters - Abstract
In recent years, there has been a growing concern regarding populations of cats who are homeless. Shelters are constantly overwhelmed by the influx of cats without caregivers and are seeking solutions to enhance positive outcomes for them. In 2014, the Guelph Humane Society implemented a population management program to expedite the movement of cats through the shelter by decreasing the average nonhuman animal’s length of stay using scheduled intakes to control for overcrowding and by implementing strategies to increase adoption rates. This study investigated the time trends in admission rates of cats to the Guelph Humane Society to assess the effectiveness of a population management program called Capacity for Care using a generalized linear autoregressive moving average model. From January 2011 to December 2015, a total of 3295 live cats were admitted to the Guelph Humane Society. When the analysis was adjusted to account for admissions of kittens, there was a significant reduction in admissions for adult cats (
p < .01) following the introduction of the population management program. The results also showed a strong seasonal peak in total admissions during the summer months. [ABSTRACT FROM AUTHOR] more...- Published
- 2018
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8. Use of health parameter trends to communicate pet health information in companion animal practice: A mixed methods analysis.
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Janke, Natasha, Coe, Jason B., Bernardo, Theresa M., Dewey, Cate E., and Stone, Elizabeth A.
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Background: Reviewing patient health parameter trends can strengthen veterinarian–client–patient relationships. The objective of this study is to identify characteristics associated with veterinarians' communication of health parameter trends to companion animal clients. Methods: Using a sequential exploratory mixed methods design, independent pet owner (n = 27) and veterinarian (n = 24) focus groups were conducted and analysed via content analysis to assess perceptions of how health parameter trends are communicated by veterinarians. Subsequently, a quantitative assessment of video recorded veterinary appointments (n = 917) compared characteristics identified in focus groups with health parameter trend discussions in practice. A mixed logistic model was used to assess characteristics associated with the occurrence of weight trend discussions. Results: Fifteen characteristics relating to veterinarians' use of health parameter trends were identified across focus groups. Veterinarians discussed 77 health parameter trends in relation to bodyweight (57/77), blood work (15/77) and other health parameters (5/77), within 73 (73/917) appointments. The odds of a weight trend discussion were higher if the veterinarian identified the pet as overweight or obese compared to an ideal bodyweight (odds ratio (OR) = 2.17; 95% confidence interval (CI) = 1.15–4.09; p = 0.016). Conclusion: Mention of a health parameter trend was uncommon and rarely included use of visual aids. Health parameter trends related to bodyweight were discussed reactively, rather than proactively. [ABSTRACT FROM AUTHOR] more...
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- 2022
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9. Evaluating shared decision‐making between companion animal veterinarians and their clients using the Observer OPTION5 instrument.
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Janke, Natasha, Coe, Jason B., Sutherland, Katja A. K., Bernardo, Theresa M., Dewey, Cate E., and Stone, Elizabeth A.
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Background: Communication practices used by veterinarians can impact client's involvement in decision‐making. The objective of this study was to evaluate the level of client involvement in veterinary care decisions and factors impacting client involvement. Methods: A random sample of practising companion animal veterinarians and a convenience sample of pet owners were recruited. Each consultation was audio‐video recorded and analyzed using the Observer OPTION5 instrument, adapted from human medicine, to assess veterinarians' level of shared decision‐making. A mixed linear model was used to assess statistical associations between veterinarian, client and appointment‐level factors and OPTION5 scores. Results: Sixty veterinarians and 909 of their clients were audio‐video recorded during a consultation, of which 717 interactions included a decision identified for analysis using the OPTION5 instrument. Elements consistent with shared decision‐making were uncommon, with a mean OPTION5 score of 22.6 (median = 20.0; sd = 13.05; range = 0–75) out of 100. OPTION5 scores were positively associated with the length of the appointment and negatively associated with the veterinarian's years in practice when controlling for statistical interaction between client income and appointment type. Conclusion: Findings suggest an opportunity exists for veterinarians to incorporate more client involvement through increased use of shared decisionmaking behaviours during veterinary consultations. [ABSTRACT FROM AUTHOR] more...
- Published
- 2021
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10. Pet owners' and companion animal veterinarians' perceptions of weight-related veterinarian-client communication.
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Sutherland, Katia A., Coe, Jason B., Janke, Natasha, O'Sullivan, Terri L., and Parr, Jacqueline M.
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PETS , *PET owners , *VETERINARIANS , *HEALTH of pets , *PROFESSIONAL-client communication , *REGULATION of body weight - Abstract
OBJECTIVE To compare pet owners’ and veterinarians’ perceptions of veterinarian-client conversations concerning pet weight and identify challenges related to communication about weight. SAMPLE POPULATION Veterinarians (n = 24) and pet owners (27) in southern Ontario, Canada. PROCEDURES 3 veterinarian and 5 pet owner focus groups were conducted with a semistructured interview format. Thematic analysis of verbatim transcripts was conducted. RESULTS Pet owners valued weight as an important health indicator for pets yet did not expect to discuss weight extensively at every appointment. Owners expected veterinarians to provide options and tailor recommendations when discussing weight management. Owners appeared more concerned with underweight animals, whereas veterinarians focused on obese animals. Veterinarians identified communication challenges, including the perception that owners are uninterested in discussing weight and conversations can become adversarial. Veterinarians reported various benefits and challenges of using humor to address pet weight and emphasized that weight-related conversations often depend on the existing veterinarian-client relationship. CLINICAL RELEVANCE Some perceptions of pet owner expectations expressed by veterinarians in this study align with owner preferences, yet several opportunities exist for changes to veterinarians’ approaches to weight-related communication with clients. [ABSTRACT FROM AUTHOR] more...
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- 2022
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11. Veterinary professionals' weight-related communication when discussing an overweight or obese pet with a client.
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Sutherland, Katja A., Coe, Jason B., Janke, Natasha, O'Sullivan, Terri L., and Parr, Jacqueline M.
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OBESITY , *VETERINARY care teams , *CONVENIENCE sampling (Statistics) , *PETS , *PROFESSIONAL employees , *HEALTH of pets , *REGULATION of body weight , *ANIMAL health - Abstract
OBJECTIVE Pet weight may be difficult for veterinary professionals to address with clients, particularly when pets are overweight or obese. The objective of this study was to characterize the communication processes and content of weight-related conversations occurring between veterinary professionals and clients. SAMPLE Audio-video recordings of 917 veterinarian-client-patient interactions involving a random sample of 60 veterinarians and a convenience sample of clients. PROCEDURESCompanion animal veterinarians in southern Ontario, Canada, were randomly recruited, and interactions with their clients were audio-video recorded. Interactions were reviewed for mentions of weight, then further analyzed by means of a researcher-generated coding framework to provide a comprehensive assessment of communication specific to weight-related interactions. RESULTS 463 of 917 (50.5%) veterinary-client-patient interactions contained an exchange involving the mention of a single patient's (dog or cat) weight and were included in final analysis. Of the 463 interactions, 150 (32.4%) involved a discussion of obesity for a single patient. Of these, 43.3% (65/150) included a weight management recommendation from the veterinary team, and 28% (42/150) provided clients with a reason for pursuing weight management. CLINICAL RELEVANCE Findings illustrate opportunities to optimize obesity communication to improve the health and wellbeing of veterinary patients. [ABSTRACT FROM AUTHOR] more...
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- 2022
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