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Improving patients’ understanding, recall, satisfaction and compliance

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Health Psychology

Abstract

This chapter will examine some of the problems involved in giving information to patients. It will be shown that in general patients want information about their condition and their treatment, but many feel that they are not told enough, many do not understand what they are told, and many do not remember what is said. If it is accepted that patients should be adequately informed, this is clearly a state of affairs which needs to be remedied. It is also likely that patients’ compliance with advice and the speed and ease of recovery from illness are adversely affected by this lack of information. Although the main emphasis of this chapter will be on the improvement of information giving by health care providers, this is only one aspect of communication in the clinical encounter. Roter, Hall and Katz (1988) reviewed content analyses of consultation communications between doctors and patients.

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References

  • Adamson, T.E., Schann J.M. and Gullion, D.S. (1988) Patient feedback as a tool to influence physician counselling. Patient Education and Counselling, 11, 109–17.

    Article  Google Scholar 

  • Anderson, J.L., Dodman, S., Kopelman, M. and Fleming, A. (1979) Patient information recall in a rheumatology clinic. Rheumatology and Rehabilitation, 18, 18–22.

    Article  Google Scholar 

  • Anderson, K.O. and Masur, F. (1983) Psychological preparation for invasive medical and dental procedures. Journal of Behavioural Medicine, 6, 1–40.

    Article  Google Scholar 

  • Andrasik, F. and Murphy, W.D. (1977) Assessing the readability of thirty-nine behavior-modification training manuals. Journal of Applied Behavior Analysis, 10, 341–4.

    Article  Google Scholar 

  • Ausburn, L. (1981) Patient compliance with medication regimes, in Advances in Behavioural Medicine, Vol. 1, (ed) J.L. Sheppard, Cumberland College, Sydney.

    Google Scholar 

  • Baltimore, C. and Meyer, R.J. (1969) A study of storage, child behavior, traits, and mothers’ knowledge of toxicology in 52 poisoned families and 52 comparison families. Pediatrics, (Supplement) 44, 816–20.

    Google Scholar 

  • Barlett, E.E., Grayson, M., Barker, R. et al., (1984) The effects of physician communications skills on patient satisfaction, recall, and adherence. Journal of Chronic Diseases, 37, 755–64.

    Article  Google Scholar 

  • Bendick, M. and Cantu, M.C. (1978) The literacy of welfare clients. Social Services Review, March, 56–68.

    Google Scholar 

  • Bertakis, K.D. (1977) The communication of information from physician to patient: a method for increasing retention and satisfaction. Journal of Family Practice, 5, 217–22.

    Google Scholar 

  • Borland, R. and Naccarella, L. (1991) Reactions to the 1989 Quit campaign: results from two telephone surveys. Quit Evaluation Studies No. 5. Victorian Smoking and Health Program, Melbourne.

    Google Scholar 

  • Bourhis, R., Roth, S. and MacQueen, G. (1989) Communication in the hospital setting, a survey of medical and everyday language use amongst patients, nurses and doctors. Social Science and Medicine, 28, 339–46.

    Article  Google Scholar 

  • Boyle, C.M. (1970) Differences between patients’ and doctors’ interpretations of common medical terms. British Medical Journal, 2, 286–9.

    Article  Google Scholar 

  • Bradshaw, P.W., Ley, P., Kincey, J.A. and Bradshaw, J. (1975) Recall of medical advice: comprehensibility and specifity. British Journal of Social and Clinical Psychology, 14, 55–62.

    Article  Google Scholar 

  • Bragg, B.W. (1973) Seat Belts — Good Idea, but are They too Much Bother? An Analysis of the Relationship Between Attitudes Toward Seat Belts and Reported Seat Belt Use, Department of Transport, Road and Motor Vehicle Traffic Safety, Ottawa.

    Google Scholar 

  • Breznitz, S. (1984) Cry Wolf: the Psychology of False Alarms, Lawrence Erlbaum Associates, Hillsdale, NJ.

    Google Scholar 

  • Caron, H.S. (1985) Compliance: the case for objective measurement. Journal of Hypertension, 3, (Suppl.l), 11–17.

    Google Scholar 

  • Carstairs, V. (1970) Channels of Communication, Scottish Home and Health Department, Edinburgh.

    Google Scholar 

  • Cartwright, A. (1964) Human Relations and Hospital Care, Routledge and Kegan Paul, London.

    Google Scholar 

  • Cartwright, A. (1967) Patients and Their Doctors, Routledge and Kegan Paul, London.

    Google Scholar 

  • Centre for Behavioural Research in Cancer (1992) Health Warnings and Contents Labelling on Tobacco Products, Centre for Behavioural Research in Cancer, Melbourne.

    Google Scholar 

  • Cole, R. (1979) The understanding of medical terminology used in printed health education materials. Health Education Journal, 38, 111–21.

    Article  Google Scholar 

  • Dale, E. and Chall, J.S. (1948a) A formula for predicting readability. Educational Research Bulletin, 27, 11–20.

    Google Scholar 

  • Dale, E. and Chall, J.S. (1948b) A formula for predicting readability: instructions. Educational Research Bulletin, 27, 27–54.

    Google Scholar 

  • Department of Health and Human Services (1980) Prescription drug products: patient package insert requirements. Federal Register, 45, 60754–817.

    Google Scholar 

  • Department of Health, Education and Welfare (1979 a) Prescription drug products: patient labelling requirements. Federal Register, 44, 40016–41.

    Google Scholar 

  • Department of Health, Education and Welfare (1979b) Readability Testing in Cancer Communications, DHEW (NIH 79–1689), Washington DC.

    Google Scholar 

  • Devine, E.C. and Cook, T.D. (1983) A meta-analysis of the effects of psycho-educational interventions on length of postsurgical hospital stay. Nursing Research, 32, 267–74.

    Article  Google Scholar 

  • DiMatteo, M.R. and DiNicola, D.D. (1982) Achieving Patient Compliance: The Psychology of the Medical Practitioner’s Role, Pergamon Press, New York.

    Google Scholar 

  • Doak, L.G. and Doak, C.C. (1980) Patient comprehension profiles: recent findings and strategies. Patient Counselling and Health Education, 2, 101–6.

    Article  Google Scholar 

  • Ellis, D.A., Hopkin, J.M., Leitch, A.G. and Crofton, J. (1979) ‘Doctors orders’: controlled trial of supplementary, written information for patients. British Medical Journal, 1, 456.

    Article  Google Scholar 

  • Epstein, L.H. and Cluss, P.A. (1982) A behavioural medicine perspective on adherence vs long-term medical regimens. Journal of Consulting and Clinical Psychology, 50, 950–71.

    Article  Google Scholar 

  • Faden, R.R., Beauchamp, T.L. and King, N.M.P. (1986) A History and Theory of Informed Consent, Oxford University Press, Oxford.

    Google Scholar 

  • Flesch, R. (1948) A new readability yardstick. Journal of Applied Psychology, 32, 221–33.

    Article  Google Scholar 

  • French, C., Mellor, M. and Parry, L. (1978) Patients’ views of the ophthalmic optician. Ophthalmic Optician, 28, 784–6.

    Google Scholar 

  • Fry, E.B. (1968) A readability formula that saves time. Journal of Reading, 11, 513–16; 575–8.

    Google Scholar 

  • Gibbs, R.D., Gibbs, P.H. and Henrich, J. (1987) Patient understanding of commonly used medical vocabulary. Journal of Family Practice, 25, 176–8.

    Google Scholar 

  • Gibbs, S., Waters, W.E. and George, C.F. (1987) The design of prescription information leaflets and the feasibility of their use in general practice. Pharmaceutical Medicine, 2, 23–33.

    Google Scholar 

  • Gibbs, S., Waters, W.E. and George, C.F. (1989a) The benefits of prescription information leaflets (1). British Journal of Clinical Pharmacology, 27, 723–39.

    Article  Google Scholar 

  • Gibbs, S., Waters, W.E. and George, C.F. (1989b) The benefits of prescription information leaflets (2). British Journal of Clinical Pharmacology, 28, 345–51.

    Article  Google Scholar 

  • Gibbs, S., Waters, W.E. and George, C.F. (1990) Communicating information to patients about medicine. Prescription information leaflets: a national survey. Journal of the Royal Society of Medicine, 83, 292–7.

    Google Scholar 

  • Glanz, K. and Rudd, J. (1990) Readability and content analysis of printed cholesterol education materials. Patient Education and Counselling, 16, 109–18.

    Article  Google Scholar 

  • Godfrey, S.S. and Laughery, K.R. (1984) The biasing effect of product familiarity on consumers’ awareness of hazard. Proceedings of the Human Factors Society, 28th Annual Meeting.

    Google Scholar 

  • Goldhaber, G.M. and de Turck, M.A. (1988a) Effects of consumers’ familiarity with a product on attention to and compliance with warnings. Journal of Product Liability, 11, 29–37.

    Google Scholar 

  • Goldhaber, G.M. and de Turck, M.A. (1988b) Effectiveness of warning signs: gender and familiarity effects. Journal of Product Liability, 11, 271–84.

    Google Scholar 

  • Goldhaber, G.M. and de Turck, M.A. (1988c) Effectiveness of warning signs: “familiarity effects”. Forensic Reports, 1, 281–301.

    Google Scholar 

  • Gordis, L. (1979) Conceptual and methodological problems in measuring compliance, in Compliance in Health Care, (eds R.B. Haynes, D.W. Taylor, and D.L. Sackett), Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Greenfield, S., Kaplan, S. and Ware, J.E. Jr. (1985) Expanding patient involvement in care: effects on patient outcomes. Annals of Internal Medicine, 102, 520–8.

    Article  Google Scholar 

  • Grundner, T.M. (1980) On the readability of surgical consent forms. New England Journal of Medicine, 302, 900–2.

    Article  Google Scholar 

  • Hall, J. and Dornan, M.C. (1988) What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Social Sciences and Medicine, 27, 935–9.

    Article  Google Scholar 

  • Hall, J. and Dornan, M.C. (1990) Patient socio-demographic characteristics as prediction of satisfaction with medical care: a meta-analysis. Social Sciences and Medicine, 30, 811–18.

    Article  Google Scholar 

  • Hall, J.A., Roter, D.L. and Katz, N.R. (1988) Metaanalysis of correlates of provider behavior in medical encounters. Medical Care, 26, 657–75.

    Article  Google Scholar 

  • Haynes, R.B. (1982) Improving patient compliance: an empirical view, in Adherence, Compliance and Generalisation in Behavioural Medicine, (ed R.B. Stuart), Brunner Mazd, New York.

    Google Scholar 

  • Haynes, R.B., Taylor, D.W., Sackett, D.L. et al. (1980) Can simple clinical measurements detect noncompliance? Hypertension, 2, 757–64.

    Article  Google Scholar 

  • Hermann, F. (1973) The out-patient prescription label as a source of medication errors. American Journal of Hospital Pharmacy, 30, 155–9.

    Google Scholar 

  • Holcomb, C.A. (1983) The cloze procedure and readability of patient-oriented drug information. Journal of Drug Education, 13, 347–57.

    Article  Google Scholar 

  • Kalish, R; and Reynolds, D. (1976) Death and Ethnicity: a Psycho-Cultural Study, University of Southern California Press, Los Angeles.

    Google Scholar 

  • Kanouse, D.E., Berry, S.H., Hayes-Roth, B., et al. (1981) Informing Patients About Drugs: Summary Report, Rand Corporation. Santa Monica, CA.

    Google Scholar 

  • Karnes, E.W., Leonard, S.D. and Rachwal, G. (1986) Effects of benign experiences on the perception of risk. Proceedings of the Human Factors Society, 30th Annual Meeting, 121–5.

    Google Scholar 

  • Kincey, J.A., Bradshaw, P.W. and Ley, P. (1975) Patients’ satisfaction and reported acceptance of advice in general practice. Journal of the Royal College of General Practitioners, 25, 558–66.

    Google Scholar 

  • Klare, G.R. (1963) The Measurement of Readability, Iowa State University Press, Iowa.

    Google Scholar 

  • Klare, G.R. (1974) Assessing readability. Reading Research Quarterly, 10, 62–102.

    Article  Google Scholar 

  • Klare, G.R. (1976) A second look at the validity of readability formulas. Journal of Reading Behavior, 8, 129–52.

    Google Scholar 

  • Klein, R. (1979) Public opinion and the National Health Service. British Medical Journal, 1, 1296–7.

    Article  Google Scholar 

  • Kupst, M.J., Dresser, K., Schulman, J.L. and Paul, M.H. (1975) Evaluation of methods to improve communication in the physician-patient relationship. American Journal of Orthopsychiatry, 45, 420–9.

    Article  Google Scholar 

  • Le Bas, J. (1989) Comprehensibility of patient education literature. Australian and New Zealand Journal of Psychiatry, 23, 542–6.

    Article  Google Scholar 

  • Leeb, D., Bowers, D.G. and Lynch, J.B. (1976) Observations in the myth of informed consent. Plastic and Reconstructive Surgery, 58, 280–2.

    Article  Google Scholar 

  • Leventhal, H., Meyer, D. and Nerenz, D. (1980) The common sense representation of illness danger, in Contributions to Medical Psychology 2 (ed) S. Rachman, Pergamon Press, Oxford, pp. 7–30.

    Google Scholar 

  • Levy, R.L. and Loftus, G.R. (1983) Compliance and memory, in Everyday Memory, (ed) P. Morris, Academic Press, London.

    Google Scholar 

  • Levy, S. M. (1983) The process of death and dying: behavioral and social factors, in Coping with Chronic Disease, (eds) T.G. Burish and L.A. Bradley, Academic Press, New York.

    Google Scholar 

  • Ley, P. (1972a) Complaints by hospital staff and patients: a review of the literature. Bulletin of the British Psychological Society, 25, 115–20.

    Google Scholar 

  • Ley, P. (1972b) Primacy, rated importance and the recall of medical information. Journal of Health and Social Behavior, 13, 311–17.

    Article  Google Scholar 

  • Ley, P. (1973) Communication in the clinical setting. British Journal of Orthodontics, 1, 173–7.

    Google Scholar 

  • Ley, P. (1976) Towards better doctor-patient communications: contributions from social and experiment psychology, in Communication between Doctors and Patients, (ed) A.E. Bennett, Oxford, University Press, Oxford.

    Google Scholar 

  • Ley, P. (1977) Psychological studies of doctor-patient communication, in Contributions to Medical Psychology 1, (ed) S. Rachman, Pergamon Press7, Oxford, pp. 9–42.

    Chapter  Google Scholar 

  • Ley, P. (1978) Psychological and behavioural factors in weight loss, in Recent Advances in Obesity Research 2. (ed) G.A. Bray, Newman Publishing, London.

    Google Scholar 

  • Ley, P. (1979) Memory for medical information. British Journal of Social and Clinical Psychology, 18, 245–56.

    Article  Google Scholar 

  • Ley, P. (1980) Practical methods of improving compliance, in Banbury Report 6: Product Labelling and Health Risks, (eds L.A. Morris, M.B. Mazis and I. Barofsky) Cold Spring Harbor Laboratory, Cold Spring Harbor, Long Island.

    Google Scholar 

  • Ley, P. (1981) Professional non-compliance: a neglected problem. British Journal of Clinical Psychology, 20, 151–4.

    Article  Google Scholar 

  • Ley, P. (1982a). Giving information to patients, in Social Psychology and Behavioural Medicine, (ed) J.R. Eiser, Wiley, New York.

    Google Scholar 

  • Ley, P. (1982b) Studies of recall in medical settings. Human Learning, 1, 223–33.

    Google Scholar 

  • Ley, P. (1982c) Understanding, memory, satisfaction and compliance. British Journal of Clinical Psychology, 21, 241–54.

    Article  Google Scholar 

  • Ley, P. (1983) Patients’ understanding and recall in clinical communication failure, in Doctor-Patient Communication (eds) D. Pendleton and J. Hasler, Academic Press, London.

    Google Scholar 

  • Ley, P. (1986a) Cognitive variables and noncompliance. Journal of Compliance in Health Care, 1, 171–88.

    Google Scholar 

  • Ley, P. (1986b) Obesity in Community Clinical Psychology, (ed) H. Koch, Croom Helm, London.

    Google Scholar 

  • Ley, P. (1987) A possible method for interpreting the results of meta-analyses of the comparative effectiveness of different treatments. Behavior Research and Therapy, 25, 165–6.

    Article  Google Scholar 

  • Ley, P. (1988) Communicating with Patients. Croom Helm, London.

    Google Scholar 

  • Ley, P. (1991) Suggested Guidelines for Warning Labels: Report to the Preventive Strategies Panel of The National Health and Medical Research Council. National and Medical Research Council, Canberra.

    Google Scholar 

  • Ley, P. and Morris, L.A. (1984) Psychological aspects of written information for patients, in Contributions to Medical Psychology 3. (ed S. Rachman), Pergamon Press, Oxford.

    Google Scholar 

  • Ley, P. and Spelman, M.S. (1967) Communicating with the Patient, Staples Press, London.

    Google Scholar 

  • Ley, P., Bradshaw, P.W., Eaves, D. and Walker, C.M. (1973) A method for increasing patients’ recall of information presented by doctors. Psychological Medicine, 3, 217–20.

    Article  Google Scholar 

  • Ley, P., Bradshaw, P.W., Kincey, J.A. and Atherton, S.T. (1976) Increasing patients’ satisfaction with communication. British Journal of Social and Clinical Psychology, 15, 403–13.

    Article  Google Scholar 

  • Ley, P., Flaherty, B., Smith, F. et al. (1985) A Comparative Study of the Effects of Two Warning Messages about Volatile Substances, Drug and Alcohol Authority, Sydney.

    Google Scholar 

  • Ley, P., Goldman, ML, Bradshaw, P.W. et al. (1972) The comprehensibility of some X-ray leaflets. Journal of the Institute of Health Education, 10, 47–53.

    Google Scholar 

  • Ley, P., Jain, V.K. and Skilbeck, C.E. (1975) A method for decreasing patients’ medication errors. Psychological Medicine, 6, 599–601.

    Article  Google Scholar 

  • Ley, P., Skilbeck, C.E. and Tulips, J.C. (1975) Satisfaction, understanding and compliance in a general practice sample. Unpublished manuscript.

    Google Scholar 

  • Ley, P., Whitworth, M.A., Skilbeck, C.E. et al. (1976) Improving doctor-patient communication in general practice. Journal of the Royal College of General Practitioners, 26, 720–4.

    Google Scholar 

  • Liguori, S. (1978) A quantitative assessment of the readability of P.P.I.s. Drug Intelligence and Clinical Pharmacy, 12, 712–16.

    Google Scholar 

  • McLaughlin, H. (1969) SMOG grading: and new readability formula. Journal of Reading, 22, 639–46.

    Google Scholar 

  • Mathews, A. and Ridgeway, V. (1984) Psychological preparation for surgery, in Health Care and Human Behaviour, (eds A. Mathews and A. Steptoe), Academic Press, London.

    Google Scholar 

  • Mayou, R., Williamson, B. and Foster, A. (1976) Attitudes and advice after myocardial infarction, British Medical journal, 1, 1577–9.

    Article  Google Scholar 

  • Mazzuca, S.A. (1982) Does patient education in chronic disease have therapeutic value? Journal of Chronic Diseases, 35, 521–9.

    Article  Google Scholar 

  • Meichenbaum, D. and Turk, D.C. (1987) Facilitating Treatment Adherence: a Practitioner’s Guidebook, Plenum Press, New York.

    Book  Google Scholar 

  • Morisky, D.E., Green, L.W. and Levine, D.M. (1986) . Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care, 24, 67–74.

    Article  Google Scholar 

  • Morris, L.A. (1990) Communicating Therapeutic Risks, Springer Verlag, New York.

    Book  Google Scholar 

  • Morris, L.A. and Groft, S. (1982) Patient package inserts: a research perspective, in Drug Therapeutic Concepts for Clinicians. (ed) K. Melmon, Elsevier, New York.

    Google Scholar 

  • Morris, L.A. and Halperin, J. (1979) Effects of written drug information on patient knowledge and compliance: a literature review. American Journal of Public Health, 69, 47–52.

    Article  Google Scholar 

  • Morrow G. (1980) How readable are surgical consent forms? Journal of the American Medical Association, 244, 56–8.

    Article  Google Scholar 

  • Mullen, P.D. Green, L.W. and Persinger, CS. (1985) Clinical trials of patient education for chronic conditions: a comparative meta-analysis of intervention types. Preventive Medicine, 14, 753–81.

    Article  Google Scholar 

  • Mumford, E., Schlesinger, H.J. and Glass, G.V. (1982) The effects of psychological intervention on recovery from survey and heart attacks: an analysis of the literature. American Journal of Public Health, 72, 141–51.

    Article  Google Scholar 

  • Norell, S.E. (1981) Accuracy of patient interviews and estimates by clinic staff in determining medication compliance. Social Science and Medicine, 15E, 57–61.

    Article  Google Scholar 

  • Norell, S.E., Alfredsson, L., Bergman, U. et al. (1984) Spacing of medications schedules t.i.d. American Journal of Hospital Pharmacy, 41, 1183–5.

    Google Scholar 

  • O’Farrell, T.J. and Keuther, N.J. (1983) Readability of behaviour therapy self-help manuals. Behavior Therapy, 14, 449–54.

    Article  Google Scholar 

  • Parkin, D.M. (1976) Survey of the success of communications between hospital staff and patients. Public Health, London, 90, 203–9.

    Article  Google Scholar 

  • Parkin, D.M., Henney, CR., Quirk, J. and Crooks, J. (1976) Deviations from prescribed treatment after discharge from hospital. British Medical Journal, 2, 686–8.

    Article  Google Scholar 

  • President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1982) Making Health Care Decisions, US Government Printing Office, Washington DC

    Google Scholar 

  • Pyrczak, F. and Roth, D.H. (1976) Readability of directions on non-prescription drugs. Journal of the American Pharmaceutical Association, 16, 242–3.

    Google Scholar 

  • Reynolds, P.M. Sanson-Fisher, R.W., Poole, A.D. et al. (1981) Cancer and communication: information-giving in an oncology clinic. British Medical Journal, 282, 1449–51.

    Article  Google Scholar 

  • Richwald, CA., Wamsley, M.A., Coulson, A.H. and Moriskey, D.E. (1988) Are condom instructions readable? Results of a readability study. Public Health Reports, 103, 355–9.

    Google Scholar 

  • Ridour, S., Waters, W.E. and George, C.F. (1986) Knowledge of and attitudes to medicines in the Southampton community. British Journal of Clinical Pharmacology, 21, 701–11.

    Article  Google Scholar 

  • Rosenthal, R. and Rubin, D.B. (1982) A simple general purpose display of magnitude of experimental effect. Journal of Educational Psychology, 74, 166–9.

    Article  Google Scholar 

  • Roter, D. (1977) Patient participation in the patient-provider interaction: the effects of patient question. Asking on the quality of the interaction, satisfaction and compliance. Health Education Monographs, 5, 281–315.

    Article  Google Scholar 

  • Roter, D.L., Hall, J.A., and Katz, N.R. (1988) Patient-physician communication: a descriptive summary of the literature. Patient Education and Counselling, 12, 99–119.

    Article  Google Scholar 

  • Roth, H.P. (1987) Measurement of compliance. Patient Education and Counselling, 10, 107–16.

    Article  Google Scholar 

  • Roth, H.P., Caron, H.S., Ort, R.S. et al. (1962) Patients’ beliefs about peptic ulcer and its treatment. Annals of Internal Medicine, 56, 72–80.

    Article  Google Scholar 

  • Rudd, P. and Marshall, C (1987) Resolving problems of measuring compliance with medication monitors. Journal of Compliance in Health Care, 2, 23–35.

    Google Scholar 

  • Sackett, D.L. and Snow, J.C. (1979) Magnitude of compliance and non-compliance, in Compliance in Health Care (eds R.B. Haynes, D.W. Taylor and D.L. Sackett), Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Sanazaro, P.J. (1985) A survey of patient satisfaction, knowledge and compliance. Western Journal of Medicine, 142, 703–5.

    Google Scholar 

  • Sharf, B.F. (1988), Teaching patients to speak up: Past and future trends. Patient Education and Counselling, 11, 95–108.

    Article  Google Scholar 

  • Skilbeck, C.E., Tulips, J.G. and Ley, P. (1977) Effects of fear arousal, fear position, fear exposure, and sidedness on compliance with dietary instructions. European Journal of Social Psychology, 7, 221–39.

    Article  Google Scholar 

  • Tabak, E. (1988) Encouraging patient question asking: a clinical trial. Patient Education and Counselling, 12, 37–49.

    Article  Google Scholar 

  • Taylor, W.L. (1953) Cloze procedure: a new tool for measuring readability. Journalism Quarterly, 30, 415–33.

    Google Scholar 

  • Thrush, R.S. and Lanese, R.R. (1962) The use of printed material in diabetes education. Diabetes, 11, 132–7.

    Google Scholar 

  • Tring, F.C. and Hayes-Allen, M.C. (1973) Understanding and misunderstanding of some medical terms. British Journal of Medical Education, 7, 53–9.

    Article  Google Scholar 

  • Wallace, L.M. (1986) Communication variables in the design of pre-surgical preparatory information. British Journal of Clinical Psychology, 25, 111–18.

    Article  Google Scholar 

  • Weisman, C.S. and Teitelbaum, M.A. (1989) Women and health care communication. Patient Education and Counselling, 11, 109–17.

    Google Scholar 

  • Wright, P., Creighton, P. and Threlfall, S.M. (1982) Some factors determining what instructions will be read, Ergonomics, 25, 225–37.

    Article  Google Scholar 

  • Young, L. and Humphrey, M. (1985) Cognitive methods of preparing women for hysterectomy: does a booklet help? British Journal of Clinical Psychology, 24, 303–4.

    Article  Google Scholar 

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Ley, P., Llewelyn, S. (1995). Improving patients’ understanding, recall, satisfaction and compliance. In: Broome, A., Llewelyn, S. (eds) Health Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3226-6_5

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