Debra Roter
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View article: Toward a therapeutic relationship: A randomized control trial of the physical environment and client‐centered communication in genetic counseling
Toward a therapeutic relationship: A randomized control trial of the physical environment and client‐centered communication in genetic counseling Open
Genetic counselors routinely provide service in many environments, including counseling‐type and medical‐type rooms; in this study, counseling environments are characterized by office décor that facilitates discussion around a seated table…
View article: Profound Love and Dialogue: Paulo Freire and Liberation Education
Profound Love and Dialogue: Paulo Freire and Liberation Education Open
Paulo Freire, Brazilian philosopher and educator, proposed an educational method for adults based on what he called “the problem posing method.” This method was based on dialogue that he deemed necessary for education and was not oppressiv…
View article: Online communication skill training of patients with cancer: A test of the behavioral intention predictive framework for communication skills
Online communication skill training of patients with cancer: A test of the behavioral intention predictive framework for communication skills Open
Despite theoretical and empirical evidence that behavioral intention significantly predicts behavior, it has not been studied in patient communication research. Application of the novel framework to LEAPS training videos contributes an inn…
View article: Measuring the therapeutic bond in genetic counseling: Testing measurement error in the bond subscale of the Working Alliance Inventory
Measuring the therapeutic bond in genetic counseling: Testing measurement error in the bond subscale of the Working Alliance Inventory Open
The therapeutic relationship is a key component of successful genetic counseling. In psychotherapy, a strong therapeutic relationship can improve patient health outcomes and a poor relationship can worsen psychological functioning. Investi…
View article: Characterizing Decision-Making Surrounding Exercise in ARVC: Analysis of Decisional Conflict, Decisional Regret, and Shared Decision-Making
Characterizing Decision-Making Surrounding Exercise in ARVC: Analysis of Decisional Conflict, Decisional Regret, and Shared Decision-Making Open
Background: Limiting high-intensity exercise is recommended for patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) due to its association with penetrance, arrhythmias, and structural progression. Guidelines recommend shar…
View article: Patterns of person‐centred communications in public HIV clinics: a latent class analysis using the Roter interaction analysis system
Patterns of person‐centred communications in public HIV clinics: a latent class analysis using the Roter interaction analysis system Open
Introduction Poor client−provider communication is a critical barrier to long‐term retention in care among people living with HIV. However, standardized assessments of this key metric are limited in Africa. We used the Roter Interaction An…
View article: Efficacy of an online communication skill training intervention on genetic counseling students’ performance during standardized patient sessions
Efficacy of an online communication skill training intervention on genetic counseling students’ performance during standardized patient sessions Open
View article: Exploring the Impact of Language Concordance on Cancer Communication
Exploring the Impact of Language Concordance on Cancer Communication Open
PURPOSE: Patients with cancer who have limited English proficiency are more likely to experience inequities in cancer knowledge, timely care, and access to clinical trials. Matching patients with language-concordant clinicians and working …
View article: The Role of Sources and Types of Health Information in Shaping Health Literacy in Cervical Cancer Screening Among African Immigrant Women: A Mixed-Methods Study
The Role of Sources and Types of Health Information in Shaping Health Literacy in Cervical Cancer Screening Among African Immigrant Women: A Mixed-Methods Study Open
Background: Health literacy is a strong determinant of health outcomes among immigrants. How sources and types of health information influence health literacy in the context of cervical cancer screening among African immigrant women remain…
View article: Testing a best practices risk result format to communicate genetic risks
Testing a best practices risk result format to communicate genetic risks Open
View article: Exploring patient-centered aspects of home care communication: a cross-sectional study
Exploring patient-centered aspects of home care communication: a cross-sectional study Open
View article: The impact of the number of tests presented and a provider recommendation on decisions about genetic testing for cancer risk
The impact of the number of tests presented and a provider recommendation on decisions about genetic testing for cancer risk Open
View article: Engagement and Affective Communication During Pediatric Nephrology Clinic Visits: Associations with Medication Adherence
Engagement and Affective Communication During Pediatric Nephrology Clinic Visits: Associations with Medication Adherence Open
View article: Loss of patient centeredness in interpreter-mediated primary care visits
Loss of patient centeredness in interpreter-mediated primary care visits Open
View article: Exploring Health Literacy and the Correlates of Pap Testing Among African Immigrant Women: Findings from the AfroPap Study
Exploring Health Literacy and the Correlates of Pap Testing Among African Immigrant Women: Findings from the AfroPap Study Open
View article: Helping Patients with COPD Transition from Hospital to Home—The BREATHE Study
Helping Patients with COPD Transition from Hospital to Home—The BREATHE Study Open
View article: Genetic counselor implicit bias and its effects on cognitive and affective exchanges in racially discordant simulations
Genetic counselor implicit bias and its effects on cognitive and affective exchanges in racially discordant simulations Open
Previous studies have linked clinicians' implicit racial bias with less patient‐centered communication between healthcare providers and patients in a variety of healthcare contexts. The current study extends this research by exploring the …
View article: Awareness and Discussions About Chronic Kidney Disease Among African-Americans with Chronic Kidney Disease and Hypertension: a Mixed Methods Study
Awareness and Discussions About Chronic Kidney Disease Among African-Americans with Chronic Kidney Disease and Hypertension: a Mixed Methods Study Open
View article: Individuation and implicit racial bias in genetic counseling communication
Individuation and implicit racial bias in genetic counseling communication Open
View article: Hypertension Self-management in Socially Disadvantaged African Americans: the Achieving Blood Pressure Control Together (ACT) Randomized Comparative Effectiveness Trial
Hypertension Self-management in Socially Disadvantaged African Americans: the Achieving Blood Pressure Control Together (ACT) Randomized Comparative Effectiveness Trial Open
View article: Effect of a Hospital-Initiated Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Patients Hospitalized With Chronic Obstructive Pulmonary Disease
Effect of a Hospital-Initiated Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Patients Hospitalized With Chronic Obstructive Pulmonary Disease Open
ClinicalTrials.gov Identifier: NCT02036294.
View article: Discussion of memory during primary care visits of older adults with cognitive impairment and accompanying family
Discussion of memory during primary care visits of older adults with cognitive impairment and accompanying family Open
Objectives Cognitive impairment is underdiagnosed in primary care. Understanding factors that precipitate memory‐related discussion could inform strategies to improve diagnosis and counseling. We assessed whether: 1) having a cognitive imp…
View article: A Multicenter Comparison of Complementary and Alternative Medicine (CAM) Discussions in Oncology Care: The Role of Time, Patient-Centeredness, and Practice Context
A Multicenter Comparison of Complementary and Alternative Medicine (CAM) Discussions in Oncology Care: The Role of Time, Patient-Centeredness, and Practice Context Open
Background Little is known about how complementary and alternative medicine (CAM) is discussed in cancer care across varied settings in the U.S. Methods In two practices affiliated with one academic medical center in southern California (S…
View article: Patient-level Predictors of Extent of Exposure to a Community Health Worker Intervention in a Randomized Controlled Trial
Patient-level Predictors of Extent of Exposure to a Community Health Worker Intervention in a Randomized Controlled Trial Open
Objective: Community health worker (CHW) interventions have been cited as a best practice for reducing health disparities, but patient-level attributes may contribute to differential uptake. We examined patient characteristics associated w…
View article: Does an Advance Care Planning Video Help Patients Having Surgery for Cancer Discuss Their Healthcare Preferences with Their Surgeons?
Does an Advance Care Planning Video Help Patients Having Surgery for Cancer Discuss Their Healthcare Preferences with Their Surgeons? Open
View article: Emotional Communication in HIV Care: An Observational Study of Patients’ Expressed Emotions and Clinician Response
Emotional Communication in HIV Care: An Observational Study of Patients’ Expressed Emotions and Clinician Response Open
View article: The role of self-disclosure by peer mentors: Using personal narratives in depression care
The role of self-disclosure by peer mentors: Using personal narratives in depression care Open
View article: Effect of a Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Hospitalized Patients With Chronic Obstructive Pulmonary Disease
Effect of a Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Hospitalized Patients With Chronic Obstructive Pulmonary Disease Open
ClinicalTrials.gov Identifier: NCT02036294.
View article: Patient–Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial
Patient–Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial Open
View article: Investigator Disclosure and Advanced Cancer Patient Understanding of Informed Consent and Prognosis in Phase I Clinical Trials
Investigator Disclosure and Advanced Cancer Patient Understanding of Informed Consent and Prognosis in Phase I Clinical Trials Open
Purpose: Advanced cancer patients (ACPs) who participate in phase I clinical trials often report a less-than-ideal understanding of the required elements of informed consent (IC) and unrealistic expectations for anticancer benefit and prog…