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The development of simple, evidence-based psycho-educational tools, such as a tailored discussion guide or a health behaviour 'contract', may serve to facilitate this communication process and elicit strong behavioural intentions among patients.
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In this practice, the tool was implemented and tailored discussions were completed similarly as the other practices.
This finding is consistent with other studies that used standardized injury screening tools in the office setting to encourage tailored discussions when appropriate risks are identified (Nansel et al., 2008).
Amalgamated audit results from the group were discussed and used to tailor discussion towards specific aspects of acute asthma care identified as falling short of guideline standards.
These physicians were more likely to understand their patient's values and personal definitions of quality of life, and thus could tailor discussions to their individualistic needs.
Interactions at the time of trial recruitment offer scope for negotiating these complexities if practitioners have the flexibility to tailor discussions to the needs and situation of individual parents.
Other GPs tailored their discussion about overdiagnosis to the needs of the individual patient, their perceived level of understanding and time pressures: "it gets more complicated depending on how interested the person is" (GP4).
A few surgeons were able to tailor their discussion of treatment options, although few described this as a discrete disadvantage during our post-implementation survey.
Additionally, we had intended CARAT to be included in the medical record before the day of the visit to allow surgeons time to review CARAT before the clinical encounter and to tailor their discussion of treatment options based on the results of CARAT.
Although health professionals may be reluctant to encourage questions [ 27, 54], with practice, targeted questions allow health professionals to tailor their discussions [ 51].
Participation in a quality improvement program within pediatric offices can increase screening for injury risks and encourage tailored injury prevention discussions during an office encounter.
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