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In relation to patients' understanding of advice, findings show that assumptions about HCP-patient roles play a part: some patients misunderstood the advice given or lacked the perceived commitment required to make a lasting change.
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42 Process evaluation will be conducted within 3 weeks of start of the intervention, using a brief questionnaire to evaluate participants' perception of the booklet in terms of readability, ease of understanding, usefulness of advice, suitability and relevance to age group.
"I haven't spoken directly to any players but the feedback we are getting from player associations throughout the world is that players are very appreciative and understanding of the advice.
However, the results of surveys which examine the public understanding of nutritional advice have not been encouraging.
A subset of patients were interviewed after the consultation to examine their experiences of the clinic, their understanding of the advice given and any behavioural changes they planned to make following their consultation.
Each participant was written to personally in a letter from their GP asking them to help with a study which was described as looking at 'people's understanding of nutrition advice'.
This evaluation of the NHS Health Check in the HoBtPCT region was conducted to explore HCPs' and patients' experiences of it and to examine whether it was delivered according to protocol; to explore patients' understanding of personalised advice; and to determine whether HCPs and patients felt the lifestyle support facilitated the adoption of behaviour change in the context of everyday lives.
Factors such as miscommunication and social and cultural differences between patients and health care providers [ 28, 29], poor understanding of medical advice [ 30], inherent racism in the health system [ 31], lack of transport [ 32], geographic isolation [ 33], and lack of Indigenous support persons [ 34], have been cited as some of the reasons for treatment disparity.
These included patient motivation and ability to cope and adapt, understanding and memory of advice and instructions, comfort and tolerance of splintage, and patient needs, (including values and preferences), activities and circumstances.
The findings broaden the scope of conversation analytic research on turn design and action formation and have implications for our understanding of questioning and advice delivery within the field of pragmatics.
It is about communicating with other people to obtain help in terms of understanding, advice, information, treatment and general support in response to a problem or distressing experience" (p.4).
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