Publications by authors named "D L Roter"

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 oppressive and controlling. Freire argued that traditional educational methods were inherently oppressive because they served the interest of the elite, instituted what he called "the banking method" in hopes to turn people into better workers.

View Article and Find Full Text PDF

Objective: To assess the Behavioral Intention Predictive Framework's utility in explaining variation in cancer patients' strong behavioral intention (SBI) to use LEAPS (Listen, Educate, Assess, Partner, Support) communication skills after viewing training videos.

Methods: Ninety-eight patients were enrolled through anonymized online platforms to view LEAPS training videos, complete background and communication questionnaires and report their SBI to use LEAPS skills.

Results: On average, patients indicated SBI to use 6 of 13 skills and 46% of patients expressed SBI across individual skills.

View Article and Find Full Text PDF

Clinician racial bias has been associated with less patient-centered communication, but little is known about how it affects trainees' communication. We investigated genetic counseling students' communication during sessions with Black or White standardized patients (SPs) and the extent to which communication was associated with SP race or student scores on the Race Implicit Association Test (IAT). Sixty students conducted a baseline SP session and up to two follow-up sessions.

View Article and Find Full Text PDF

Objective: The study objective is to evaluate an adaptation of the LEAPS skill framework for cancer care partners (CPs) focusing on autonomy enhancing skills and assessed by strong behavioral intention (SBI) to use these skills METHOD: Cancer CPs were recruited through public platforms to view and rate 4 LEAPS cancer-specific narratives and 52 skill demonstration videos, indicate SBI to use demonstrated skills and provide information on skill-related measures.

Results: Half of CPs expressed SBI to use an average of 6.5 of 13 LEAPS skills which did not vary by LEAPS communication domains or examples used to demonstrate skills.

View Article and Find Full Text PDF

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. Investigation of the therapeutic relationship in genetic counseling has shown evidence for a similar pattern.

View Article and Find Full Text PDF